Page 23 - BOC 2021 Benefits Booklet

Notice of Privacy Practices

Separate statements for certain uses and disclosures
Under the privacy rules, we may use protected health information for a number
of other purposes.

We are required to provide you with information if we intend to engage in certain
activities. These include:

• Contacting you to provide appointment reminders or information about

treatment alternatives or other health-related benefits and services that
may be of interest to you;
• Contacting you to raise funds for the covered entity; or

• Disclosing protected health information to the sponsor of the plan.

Your rights
Under privacy rules, you have rights with respect to protected health information.

These include:

• The right to request restrictions on certain uses and disclosures of protected

health information. Note: the covered entity is not required to agree to a
requested restriction;
• The right to receive confidential communications of protected health

information;
• The right to inspect and copy protected health information;
• The right to receive an accounting of disclosures of protected health

information;
• The right to obtain a paper copy of the notice upon request.

The health plan’s duties
We are required by law to maintain the privacy of your health information. Also,
we must provide you with notice of our legal duties and privacy practices with
respect to that information. Our duties and privacy practices include: making

reasonable efforts to limit protected health information to the minimum
necessary to accomplish the intended purpose of the use, disclosure or request.

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