Page 47 - HarborLight CU 2014-15 SPD
P. 47
APPENDIX C
HARBORLIGHT CREDIT UNION
NOTICE OF PRIVACY PRACTICES
This Notice is Effective as of September 23, 2013
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED
AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY
INTRODUCTION
HarborLight Credit Union (the “Company”) is the plan sponsor of your medical benefits programs. For the
purposes of the Notice, we refer to these health benefits programs collectively as the “Plan”.
For example, the Plan includes Medical, Prescription Drugs, Dental & Vision benefits offered through the
group health plan. In most cases, the programs are administered through arrangements with health
insurance companies, HMOs and third party administrators. The Plan does not includes workers
compensation, life insurance, disability benefits, medical leaves, pre-employments physicals, on-site
medical services and drug testing.
The Plan is subject to a federal law called the Health Insurance Portability and Accountability Act of 1996
(HIPAA) and as amended by the Health Information Technology for Economics and Clinical Health
(HITECH) Act, which is part of the American Recovery and Reinvestment (ARRA) of 2009. HIPAA sets
standards to protect the privacy of health information. The Plan is required by HIPAA to:
Ensure that health information that identifies you is kept private;
Give you Notice of our legal duties and privacy practices with respect to health information about
you; and
We are required to adhere to the terms currently in effect and outlined in this Notice.
If you have any questions about this Notice, please contact the HUMAN RESOURCES DEPARTMENT.
OUR COMMITMENT REGARDING YOUR HEALTH INFORMATION
This Plan is committed to protecting health information about you. The Notice describes the Plan’s
privacy practices and that of all its employees and staff. These policies and practices protect medical
information relating to your past, present and future medicals conditions, health care treatment, and
payment for that treatment. This information is referred to as “Protected Health Information” or “PHI”.
This Notice tells you about the ways we may use and disclose your PHI. This Notice also describes your
rights and certain obligations we have regarding the use and disclosure of PHI. For more information
regarding notices of privacy practices generally, visit:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.thml
42
HARBORLIGHT CREDIT UNION
NOTICE OF PRIVACY PRACTICES
This Notice is Effective as of September 23, 2013
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED
AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY
INTRODUCTION
HarborLight Credit Union (the “Company”) is the plan sponsor of your medical benefits programs. For the
purposes of the Notice, we refer to these health benefits programs collectively as the “Plan”.
For example, the Plan includes Medical, Prescription Drugs, Dental & Vision benefits offered through the
group health plan. In most cases, the programs are administered through arrangements with health
insurance companies, HMOs and third party administrators. The Plan does not includes workers
compensation, life insurance, disability benefits, medical leaves, pre-employments physicals, on-site
medical services and drug testing.
The Plan is subject to a federal law called the Health Insurance Portability and Accountability Act of 1996
(HIPAA) and as amended by the Health Information Technology for Economics and Clinical Health
(HITECH) Act, which is part of the American Recovery and Reinvestment (ARRA) of 2009. HIPAA sets
standards to protect the privacy of health information. The Plan is required by HIPAA to:
Ensure that health information that identifies you is kept private;
Give you Notice of our legal duties and privacy practices with respect to health information about
you; and
We are required to adhere to the terms currently in effect and outlined in this Notice.
If you have any questions about this Notice, please contact the HUMAN RESOURCES DEPARTMENT.
OUR COMMITMENT REGARDING YOUR HEALTH INFORMATION
This Plan is committed to protecting health information about you. The Notice describes the Plan’s
privacy practices and that of all its employees and staff. These policies and practices protect medical
information relating to your past, present and future medicals conditions, health care treatment, and
payment for that treatment. This information is referred to as “Protected Health Information” or “PHI”.
This Notice tells you about the ways we may use and disclose your PHI. This Notice also describes your
rights and certain obligations we have regarding the use and disclosure of PHI. For more information
regarding notices of privacy practices generally, visit:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.thml
42
