DISCLOSURE AND CONSENT TO RECEIVE ELECTRONIC NOTICES AND DISCLOSURES
We are pleased to offer you the opportunity to receive policies and notices about your account electronically. If you would like to receive notices and disclosures from us via email, instead of paper copies through the mail, please review this document carefully, and print a copy and/or retain this information electronically for future reference.
You are not required to receive notices and disclosures. If you prefer not to do so, then do not proceed forward and do not sign this document.
From time to time, Rossmann-Hurt-Hoffman, Inc. (“we”, “us”, or “our”), whether on its own behalf and/or on behalf of an Insurer and/or third parties, may wish to provide to you, and you may wish to receive from us, certain written notices, disclosures, declarations, policy forms, certificates and/or documents, information, requests, applications, and communications (“Records”) electronically. To provide these Records to you electronically, we must first have your consent.
You agree and understand that the words “you” and “your” mean the Insured. If there is more than one person on the account/policy, any consent or withdrawal of consent for electronic disclosures by any one of you will be effective for all of you.
Records that Will Be Sent to You Electronically
You agree that we may provide you with any communications to you in electronic format, and that we may discontinue sending paper communications to you, unless and until you withdraw your consent as described below or at our option upon notification by us to you.
You will have the ability to download and/or print Records we send to you. You may also request from us, at any time, delivery of a paper copy of any Records we provided or made available to you in electronic form by e-mailing us at firstname.lastname@example.org, calling us at 410-465-4300; or writing to us at 3290 North Ridge Road, Suite #300, Ellicott City, MD, 21043. You will need to provide your full name, mailing address, and a description of the Records for which you are requesting paper copies. We will not charge you for the paper copies of the Records.
System Requirements to Access Information
Before agreeing to receive notices and disclosures electronically, you must determine if you have the necessary hardware and software to access and retain these Records electronically. To access and retain your Records, you will need:
- An email account
- A program that accurately reads and displays PDF files (such as Adobe Acrobat Reader)
- A personal computer or other device which is capable of accessing the Internet
- A printer if you wish to print out records on paper, and/or electronic storage if you wish to retain records in electronic form
Withdrawal of Consent
After you have given your consent to receive Records from us in electronic form, you may change your mind at any time and tell us that thereafter you wish to receive Records in paper format only by e-mailing us at email@example.com ; calling us at 410-465-4300; or writing to us at 3290 North Ridge Road, Suite #300, Ellicott City, MD, 21043. Any withdrawal of consent will be effective only after we have a reasonable period of time to process your withdrawal.
Updating Contact Information
You are responsible for providing us with an accurate and current email address, and to maintain and update promptly any changes in that information. To update your information, please contact us, by e-mailing us at firstname.lastname@example.org; calling us at 410-465-4300; or writing to us at 3290 North Ridge Road, Suite #300, Ellicott City, MD, 21043. Please do not send confidential information to us via traditional email, as we cannot guarantee that the transmission will be secure.
How to Acknowledge Your Access and Consent to Receive Records Electronically
If you consent to receive Records exclusively in electronic format on the terms and conditions described above, please enter your email address and check the box below.
By furnishing your e-mail address and checking the box below, you confirm that:
- You have read, understand, and agree to be bound by the terms and conditions described above and consent to receive all Records electronically, according to the process described above.
- You are able to access and retain electronic Records in the format described above.
- You have provided an accurate and current email address at which we may send you electronic Records.
- You consent to receive electronic Records, as described above, until or unless you notify us as described above.
- You acknowledge that all Records will be deemed to have been delivered to you if they are sent to your email address as set forth above.