| You may designate a business manager, agent or other authorized representative to handle your AFTRA H&R affairs by completing, signing and returning an Authorization Form or you may call Participant Services at (800) 562-4690 if you need assistance with this. Note that due to privacy regulations under the Health Insurance Portability and Accountability Act (HIPAA), AFTRA H&R is prohibited from releasing any protected health information (PHI) – even your name – to a representative unless we have on file a completed Authorization Form signed by you. |
Make sure that your representative understands that it is important to review the information we send on your behalf and share it with you. Some of this information may be time-sensitive or require specific action. Failure to respond during a required time period may result in reduced or denied benefits.
Finally, if you change your business manager or agent, or if your manager or agent changes his or her mailing address, submit a new Authorization Form to AFTRA H&R promptly and notify Participant Services at (800) 562-4690 so that we may update our records.
Business managers and agents:
Important information to protect your clients’ benefits
For your client to designate you as his or her representative for handling AFTRA H&R affairs, your client must first download, sign and return an Authorization Form to allow you to do so, or your client may call Participant Services at (800) 562-4690 if he or she needs assistance with this. Due to privacy regulations under HIPAA, AFTRA H&R must have a completed and signed Authorization Form on file before we can release any information to you.
If you are authorized to receive correspondence on behalf of your client and you change your mailing address, your client must submit a new Authorization Form to AFTRA H&R promptly and notify Participant Services at (800) 562-4690 so that we may update our records.
Once you are authorized as your client’s representative to work with AFTRA H&R, it becomes your responsibility to review the information we send on your client’s behalf and to share this information with your client. Some of this information may be time-sensitive or require specific action. Failure to respond during a required time period may result in reduced or denied benefits for your client.
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