Privacy and Advertising Notice
Effective 10/01/2011
Table of Contents
Our Commitment to Privacy
The Information We Collect
How We Use Information
Our Commitment to Data Security
How to Access or Correct Your Information
How to Contact Us
Plan Document Disclaimer
HIPAA PRIVACY
Our Commitment to Privacy
Your privacy is important to us. To better protect your privacy, we provide this
notice explaining our online information practices.
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The Information We Collect
This notice applies to all information collected or submitted on this website.
When you first register on the site, you will have a temporary password. We
collect your e-mail address at this point so that we can send your permanent
password to your registered e-mail address. You may immediately change your
password upon re-entering the site. This is our way of collecting and verifying
your e-mail address. If you ever forget your user ID or password, just enter
your e-mail address on the front page, and we will e-mail a new ID or password
to you. You may change your e-mail address at any time you have securely entered
the site.
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The Way We Use Information
To provide the services offered by this site, we correlate information you may
provide with information provided by your Benefit Plan and/or applicable
insurance companies (those providing you coverage and/or products). With the
exception of partners used in providing this site, we do not share your
information with outside parties. We use return e-mail addresses to answer the
e-mail we receive. These addresses are not used for any other purpose and are
not shared with outside parties, except as described herein.
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Our Commitment to Data Security
To prevent unauthorized access, maintain data accuracy, and ensure the correct
use of information, we have put appropriate physical, electronic, and managerial
procedures in place to safeguard and secure your information. Please verify
with all dependents who are be covered by your benefit plan (Spouse and Children
over age 18) that you may view their benefit plan information as that
information may include Protected Health Information under HIPAA which is
defined below. Do not view any such information unless you have first obtained
that permission. Viewing such information is your acknowledgement that you have
received that permission. If a dependent Spouse or Child over the age of 18
does not wish you to view their information they may contact the Web Master and
access to their information will be blocked.
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How You Can Access or Correct Your Information
At any time, you may review your personally-identifiable information we collect
online and maintain by visiting your account profile area which is located
within this secure site. You may also contact our customer service department to
request factual corrections to your information by calling the number on the
home screen or selecting the Inquiry tab and then selecting the appropriate
customer service department.
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How to Contact Us
Should you have other questions or concerns about these privacy policies, please
contact us by calling the number on the home screen or contacting your health
plan indicated on your Member Identification Card.
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Plan Document Disclaimer
Plan Document information, when provided, is a summary of the general benefit
provisions of the Plan and is not intended to be used as an authorization for
services to be provided.
In accordance with your Master Plan Document or Certificate, all specific Plan
exclusions and limitations will be applied to any claim submitted for
consideration at the time the claim is processed. In addition, payment of
benefits will be coordinated with other coverage available to the Covered
Person.
In the event of a discrepancy between the summaries provided within this site
and actual Plan Documents and/or policies of insurance, the actual Plan and/or
policies would govern.
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HIPAA PRIVACY
COMPLIANCE WITH HIPAA PRIVACY STANDARDS. Certain members of the Employer's
workforce and EZ-Benefits.com workforce ("Workforce") perform services in
connection with administration of the benefit program. In order to perform these
services, it is necessary for these employees from time to time to have access
to Protected Health Information (as defined below).
Under the Standards for Privacy of Individually Identifiable Health Information
(45 CFR Part 164, the "Privacy Standards"), this Workforce is permitted to have
such access.
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·General. Workforce shall not disclose
Protected Health Information to any person unless each of the conditions set out
in this HIPAA Privacy section is met. "Protected Health Information" shall have
the same definition as set out in the Privacy Standards but generally shall mean
individually identifiable health information about the past, present or future
physical or mental health or condition of an individual, including information
about treatment or payment for treatment.
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·Permitted
Uses and Disclosures. Protected Health Information shall be
disclosed for purposes of benefit plan administrative functions. The benefit
plan's administrative functions shall include all payment and health care
operations to include any technical support of this site. The terms "payment"
and "health care operations" shall have the same definitions as set out in the
Privacy Standards, but the term "payment" generally shall mean activities taken
with respect to payment of premiums or contributions, or to determine or fulfill
Plan responsibilities with respect to coverage, provision of benefits, or
reimbursement for health care. "Health care operations" generally shall mean
activities on behalf of the Plan that are related to quality assessment;
evaluation, training or accreditation of health care providers; underwriting,
premium rating and other functions related to obtaining or renewing an insurance
contract, including stop-loss insurance; medical review; legal services or
auditing functions; or business planning, management and general administrative
activities. The term "technical support of this site" shall mean any activities
to move data from one place to another, program the site, host the site and
provide assistance in using the site.
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·Authorized
Workforce. The benefit plan shall disclose
Protected Health Information only to members of the Workforce, who are
designated and are authorized to receive such Protected Health Information, and
only to the extent and in the minimum amount necessary for these persons to
perform duties with respect to the benefit plan.
(a) Updates Required. This document will be promptly updated and communicated
with respect to any changes in the Workforce who are authorized to receive
Protected Health Information.
(b) Use and Disclosure Restricted. An authorized member of the Workforce who
receives Protected Health Information shall use or disclose the Protected Health
Information only to the extent necessary to perform his or her duties with
respect to the Plan.
(c) Resolution of Issues of Noncompliance. In the event that any member of the
Workforce uses or discloses Protected Health Information other than as permitted
by the Privacy Standards, the incident shall be reported to the privacy
official. The privacy official shall take appropriate action, including:
(i) Investigation of the incident to determine whether the breach occurred
inadvertently, through negligence, or deliberately; whether there is a pattern
of breaches; and the degree of harm caused by the breach;
(ii) Applying appropriate sanctions against the persons causing the breach,
which, depending upon the nature of the breach may include, oral or written
reprimand, additional training, or termination of employment;
iii) Mitigating any harm caused by the breach, to the extent practicable; and
(iv) Documentation of the incident and all actions taken to resolve the issue
and mitigate any damages.
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·Certification
of Workforce. The Workforce must provide
certification to the benefit plan that it agrees to:
(a) Not use or further disclose the Protected Health Information other than as
permitted as required by law;
(b) Ensure that any agent or subcontractor, to whom it provides Protected Health
Information received from the Plan, agrees to the same restrictions and
conditions that apply to the Workforce with respect to such information;
(c) Not use or disclose Protected Health Information for employment-related
actions and decisions or in connection with any other benefit or employee
benefit plan;
(d) Report to the Plan any use or disclosure of the Protected Health Information
of which it becomes aware that is inconsistent with the uses or disclosures
permitted or required by law;
(e) Make available Protected Health Information to individual Plan members in
accordance with Section 164.524 of the Privacy Standards;
(f) Make available Protected Health Information for amendment by individual Plan
members and incorporate any amendments to Protected Health Information in
accordance with Section 164.526 of the Privacy Standards;
(g) Make available the Protected Health Information required to provide any
accounting of disclosures to individual Plan members in accordance with Section
164.528 of the Privacy Standards;
(h) Make its internal practices, books and records relating to the use and
disclosure of Protected Health Information received from the Plan available to
the Department of Health and Human Services for purposes of determining
compliance by the Plan with the Privacy Standards;
(i) If feasible, return or destroy all Protected Health Information retained
when such information is no longer needed for the purpose of which disclosure
was made, except that, if such return or destruction is not feasible, limit
further uses and disclosures to those purposes that make the return or
destruction of the information unfeasible; and
(j) Ensure the adequate separation between the Plan and Workforce, as required
by Section 164.504(f)(2)(iii) of the Privacy Standards.
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