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Conversion to Individual Membership If you or a covered dependent are not eligible for continuation of group coverage, you may convert to an individual membership contract with Atlantis on a direct-payment basis. Note: Prescription, vision and or any dental "Riders" which may have been available to you from your group remittance coverage ARE NOT convertible to individual membership coverage. A complete description of enrollment regulations may be found in your Subscriber Contract. Member Acknowledgements
Non-English Speaking Members Medical Information and Records As a Member of Atlantis Health Plan, you authorize any health care provider to provide Atlantis Health Plan, or its designee, with medical information/records for yourself as Subscriber, or for any dependents as listed on your application form. Governing Agreement Your rights and responsibilities are defined in the Subscriber Contract and should any discrepancy occur between the Subscriber Contract and any other Atlantis Health Plan literature, the Subscriber Contract is the governing Agreement. Independent Contractors All Atlantis Health Plan participating Primary Care Providers, as well as all other health care providers are independent contractors. In other words, they are not employees or agents of Atlantis Health Plan. |
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