Due to the HIPAA Privacy Rule, WEX Inc. is requiring participants to have an Authorization to Disclose Information Form on file if a participant would like information disclosed to an individual other than the account holder. By signing this form, you are authorizing the disclosure of your PHI (Personal Health Information) in connection with this plan. WEX Inc. will be unable to disclose any information to individuals except the account holder without a signed form on file.
 
The Authorization to Disclose Information Form is available on our website benefit-info.com/iu under Forms & Resources. You can also request a form through IUSupport@wexinc.com or our customer service line at (800) 284-8412.