Coming Soon! Information and links, downloadable forms and more. If you have any questions you can call your representative at 210-699-3971 or email insurance@safirefighters.com.
HIPAA Release Form
Download:
Retiree PHI Form.pdf
Please complete this insurance release form for each retiree, spouse and dependant child over the age of 18. This form will allow your insurance representative to inquire about and resolve your medical claims issues. This information will be restricted to the use of assisting your with your claims issues. If you have any questions you can contact your representative at 210-699-3971.
The following information is available:
MAIL ORDER Save Direct PTRX Pharmacy
(Updated: Jan 07, 2010 10:30:00)
Page Last Updated: Jan 07, 2010 (10:23:00)
|
|
|