Authorization for Disclosure of Medical Information to the Group Term Life Program - Utah

Authorization for Disclosure of Medical Information to the Group Term Life Program is a legal document that was released by the Utah Retirement Systems - a government authority operating within Utah.

FAQ

Q: What is the Authorization for Disclosure of Medical Information to the Group Term Life Program?
A: It is a form that allows the disclosure of your medical information to the Group Term Life Program.

Q: Why do I need to authorize the disclosure of my medical information?
A: You need to authorize the disclosure of your medical information to determine your eligibility for the Group Term Life Program.

Q: Who is the Group Term Life Program for?
A: The Group Term Life Program is for eligible individuals who meet the criteria.

Q: Is the authorization form specific to Utah?
A: Yes, the authorization form is specifically for Utah.

Q: Can I refuse to authorize the disclosure of my medical information?
A: Yes, you can refuse to authorize the disclosure of your medical information, but it may impact your eligibility for the Group Term Life Program.

Q: How long is the authorization valid for?
A: The authorization is valid for one year from the date of signature.

Q: What happens to my medical information once it is disclosed?
A: Your medical information is used to determine your eligibility for the Group Term Life Program and is kept confidential.