Dear [Recipient's Name], I am writing to request authorization to participate in the medical plan offered by [Company/Organization Name] as an employee/dependent residing in Santa Clara, California. As part of the requirements for enrollment in the medical plan, I am required to submit this letter seeking approval to join the program. As a resident of Santa Clara, California, I am fortunate to be a part of a vibrant community that values health and wellness. Santa Clara is a city located in the heart of Silicon Valley, known for its technological advancements, diverse population, and exceptional healthcare facilities. Being situated in such an innovative and forward-thinking region, I am eager to take full advantage of the benefits provided by the medical plan. I understand the importance of having a comprehensive healthcare coverage that ensures timely access to quality medical services. By participating in the medical plan, I can actively engage in preventive care, have access to routine check-ups, and seek necessary medical treatment as and when required. This coverage will not only safeguard my well-being but also support me in maintaining a healthy work-life balance. The medical plan offered by [Company/Organization Name] has earned an excellent reputation for its extensive network of healthcare providers in Santa Clara, California. With a wide range of primary care physicians, specialists, hospitals, and clinics, the plan ensures that participants have ample options for their medical needs. Additionally, the plan provides coverage for prescription medications, laboratory tests, preventative screenings, and other essential healthcare services. Moreover, as a resident of Santa Clara, I have been impressed by the commitment of the local healthcare community to prioritize patient care and provide exceptional medical services. By participating in the medical plan, I will have the opportunity to collaborate with highly skilled healthcare professionals who are dedicated to promoting overall wellness and providing personalized care. In light of the aforementioned details, I hereby request authorization to participate in the medical plan offered by [Company/ Organization Name]. I acknowledge and agree to comply with all the terms, conditions, and financial obligations associated with the plan. Furthermore, I understand that by participating in this medical plan, I will be eligible for the benefits outlined in the plan documents, and I will adhere to the policies and procedures established by the plan administrator. Thank you for considering my request for authorization to participate in the medical plan. I firmly believe that by being a part of this program, I will ensure my ongoing well-being and be better equipped to fulfill my responsibilities both at work and within the Santa Clara community. Yours sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.