AI- 105238
Human Resources 6.C.
CC CONSENT AGENDA SPECIAL MTG
- Meeting Date:
- 11/10/2026
- Submitted By:
- Zujey Gamino
- Department:
- HUMAN RESOURCES
Information
CAPTION
Approval of Letter of Direction for Disclosure of PHI to a Designated Third-Party Vendor of Plan Sponsor, HealthBreak Inc., with authority for Mrs. Erika Reyna, Human Resources Director, to sign the form.
BACKGROUND
Fiscal Impact
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Budget and Management | Veronica Ortiz | 11/03/2026 12:46 PM |
| Final Approval | Monica Salinas | 11/04/2026 03:58 PM |
- Form Started By:
- Zujey Gamino
- Started On:
- 11/02/2026 03:30 PM
- Final Approval Date:
- 11/04/2026