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Simply Sign & Send

Insurance carriers require a C-Suite (CEO, CFO, etc.) or a Director/ Manager level equivalent to sign this letter. This will allow us to serve as your advisor and begin implementing your data and staff in to our Benefits Management System.

  • Company Information

  • Insurance Information

  • Authorization

  • I have read each letter, agree to the content, and authorize HIG Employee Benefits to send letters as necessary to our carrier(s) so they can import our health insurance data into HIG Employee Benefits.
  • This field is for validation purposes and should be left unchanged.
Authorization Letter

Re: Policy number(s):

On we have appointed Christopher Efthymiou (NPN: 3300008) as our exclusive insurance agent for all lines of coverage. The appointment of Christopher Efthymiou rescinds and supersedes all previous agent appointments and shall remain in force until cancelled in writing.

I understand that you will make this appointment effective on the first of the month following your receipt of this letter, and that once effective all commissions and other compensation payable from that date on will be paid to the agent appointed in this letter. I represent that I am authorized to appoint an agent for the lines of coverage that are included in this letter.


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