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This form is used by employer groups to update or replace their designated Employer Administrator for managing their health plan account with Coventry Health Care.
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How to fill out employer administrator updatereplace form

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How to fill out Employer Administrator Update/Replace Form

01
Obtain the Employer Administrator Update/Replace Form from the appropriate source.
02
Fill out the form with accurate employer details including the name, address, and contact information.
03
Provide the current administrator's information and specify if they are being updated or replaced.
04
Include the new administrator's information if applicable, ensuring all fields are completed.
05
Review the form for any errors or missing information before submission.
06
Submit the completed form to the designated authority or department for processing.

Who needs Employer Administrator Update/Replace Form?

01
Employers who need to update information about their administrative representatives.
02
Businesses experiencing a change in their designated administrator.
03
Organizations that require compliance with administrative reporting requirements.
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A: FINRA defines an Authorized Signatory for an organization as follows: Broker-Dealer (BD) and CAB Firms: An Authorized Signatory is the Chief Compliance Officer (CCO) or authorized officer (or other authorized person) listed on Schedule A of the Organization's Initial Form BD.
The FINRA Entitlement Program requires that each organization designate a Super Account Administrator (SAA) who is responsible for access management for their organization's users.
FINRA and SEC Registration: All firms must register with the SEC and FINRA by filing a hard copy Form BD. State Registration: All firms must also register with the states in which they intend to do business. (Form BD enables firms to register with the states.
FINRA is a private not-for-profit membership organization that is responsible under federal law for supervising our member firms. FINRA's Board of Governors, our governing body, is comprised of industry governors and public governors, and our operations are funded by member fees, not taxpayer dollars.
Password lockout occurs after five incorrect password attempts within a one-hour period. Password lockout will auto-unlock after one hour. Users may contact an account administrator at any time if they require a manual password reset for any reason including a password lockout.
Steps for Updating or Replacing an Existing SAA: An Authorized Signatory contacts the Gateway Call Center to request the Update/Replace SAA Form. The FINRA Entitlement Group confirms the identity of the requester and pre-populates the form with a unique identifier specific to the request.
Have a Question? Investors can submit questions to FINRA Investor Education. Firms and registered representatives should contact their FINRA Risk Monitoring Analyst or the FINRA Support Center: (301) 590-6500.

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The Employer Administrator Update/Replace Form is a document used by employers to update or replace designated individuals who manage and administer employee benefits and related services.
Employers who need to update their appointed administrators or add new administrators responsible for managing employee benefits are required to file this form.
To fill out the form, provide the necessary details including the employer's information, the current administrators' details, and information about the new or updated administrators, including their names and roles.
The purpose of the form is to ensure that the correct and updated information regarding the administrators of employee benefits is officially recorded and recognized by the relevant authorities.
The form must report the employer's name, contact information, details of the existing administrator(s), and the information for the new or updated administrator(s), including their names, roles, and any relevant identification numbers.
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