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Important
Privacy Notice
As a member of the NALC Health Benefit Plan, we feel it is important
that you understand the Plan's privacy policies. The Privacy Rule
of the Health Insurance Portability and Accountability Act of 1996
(HIPAA) that went into effect April 14, 2003, established national
standards to protect the privacy of individual's personal health
care related information. We are committed to protecting the privacy
of our members' information, and our privacy policy is based on
the requirements of the HIPAA Privacy Rule. Our Notice of Privacy
Practices is printed in the Plan
brochure.
The Privacy Rule generally
prohibits us, as your health plan, from discussing your personal
information with anyone other than you or someone you have designated
as your "Personal Representative." Medical providers and
health plans must share health care related information for the
purposes of treatment, payment and business operations. We will
not disclose protected information of an enrollee or covered family
member age 18 or older - net even to the person's spouse, parent,
child or friend - unless we have on file a completed Personal
Representative Authorization form.
Each family member age
18 or older that wishes to name a personal representative must complete
a Personal
Representative Authorization form. Be sure to sign and date
the form in Section E, and return it to the Plan.
You are not required
to complete a form, but if you are the enrollee or an adult family
member covered by the Plan and we do not have the caller's name
on file as your personal representative, we will not discuss your
personal information, such as diagnoses and treatments, when someone
calls on your behalf. You may want to name a personal representative
even if you usually handle your own claims inquiries. That way,
whether you call or a personal representative calls for you, we'll
be able to help.
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