Page 7 - Nortek Legal Notices
P. 7
Nortek
Z Required by Law: the Plan may disclose PHI when a law requires that it Your Rights Regarding Your
report information about suspected abuse, neglect, or domestic violence, or Protected Health Information
relating to suspected criminal activity, or in response to a court order . It must You have the following rights relating
also disclose PHI to authorities that monitor compliance with these privacy to your protected health information:
requirements . X To Request Restrictions on
Z For Public Health Activities: the Plan may disclose PHI when required to Uses and Disclosures: you
collect information about disease or injury, or to report vital statistics to the have the right to ask that the
public health authority . Plan limit how it uses or discloses
Z For Health Oversight Activities: the Plan may disclose PHI to agencies your PHI . The Plan will consider
or departments responsible for monitoring the health care system for such your request, but is not legally
purposes as reporting or investigation of unusual incidents . bound to agree to the restriction .
Z Relating to Decedents: the Plan may disclose PHI relating to an individual’s To the extent that it agrees to
death to coroners, medical examiners, or funeral directors, and to organ any restrictions on its use or
procurement organizations relating to organ, eye, or tissue donations or disclosure of your PHI, it will put
transplants . the agreement in writing and
abide by it except in emergency
Z For Research Purposes: in certain circumstances, and under strict situations . The Plan cannot agree
supervision of a privacy board, the Plan may disclose PHI to assist medical and to limit uses or disclosures that are
psychiatric research . required by law .
Z To Avert Threat to Health or Safety: in order to avoid a serious threat to X To Choose How the Plan
health or safety, the Plan may disclose PHI as necessary to law enforcement or Contacts you: you have the
other persons who can reasonably prevent or lessen the threat of harm . right to ask that the Plan send
Z For Speciic Government Functions: the Plan may disclose PHI of military you information at an alternative
personnel and veterans in certain situations, to correctional facilities in certain address or by an alternative
situations, to government programs relating to eligibility and enrollment, and means. To request conidential
for national security reasons . communications, you must make
X Uses and Disclosures Requiring Authorization: for uses and disclosures your request in writing to the
beyond treatment, payment, and operations purposes, and for reasons not included Privacy Oficial. We will not ask
in one of the exceptions described above, the Plan is required to have your written you the reason for your request .
authorization . For example, uses and disclosures of psychotherapy notes, uses and Your request must specify how or
disclosures of PHI for marketing purposes, and disclosures that constitute a sale where you wish to be contacted .
of PHI would require your authorization . Your authorization can be revoked at any The Plan must agree to your
time to stop future uses and disclosures, except to the extent that the Plan has request as long as it is reasonably
already undertaken an action in reliance upon your authorization . easy for it to accommodate the
X Uses and Disclosures Requiring You to Have an Opportunity to Object: request .
the Plan may share PHI with your family, friend, or other person involved in your
care, or payment for your care . We may also share PHI with these people to notify
them about your location, general condition, or death . However, the Plan may
disclose your PHI only if it informs you about the disclosure in advance and you do
not object (but if there is an emergency situation and you cannot be given your
opportunity to object, disclosure may be made if it is consistent with any prior
expressed wishes and disclosure is determined to be in your best interests; you
must be informed and given an opportunity to object to further disclosure as soon
as you are able to do so) .
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Z Required by Law: the Plan may disclose PHI when a law requires that it Your Rights Regarding Your
report information about suspected abuse, neglect, or domestic violence, or Protected Health Information
relating to suspected criminal activity, or in response to a court order . It must You have the following rights relating
also disclose PHI to authorities that monitor compliance with these privacy to your protected health information:
requirements . X To Request Restrictions on
Z For Public Health Activities: the Plan may disclose PHI when required to Uses and Disclosures: you
collect information about disease or injury, or to report vital statistics to the have the right to ask that the
public health authority . Plan limit how it uses or discloses
Z For Health Oversight Activities: the Plan may disclose PHI to agencies your PHI . The Plan will consider
or departments responsible for monitoring the health care system for such your request, but is not legally
purposes as reporting or investigation of unusual incidents . bound to agree to the restriction .
Z Relating to Decedents: the Plan may disclose PHI relating to an individual’s To the extent that it agrees to
death to coroners, medical examiners, or funeral directors, and to organ any restrictions on its use or
procurement organizations relating to organ, eye, or tissue donations or disclosure of your PHI, it will put
transplants . the agreement in writing and
abide by it except in emergency
Z For Research Purposes: in certain circumstances, and under strict situations . The Plan cannot agree
supervision of a privacy board, the Plan may disclose PHI to assist medical and to limit uses or disclosures that are
psychiatric research . required by law .
Z To Avert Threat to Health or Safety: in order to avoid a serious threat to X To Choose How the Plan
health or safety, the Plan may disclose PHI as necessary to law enforcement or Contacts you: you have the
other persons who can reasonably prevent or lessen the threat of harm . right to ask that the Plan send
Z For Speciic Government Functions: the Plan may disclose PHI of military you information at an alternative
personnel and veterans in certain situations, to correctional facilities in certain address or by an alternative
situations, to government programs relating to eligibility and enrollment, and means. To request conidential
for national security reasons . communications, you must make
X Uses and Disclosures Requiring Authorization: for uses and disclosures your request in writing to the
beyond treatment, payment, and operations purposes, and for reasons not included Privacy Oficial. We will not ask
in one of the exceptions described above, the Plan is required to have your written you the reason for your request .
authorization . For example, uses and disclosures of psychotherapy notes, uses and Your request must specify how or
disclosures of PHI for marketing purposes, and disclosures that constitute a sale where you wish to be contacted .
of PHI would require your authorization . Your authorization can be revoked at any The Plan must agree to your
time to stop future uses and disclosures, except to the extent that the Plan has request as long as it is reasonably
already undertaken an action in reliance upon your authorization . easy for it to accommodate the
X Uses and Disclosures Requiring You to Have an Opportunity to Object: request .
the Plan may share PHI with your family, friend, or other person involved in your
care, or payment for your care . We may also share PHI with these people to notify
them about your location, general condition, or death . However, the Plan may
disclose your PHI only if it informs you about the disclosure in advance and you do
not object (but if there is an emergency situation and you cannot be given your
opportunity to object, disclosure may be made if it is consistent with any prior
expressed wishes and disclosure is determined to be in your best interests; you
must be informed and given an opportunity to object to further disclosure as soon
as you are able to do so) .
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