To use the secured areas of www.medica.com, you must complete the registration form below.
Add Additional Affiliated Tax ID:
If your organization is affiliated with additional organizations (subsidiary organizations) that your
users will need access to, use this link to add them to your security. If you do not add these
additional tax ids now you will need to contact the Medica Registration Administrator and complete
additional paperwork to have the additions completed.
This is a secured site and is governed by the terms below. Please be aware
that the person who is named in this portion of the registration will be
responsible for setting up and maintaining all additional users and agrees to
the following terms:
EMPLOYER GROUP HEALTH PLAN PORTAL TERMS OF AGREEMENT
This TERMS OF AGREEMENT supplements and is made part of the terms and
conditions of the Administrative Services Agreement/Master Group contract
between the respective entity - Medica Health Plans, Medica Insurance Company,
or Medica Self Insured("Medica") and
("Plan") with the Effective Date of 1/28/2023
1. Services: Plan will be given access to secured areas of
www.medica.com. Plan will be required to agree to terms outlined in this TERMS
OF AGREEMENT before Plan may access the secured areas of www.medica.com.
2. Disclaimer: All information on www.medica.com is provided "AS IS"
and without warranties of any kind. Medica does not warrant that the content of
information obtained on www.medica.com is accurate, reliable, error-free, that
defects will be corrected, or that www.medica.com or its server are free of
viruses or other harmful components. If there is any conflict between the
information you obtain on www.medica.com and the Master Group
Contract/Administrative Services Agreement, the latter governs. Medica will not
be responsible under this Agreement for any indirect, incidental, special or
consequential damages resulting from either party's performance or failure to
perform under this agreement.
3. Plan Responsibilities: Plan understands and agrees that any data or
information it requests that is not de-identified protected health information
as defined by the Health Insurance Portability and Accountability Act of 1996
("HIPAA"), is subject to HIPAA Privacy, Business Associated and confidentiality
provisions of the Master Group Contract/Administrative Services Agreement that
require the Plan Sponsor to either obtain valid authorizations or ensure that
the Plan Document has been appropriately amended and any required certification
to that effect has been provided to Plan Administrator.
Plan acknowledges and agrees to ensure that each registered user for Plan will
have a legitimate purpose for use and disclosure of the information obtained on
www.medica.com and will not use the information in a way that would violate any
laws including but not limited to HIPAA. The responsibilities of the Plan will
include at a minimum: