Exemplar Health Benefits Administrator is committed to protecting the privacy and confidentiality of your personal information in accordance with law and our own company policies. This notice describes our privacy practices for both current and former enrollees in our health insurance program. It explains how we use your health information and when we may share it. It also tells you about your rights with respect to your health information. We are required by law to maintain the privacy of your health information and to provide you with this notice. We are also required to notify you if there is a breach of your health information.
When we refer to “health information” in this notice, we mean financial, health and other information about you that is non-public, and that we obtain so that we can provide you with health insurance coverage. It includes demographic information, and other information that may identify you and that relates to your past, present or future physical or mental health and related health care services.
Our employees are required to comply with our policies and procedures to protect the confidentiality of health information, and will be subject to a disciplinary process if they violate them. We maintain physical, electronic and process safeguards to protect against unauthorized access to your health information, and authorized access is on a “need-to-know” basis only.
THE HEALTH INFORMATION WE COLLECT
We obtain information from a variety of sources, not all of which apply to every enrollee. Following are the general categories of information we collect:
- Information provided on enrollment forms, surveys and our Website, such as your name, address and date of birth.
- Information from pharmacies, physicians or other health care providers, Long Term Care facilities or health plans.
- Information provided by your employer or other plan sponsor regarding any group plan that you may have.
- Information we obtain from your transactions with us, our affiliates, or others, such as health care providers.
- Information we receive from consumer or medical reporting agencies or others, such as state regulators and law enforcement agencies.