Employer Registration

The following errors occurred:

To use the secured areas of www.medica.com, you must complete the registration form below.

General Person Data

Employer - Specific Person Data

Organization Information

Employer - Specific Organization Data

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.


Fed tax ID Organization name

Terms of use

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:

  • Keep your User ID and Password confidential and do not share it with anyone else.
  • Register only those individuals within your organization who have a legitimate need to use the secured portions of www.medica.com for doing business with Medica.
  • Only allow access to the information that is necessary for the user to perform his or her job responsibilities.
  • Monitor on a regular basis those users within your organization that have access to the secured portions of www.medica.com and the transactions to which such user have access.
  • Make all appropriate modifications to such user's rights as necessary to effectuate the obligations defined herein.
  • Terminate all Users' accounts when such users no longer have a need to access the secured portions of www.medica.com and when users leave your organization.
  • Advise all users that they are bound by the terms above.