Page 5 - Nortek Legal Notices
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Nortek
Remember: Keep this Creditable Coverage notice. If you decide to join one of The Plan’s Duty to Safeguard
the Medicare drug plans, you may be required to provide a copy of this notice Your Protected Health
when you join to show whether or not you have maintained creditable coverage Information
and whether or not you are required to pay a higher premium (a penalty). Individually identiiable information
X Date: January 1, 2014 about your past, present, or future
X Name of Entity/Sender: Donald Moseley health or condition, the provision
of health care to you, or payment
X Contact—Position/Ofice: Vice President, Chief Human Resource Oficer for the health care is considered
X Address: 50 Kennedy Plaza “Protected Health Information”
Providence, RI 02903 (“PHI”) . The Plan is required to
X Phone Number: 401-278-2630 extend certain protections to your
PHI, and to give you this Notice
Nothing in this notice gives you or your dependents a right to coverage under about its privacy practices that
the Plan. Your (or your dependents’) right to coverage under the Plan is explains how, when, and why the
determined solely under the terms of the Plan. Plan may use or disclose your PHI .
Except in speciied circumstances,
Maternity and Newborn Infant Coverage the Plan may use or disclose only
Group health plans and health insurance issuers generally may not, under federal law, the minimum necessary PHI to
accomplish the purpose of the use or
restrict beneits for any hospital length of stay in connection with childbirth for the mother disclosure .
or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours
following a caesarian section . However, federal law generally does not prohibit the mother’s The Plan is required to follow the
or newborn’s attending provider, after consulting with the mother, from discharging the privacy practices described in this
mother or her newborn earlier than 48 hours (or 96 hours as applicable) . In any case, Notice, though it reserves the right
plans and issuers may not, under federal law, require that a provider obtain authorization to change those practices and the
from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 terms of this Notice at any time . If it
hours) . does so, and the change is material,
you will receive a revised version of
HIPAA Comprehensive Notice of Privacy Policy and this Notice either by hand delivery,
Procedures mail delivery to your last known
address, or some other fashion . This
Important Notice—Comprehensive Notice of Privacy Policy Notice, and any material revisions
and Procedures of it, will also be provided to you in
writing upon your request (ask your
This notice describes how medical information about you may be used and Human Resources representative,
disclosed and how you can get access to this information. Please review it or contact the Plan’s Privacy Oficial,
carefully.
described below), and will be posted
This Notice is provided to you on behalf of: Nortek Comprehensive Employee Welfare on any website maintained by Nortek
Beneit Plan* that describes beneits available to
employees and dependents .
5
Remember: Keep this Creditable Coverage notice. If you decide to join one of The Plan’s Duty to Safeguard
the Medicare drug plans, you may be required to provide a copy of this notice Your Protected Health
when you join to show whether or not you have maintained creditable coverage Information
and whether or not you are required to pay a higher premium (a penalty). Individually identiiable information
X Date: January 1, 2014 about your past, present, or future
X Name of Entity/Sender: Donald Moseley health or condition, the provision
of health care to you, or payment
X Contact—Position/Ofice: Vice President, Chief Human Resource Oficer for the health care is considered
X Address: 50 Kennedy Plaza “Protected Health Information”
Providence, RI 02903 (“PHI”) . The Plan is required to
X Phone Number: 401-278-2630 extend certain protections to your
PHI, and to give you this Notice
Nothing in this notice gives you or your dependents a right to coverage under about its privacy practices that
the Plan. Your (or your dependents’) right to coverage under the Plan is explains how, when, and why the
determined solely under the terms of the Plan. Plan may use or disclose your PHI .
Except in speciied circumstances,
Maternity and Newborn Infant Coverage the Plan may use or disclose only
Group health plans and health insurance issuers generally may not, under federal law, the minimum necessary PHI to
accomplish the purpose of the use or
restrict beneits for any hospital length of stay in connection with childbirth for the mother disclosure .
or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours
following a caesarian section . However, federal law generally does not prohibit the mother’s The Plan is required to follow the
or newborn’s attending provider, after consulting with the mother, from discharging the privacy practices described in this
mother or her newborn earlier than 48 hours (or 96 hours as applicable) . In any case, Notice, though it reserves the right
plans and issuers may not, under federal law, require that a provider obtain authorization to change those practices and the
from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 terms of this Notice at any time . If it
hours) . does so, and the change is material,
you will receive a revised version of
HIPAA Comprehensive Notice of Privacy Policy and this Notice either by hand delivery,
Procedures mail delivery to your last known
address, or some other fashion . This
Important Notice—Comprehensive Notice of Privacy Policy Notice, and any material revisions
and Procedures of it, will also be provided to you in
writing upon your request (ask your
This notice describes how medical information about you may be used and Human Resources representative,
disclosed and how you can get access to this information. Please review it or contact the Plan’s Privacy Oficial,
carefully.
described below), and will be posted
This Notice is provided to you on behalf of: Nortek Comprehensive Employee Welfare on any website maintained by Nortek
Beneit Plan* that describes beneits available to
employees and dependents .
5
