Get Tx The Hartford’s Workers’ Compensation Health Care Network Employee Enrollment Package 2013-2025
How it works
- 
                    
Open form follow the instructions
 - 
                    
Easily sign the form with your finger
 - 
                    
Send filled & signed form or save
 
How to fill out the TX The Hartford’s Workers’ Compensation Health Care Network Employee Enrollment Package online
This guide provides a comprehensive overview on how to effectively complete the TX The Hartford’s Workers’ Compensation Health Care Network Employee Enrollment Package online. Following the outlined steps will ensure that you fill out the document correctly and efficiently.
Follow the steps to successfully complete your enrollment package.
- Click ‘Get Form’ button to acquire the form and open it in the online editor.
 - Review the Employee Notification Letter carefully. This section provides crucial information regarding your employer's participation in The Hartford’s Workers’ Compensation Health Care Network and outlines your responsibilities as an employee.
 - Complete Attachment A - Healthcare Provider Listing. This allows you to find network doctors and hospitals accessible within your service area. Look for your preferred provider by using the mileage search.
 - Fill out Attachment B - Description of Service Area. Ensure you understand whether you live in a rural or non-rural area, as this impacts your choice of treating doctor.
 - Complete Attachment C - Continuity of Treatment Plan. This explains the continuity of care you'll receive if your treating doctor is no longer in the network.
 - Review and fill out Attachment D - Description of Network Complaint System. Familiarize yourself with how to file complaints if necessary.
 - Finish with Attachment E - Summary of Independent Review Process. Understand your rights regarding independent reviews for any denied services.
 - Finally, sign the Network Acknowledgment Form to confirm you have received and understood the instructions. Include your name, date, and address.
 - Once all sections are complete, save your changes. You can then download, print, or share the form as needed.
 
Start filling out your enrollment package online to ensure timely access to necessary healthcare services.
Yes, in Texas, employers can opt out of traditional workers' compensation insurance. However, they must understand the implications this decision carries, including potential liability issues. By choosing to enroll in the TX The Hartford’s Workers’ Compensation Health Care Network Employee Enrollment Package, employers can avoid risks associated with opting out while still protecting their employees effectively.
Industry-leading security and compliance
- 
                    In businnes since 199725+ years providing professional legal documents.
 - 
                    Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
 - 
                    Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.