Common use of Electronic Signature Consent Clause in Contracts

Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA or their designated administrator. If you need to update your e-mail address or other contact information with AAA, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA or their designated administrator at the contact address or telephone number provided. Please contact AAA or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript Member: As stated on the ID Card Effective Date: The date shown on the ID Card Term of Agreement: One month from the Effective Date TruScript Charges and Fees: $19.95 monthly This Discount Medical Program TruScript is issued by VantageAmerica Solutions, Inc. and takes effect on the Effective Date stated above. DISCLOSURE: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA).

Appears in 2 contracts

Samples: Membership Agreement, Membership Agreement

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Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA TRUSCRIPT and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA TRUSCRIPT and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA TRUSCRIPT and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA TRUSCRIPT and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA TRUSCRIPT paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA TRUSCRIPT and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA TRUSCRIPT and their designated administrator advises advise you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA TRUSCRIPT or their designated administrator. If you need to update your e-mail address or other contact information with AAATRUSCRIPT, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA TRUSCRIPT or their designated administrator at the contact address or telephone number provided. Please contact AAA TRUSCRIPT or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome Explorer or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA TRUSCRIPT or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA TRUSCRIPT and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA TRUSCRIPT in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript Member: As stated on the ID Card Effective Date: The date shown on the ID Card Term of Agreement: One month from the Effective Date TruScript Charges and Fees: $19.95 monthly This Discount Medical Program TruScript is issued by VantageAmerica Solutions, Inc. and takes effect on the Effective Date stated above. DISCLOSURE: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA).

Appears in 1 contract

Samples: Membership Agreement

Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA or their designated administrator. If you need to update your e-mail address or other contact information with AAA, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA or their designated administrator at the contact address or telephone number provided. Please contact AAA or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript AAA-TruMedicalAccident Plus Member: As stated on the ID Card Effective Effective Date: The date shown on the ID Card Term of Agreement: One month from The Membership Term selected by the Effective Date TruScript Charges and FeesMember at the time of enrollment Commencing on the date of the TruMedical Accident Plus’ receipt of the enrollment. DMPO Charges: (A monthly charge of $19.95 monthly .50 is included for the discount medical plan.) This Discount Medical Program TruScript (Program) is issued by VantageAmerica Solutions, Inc. (We, Our or Us) and takes effect on the Effective Date stated above. DISCLOSUREThis Discount Medical Program contains the following discount services: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA)Hear in America and DirectLabs®.

Appears in 1 contract

Samples: Membership Agreement

Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA or their designated administrator. If you need to update your e-mail address or other contact information with AAA, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA or their designated administrator at the contact address or telephone number provided. Please contact AAA or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript AAA- TruMedical Access Virtual Medicine Member: As stated on the ID Card Effective Effective Date: The date shown on the ID Card Term of Agreement: One month from The Membership Term selected by the Effective Date TruScript Charges and FeesMember at the time of enrollment Commencing on the date of the TruMedical Access Virtual Medicine’s receipt of the enrollment. DMPO Charges: (A monthly charge of $19.95 monthly .50 is included for the discount medical plan.) This Discount Medical Program TruScript (Program) is issued by VantageAmerica Solutions, Inc. (We, Our or Us) and takes effect on the Effective Date stated above. DISCLOSUREThis Discount Medical Program contains the following discount services: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA)Discount Prescription Plan, Hear in America, and DirectLabs®.

Appears in 1 contract

Samples: Membership Agreement

Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA or their designated administrator. If you need to update your e-mail address or other contact information with AAA, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA or their designated administrator at the contact address or telephone number provided. Please contact AAA or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript Member: As stated on the ID Card Effective Date: The date shown on the ID Card Term of Agreement: One month from the Effective Date TruScript Charges and Fees: $19.95 monthly This Discount Medical Program TruScript is issued by VantageAmerica Solutions, Inc. and takes effect on the Effective Date stated above. DISCLOSURE: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA).

Appears in 1 contract

Samples: Membership Agreement

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Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA EchoWorldComm and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA EchoWorldComm and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA EchoWorldComm and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA EchoWorldComm and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA EchoWorldComm paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA EchoWorldComm and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA EchoWorldComm and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA EchoWorldComm or their designated administrator. If you need to update your e-mail address or other contact information with AAAEchoWorldComm, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA EchoWorldComm or their designated administrator at the contact address or telephone number provided. Please contact AAA EchoWorldComm or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome Explorer or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA EchoWorldComm or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA EchoWorldComm and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA EchoWorldComm in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript Member: As stated on the ID Card Effective Date: The date shown on the ID Card Term of Agreement: One month from the Effective Date TruScript Charges and Fees: $19.95 monthly This Discount Medical Program TruScript is issued by VantageAmerica Solutions, Inc. and takes effect on the Effective Date stated above. DISCLOSURE: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA).

Appears in 1 contract

Samples: Membership Agreement

Electronic Signature Consent. You are enrolling into Program Program(s) using electronic processes, which will include the use of electronic records and electronic signatures. AAA COMPANY and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA COMPANY and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA COMPANY and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA COMPANY and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA COMPANY paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA COMPANY and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA COMPANY and their designated administrator advises advise you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA COMPANY or their designated administrator. If you need to update your e-mail address or other contact information with AAACOMPANY, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA COMPANY or their designated administrator at the contact address or telephone number provided. Please contact AAA COMPANY or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome Explorer or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA COMPANY or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA COMPANY and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program Program(s) enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA COMPANY in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript Member: EchoWorldComm, American Advantage Association (AAA) As stated on the ID Card Effective Date: The date shown on the ID Card Term of Agreement: One month Monthly from the Effective Date TruScript Charges and Fees: $19.95 monthly This Discount Medical Program TruScript (Program) is issued by VantageAmerica Solutions, Inc. (We, Our or Us) and takes effect on the Effective Date stated above. DISCLOSURE: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA).

Appears in 1 contract

Samples: Membership Agreement

Electronic Signature Consent. You are enrolling into Program using electronic processes, which will include the use of electronic records and electronic signatures. AAA and their designated administrator are required by law to provide you with certain disclosures and information about your enrollment ("Required Information"). With your consent, AAA and their designated administrator can deliver Required Information to you electronically. You should print or download the Required Information and keep it for your records. Your consent also permits the general use of electronic records and electronic signatures in connection with your enrollment. This notice contains important information that you are entitled to receive before you consent to electronic enrollment. By electronically signing this document, you consent to the use of electronic transactions and electronic signatures on this Web Site, and receipt of electronic versions of certain records. In addition, you agree to be bound by any consent or agreement you make or transmit through the internet or this Web site, including but not limited to any consent you give to receive records or communications from us solely through electronic transmission. You agree that, by using this site, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature. You are entitled to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, AAA and their designated administrator cannot proceed with the acceptance and processing of your electronic enrollment. If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent, AAA and their designated administrator will not be able to continue processing your enrollment electronically. You may, however, enroll by using an AAA paper hardcopy enrollment, but this may delay completion of the enrollment process. If you consent to electronic disclosures, that consent applies to all Required Information that AAA and their designated administrator gives you or receives from you in connection with your enrollment and the associated disclosures, and other documents. You agree to print out or download Required Information when AAA and their designated administrator advises you to do so and keep it for your records. If you have any trouble printing out or downloading any Required Information, you may call AAA or their designated administrator. If you need to update your e-mail address or other contact information with AAA, wish to withdraw your consent to electronic disclosures, or wish to obtain a paper copy of the Required Information after submitting your enrollment, you may do so by contacting AAA or their designated administrator at the contact address or telephone number provided. Please contact AAA or their designated administrator immediately if any of your contact information changes. There may be an additional charge for receiving paper copies of any information that you request. In order to electronically review and sign your membership enrollment, you will need to satisfy certain computer hardware and software requirements. These minimum operating system requirements are: Browsers: Internet Explorer, Google Chrome or Mozilla Firefox; Adobe Reader. If you do not have the required software and/or hardware, or if you do not wish to use electronic enrollment, you can request that AAA or their designated administrator send paper copies of the enrollment document(s) to you instead. AAA and their designated administrator may require that certain communications from you be delivered to them on paper at a specified address. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with my Program enrollment. I have been able to view, download and print this enrollment information using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my membership enrollment with AAA in place of written documents and handwritten signatures. I am consenting on behalf of all joint applicants identified in the enrollment process. I am authorized to consent on their behalf. Group: TruScript AAA-TruMedicalAccident Member: As stated on the ID Card Effective Effective Date: The date shown on the ID Card Term of Agreement: One month from The Membership Term selected by the Effective Date TruScript Charges and FeesMember at the time of enrollment Commencing on the date of the TruMedicalAccident’s receipt of the enrollment. DMPO Charge: (A monthly charge of $19.95 monthly .50 is included for the discount medical plan.) This Discount Medical Program TruScript (Program) is issued by VantageAmerica Solutions, Inc. (We, Our or Us) and takes effect on the Effective Date stated above. DISCLOSUREThis Discount Medical Program contains the following discount services: THIS AGREEMENT IS NOT A HEALTH INSURANCE POLICY. The Program provides savings at certain health care providers for medical services. It does not make payments directly to the providers of medical services. You are obligated to pay for all health care services but will receive a savings from those health care providers who have contracted with Us. This discount plan is not a qualified health plan under the Affordable Care Act (ACA)Discount Prescription Plan, Hear in America and DirectLabs®.

Appears in 1 contract

Samples: Membership Agreement

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