Template Title

Template Description

Subject <p> HIPAA Release {{case_id}}</p>

Body <p> </p><p> </p><p>Hello {{surrogate_first_name}}, </p><p><br></p><p>Thank you for allowing ART Risk assist in placing your insurance policy for your surrogacy journey in connection with your agency or intended parents. In order to communicate with your insurance carrier on your behalf (regarding premium billing and eligibility), we need to place a HIPAA form on file with them. This is a release of information that comes from you authorizing us (ART Risk) to check on your monthly payments and policy status. If your address has changed since you were applied for the policy, please update the address field(s) on the HIPAA form. It is very important that you complete this at your earliest convenience. Certain Insurance Carriers require an actual wet signature on the HIPAA form in order for the HIPAA to be fully binding and we have to abide by their rule (they don't accept electronic signatures).</p><p> </p><p><b><font style="background-color: rgb(255, 255, 255);" color="#ff0000">We are sending you the attached HIPAA form. Please print/sign and return to our office. The address is below!</font></b></p><p><font color="#000000" style="background-color: rgb(255, 255, 0);"><br></font></p><p><b><font color="#000000" style="background-color: rgb(255, 255, 0);">How to Complete the HIPAA</font></b><br></p><p>We have uploaded the HIPAA to your documents section in your ART Risk portal. Please login to your portal <a href="https://app.artrisksolutions.com/">ART Risk</a>, print and complete the HIPAA document. Once you have completed the document, please mail the HIPAA to ART Risk via the address below.</p><p><br></p><p>ART Risk</p><p>25050 Avenue Kearny, Suite #105</p><p>Valencia, CA 91355</p><p><br></p><p>If you have any questions regarding this, please contact us or your ART Risk agent via email or at 661-257-6242.</p><p><br></p><p>Thank you.</p><img src="https://artrisksolutions.com/wp-content/uploads/2018/06/ART-Risk-LOGO-RGB.png" "="" style="width: 10%;"> <p></p><p><a href="https://app.artrisksolutions.com/login" target="_blank">SIGN IN HERE</a><br></p><p>**If you wish to contact us, please do not reply to this message but instead contact one of our Client Success Liaisons at 661-257-6242 (via phone) or <a aria-label="Link info@yourinsurancresource.com" title="mailto:info@yourinsurancresource.com" href="mailto:info@yourinsuranceresource.com" rel="noopener noreferrer" target="_blank" tabindex="-1" class="fui-Link ___m14voj0 f3rmtva f1ern45e f1deefiw f1n71otn f1q5o8ev f1h8hb77 f1vxd6vx f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f9n3di6 f1ids18y fygtlnl f1deo86v f12x56k7 f1iescvh ftqa4ok f50u1b5 fs3pq8b f1hghxdh f1tymzes f1x7u7e9 f1cmlufx f10aw75t fsle3fq">info@yourinsuranceresource.com</a> (via email). For specific questions regarding your policy, please reach out to your Dedicated Agent. Replies to this message will not be read or responded to.</p><p></p>