Release of Information: Insurance Verification and/or Claim History Report

This Release of Information process is intended for use ONLY by current or previous AAHP-RRG Members. Submissions by individuals other than AAHP-RRG members will not be processed.

Questions related to the use and/or completion of the form should be directed to the AAHP-RRG Insurance Services team at (352) 273-7006 -or- (844) 693-5747, or via email at InsuranceServices@SIPSAAHP.org

All requests to release information must be accompanied by a properly executed release. The release is a fillable PDF that may be completed online or printed and manually populated, must be printed for signature (wet signature), scanned and saved as a PDF, and returned to the Insurance Services team via the below option for processing.

Click HERE for the Release of Information form.

Named Insured on the policy.
Your email must match the email we have on record associated with your AAHP-RRG policy. If not, this will delay and possibly void this request.
Specific Recipient details should be populated on the Release of Information form that is to be attached with this submission.
Not Required
Click or drag files to this area to upload. You can upload up to 5 files.
Self-Insurance Programs

Self-Insurance Programs
AAHP Reciprocal Risk Retention Group
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