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Bloomington, IN 47401
Phone: 812.332.7200
Fax: 812.331.0295
Email: info@root.com
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Employee Insurance Coverage Notices
  • Form 1 – For employers who offer a health plan to some or all employees.
  • Form 2 – For employers who do not offer a health plan.


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Please click a link below to securely complete the appropriate document. Immediately after signing the document, you will receive a confirmation email from Echosign (our document signing software) to confirm your email address – make sure you check your email and confirm your email address.

Finally, you will receive a confirmation email containing a PDF copy of your signed Information Release Form. Please keep a copy of the document for your records.

From a Client’s Perspective

Jay Baer is self-employed marketing strategist, speaker, New York Times best-selling author and president of a social media and content marketing consultancy. Speaking engagements and a global clientele have him managing his business while traveling more than 200 days a year. Find out why he turns to RootAdvisors to help him make informed decisions on the go.

From a Client’s Perspective

Jay Baer is self-employed marketing strategist, speaker, New York Times best-selling author and president of a social media and content marketing consultancy. Speaking engagements and a global clientele have him managing his business while traveling more than 200 days a year. Find out why he turns to RootAdvisors to help him make informed decisions on the go.

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