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suspect, fugitive, material witness, or missing person; Other Disclosures
(3) about the victim of a crime if, under certain limited Personal Representatives. We will disclose your protected
circumstances, we are unable to obtain the victim’s health information to individuals authorized by you, or to
agreement; (4) about a death that we believe may be the an individual designated as your personal representative,
result of criminal conduct; and (5) about criminal conduct. attorney-in-fact, etc., so long as you provide us with a written
Coroners, Medical Examiners, and Funeral Directors. We notice/authorization and any supporting documents (i.e.,
may release protected health information to a coroner or power of attorney). Note: Under the HIPAA privacy rule, we do
medical examiner. This may be necessary, for example, to not have to disclose information to a personal representative
identify a deceased person or determine the cause of death. if we have a reasonable belief that: (1) you have been, or
We may also release medical information about patients to may be, subjected to domestic violence, abuse, or neglect
funeral directors, as necessary to carry out their duties. by such person; or (2) treating such person as your personal
National Security and Intelligence Activities. We may representative could endanger you; and (3) in the exercise of
release your protected health information to authorized professional judgment, it is not in your best interest to treat
federal officials for intelligence, counterintelligence, and the person as your personal representative.
other national security activities authorized by law. Spouses and Other Family Members. With only limited
Inmates. If you are an inmate of a correctional institution exceptions, we will send all mail to the employee. This
or are in the custody of a law-enforcement official, we may includes mail relating to the employee’s spouse and other
disclose your protected health information to the correctional family members who are covered under the Plan, and
institution or law- enforcement official if necessary (1) for the includes mail with information on the use of Plan benefits
institution to provide you with health care; (2) to protect your by the employee’s spouse and other family members
health and safety or the health and safety of others; or (3) for and information on the denial of any Plan benefits to the
the safety and security of the correctional institution. employee’s spouse and other family members. If a person
covered under the Plan has requested Restrictions or
Research. We may disclose your protected health Confidential Communications (see below under “Your
information to researchers when: (1) the individual identifiers Rights”), and if we have agreed to the request, we will
have been removed; or (2) when an institutional review board send mail as provided by the request for Restrictions or
or privacy board has reviewed the research proposal and Confidential Communications.
established protocols to ensure the privacy of the requested
information, and approves the research. Authorizations. other uses or disclosures of your protected
health information not described above will only be made
Required Disclosures with your written authorization. For example, in general and
The following is a description of disclosures of your protected subject to specific conditions, we will not use or disclose your
health information we are required to make. psychiatric notes; we will not use or disclose your protected
health information for marketing; and we will not sell your
Government Audits. We are required to disclose your
protected health information to the Secretary of the United protected health information, unless you give us a written
States Department of Health and Human Services when the authorization. You may revoke written authorizations at any
Secretary is investigating or determining our compliance with time, so long as the revocation is in writing. once we receive
the HIPAA privacy rule. your written revocation, it will only be effective for future uses
and disclosures. It will not be effective for any information
Disclosures to You. When you request, we are required that may have been used or disclosed in reliance upon the
to disclose to you the portion of your protected health written authorization and prior to receiving your written
information that contains medical records, billing records, revocation.
and any other records used to make decisions regarding your Your Rights
health care benefits. We are also required, when requested,
to provide you with an accounting of most disclosures of your You have the following rights with respect to your protected
protected health information if the disclosure was for reasons health information:
other than for payment, treatment, or health care operations, Right to Inspect and Copy. You have the right to inspect and
and if the protected health information was not disclosed copy certain protected health information that may be used
pursuant to your individual authorization. to make decisions about your Plan benefits. If the information
you request is maintained electronically, and you request an
electronic copy, we will provide a copy in the electronic form

36 2017 ToTal RewaRds Guide