Once signed, please return to Patrick Pittman at patrick@southviewbenefits.com.
Participating Employer Agreement
Active employer members of AGA who wish to participate in the AGA Health Plan must sign and submit a Participating Employer Agreement prior to being eligible to enroll. If your company is already participating in the plan, there is no need to sign and submit another agreement. Click the button below to view and sign the Participating Employer Agreement.
ACH Billing Form
Active employer members of the AGA who wish to participate in the AGA Health Plan must sign and submit an ACH Authorization Form to facilitate the secure and timely processing of monthly premium payments. This form ensures that your payments are automated, accurate, and hassle-free. If your company has already submitted an ACH Authorization Form, there is no need to provide another. Click the button below to view, complete, and submit the ACH Authorization Form.