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PRIVACY
STATEMENT
FlexAmerica is committed to protecting your
privacy. This notice is to advise you of our privacy policy & help you
understand the types of personal health information (“PHI”) that we collect, how
it is collected & to whom it may be disclosed.
A.
Personal Health Information (PHI):
This is
individually identifiable information that relates to the past, present or
future health status or health care of an individual and identifies an
individual or could be used to identify an individual. This information may
include identifiable payment history & health information, such as medical
claims. FlexAmerica must collect PHI in order to accurately identify you,
process claims, and run our business operations.
B.
Sources of
Information:
Sources of information include you, applications, claim forms, transactions
with us, and health care providers.
C.
Disclosure of Information:
We may disclose PHI
to non-affiliated 3rd parties, as permitted by law, to administer your plan.
Non-affiliated 3rd parties include: government agencies or organizations
pursuant to an audit of our records and benefit consultants. PHI for a spouse
or dependent children will be disclosed to the employee in the form of an
explanation of benefits. We will not disclose financial information to
non-affiliated third parties, except as permitted by law, unless we first offer
you an opportunity to “opt-out” of such disclosure, or obtain a written
authorization from you.
D.
Security: We maintain procedural & electronic
safeguards to protect the confidentiality of your PHI. Access to PHI is
restricted to employees & service providers who need this information.
These protections continue even if our services
end.
E.
Individual Rights:
You have the
right to: request restrictions on the uses & disclosures of your PHI;
however, we are not required to agree to such restrictions, inspect & copy
your PHI & to request amendments be made to the information and an
accounting of any disclosures that are made outside of exceptions allowed by
law.
F.
Complaint Procedure:
If you believe that
your privacy rights as described in this notice have been violated, you may file
a written complaint with us, or with the Secretary of Health and Human Services,
Office of Civil Rights, U.S. Department of Health and Human Services, 200
Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201. The
complaint must describe the violation that occurred, and filed within 180 days
of the known date of violation. You will not be retaliated against for filing a
complaint.
G.
Revision of Privacy Notice:
We reserve the
right to revise our privacy procedures & will provide a notice within 60
days of the change.
Have a Question? support@flexamerica.com |