Remote Signing Instructions

A step by step guide for remote signing of Kaiser's National Healthcare Shield (NHS) Memorandum of Agreement

In cases where the customer is not able to do face to face signing of contract / MOA, we need to have remote signing and document transmittal procedures / protocols.

Documents

There will be only 5 documents involved

• (1) CONFORME
• (2) AUTHORIZATION CERTIFICATE
  • main resolution
  • (3)LIST OF MEMBERS
  • Acknowledgement
• (4) MOA - Agency Agreement
• (5) MASTERLIST

Process Flow

1. Prepare signed (1) CONFORME
   • Download and print (1) CONFORME
   • Fill out CONFORME, making sure if has the correct information to create the MOA HMO Agreement
     • Group Name
     • Group Signatory
     • Group Signatory Position/title
     • Group Address ( normally business address of signatory)
   • Prepare two copies
   
    
2. Prepare notarized (2) AUTHORIZATION CERTIFICATE
   • Download and edit draft (2) AUTHORIZATION CERTIFICATE
   • Download (3) LIST OF MEMBERS template (xlsx) / (pdf) and recruit group members, to sign
   • Group leader and two representatives sign main resolution
   • All members sign list of members.
     Only members who sign can avail of HMO
   • Prepare four sets of the document. You can make three (3) photocopies of the list of members with wet signature
   • Notarize the four sets of the document ( main document, list of members, Acknowledgement/notary). Notary may require signatories to personally appear or provide photocopies of ID with specimen signature
   
    
3. Email transmittal (through agent) to Kaiser
   1. signed (1) CONFORME, and
   2. notarized (2) AUTHORIZATION CERTIFICATE with (3) LIST OF MEMBERS
   
   If agency agreement is required, email final draft to Kaiser too.
    
4. Prepare the (4) MOA HMO Agreement
   • Receive via email the MOA MEMORANDUM of AGREEMENT HMO Agreement (and MOA agency document if applicable) document from Kaiser
      
   • Print and sign four (4) or more copies of the MOA HMO Agreement.
   • photocopy the ID used BY signatory with 3 specimen signatures (for notary)
      
5. Prepare the (5) MASTERLIST
   • Download (5) MASTERLIST template / (pdf)
   • Fill out MASTERLIST, include all details. Make sure to get Government Employee ID and number
   • Arrange to collect the premium payment, and include the names of all paying members. Only members who signed the authorization can be included in the masterlist
   • Print and sign two (2) or more copies of the MASTERLIST
   
    
6. Send all copies of signed paper documents to Kaiser by BOTH email and paper transmittal ( see detailed transmittal instructions below )
   Email transmittal of scanned documents
   1. Updated notarized (2) AUTHORIZATION CERTIFICATE ( could be more than one)
   2. (4) MOA HMO Agreement
   3. optional advanced signed copy of (5) MASTERLIST
   
   Paper Transmittal of Physical Documents
   1. One (1) copy of (1) CONFORME
   2. One (1) copy of notarized (2) AUTHORIZATION CERTIFICATE(s) with (3) LIST OF MEMBERS wet signature
   3. Four (4) copies of (4) MOA HMO Agreement with photocopy of ID/specimen signatures of signatory
   4. One (1) copy of optional advanced signed copy of (5) MASTERLIST
   
    
7. When Kaiser receives the documents, it will review the documents for approval
   On approval, Kaiser will
   • sign the documents,
   • have them notarized, and
   • send back two (2) copies OF MOA HMO Agreement to GROUP
   
    
8. Email MASTERLIST of principal members to Kaiser
   (You can do this at the same time as step 6)
    
9. Wait for billing statement and payment instructions via email from Kaiser
    
10. Pay for principal members according to payments instructions.
     
11. Enroll and pay for dependent members
     
12. Wait for official receipts
     

Email Transmittal

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1. Scan all pages, preferably one PDF per document.
   If one page only, you can just take a clear picture
    
2. If the email is advance copy of paper documents, please scan receipt and tracking number of courier company (e.g LBC )
    
3. Include a transmittal email enumerating all the contents / attachments.
    
4. Email:
   
   To : marketing@kaiserhealthgroup.com
   cc : bobet.prudente@gmail.com
      < email address of Kaiser agent >
   Subject: < group name > - < contents, e.g. MOA >
    
5. Wait for acknowlegement via email
    

Paper Transmittal

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1. Put all the documents in an envelope
    
2. Include a transmittal letter enumerating all the contents
    
3. Address the package to:
   
   Kaiser International Healthgroup Inc
   Ground Floor Omnis Prosperity Tower
   377 Sen. Gil Puyat Avenue,
   Barangay Bel-air, Makati City
   Attn: MEL JEAN DANAO / JOHN BENEDICT MEDES
   Mobile No. 0920 979 1939 / 0918 962 8875
   
    
4. if applicable, get receipt with tracking number and email to Kaiser cc Bobet (see email transmittal instructions above
    
5. Wait for acknowlegement via email
    

Payment Instructions

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Account Details

 

Steps

1. Deposit the premium payment through any of the Kaiser accounts listed above.
2. Email a copy of your deposit slip to Kaiser once the transaction is completed.
3. Email:
   To : billing@kaiserhealthgroup.com
   cc : marketing@kaiserhealthgroup.com
       bobet.prudente@gmail.com,
       < email address of Kaiser agent >
       Subject: < group name > - Payment Details
4. Wait for confirmation via email
    

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