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Sponsors certain group health plan(s) (collectively, the %u201cPlan%u201d or %u201cWe%u201d) to provide benefits to our employees, theirdependents and other participants. We provide this coverage through various relationships with third parties thatestablish networks of providers, coordinate your care, and process claims for reimbursement for the services thatyou receive. This Notice of Privacy Practices (the %u201cNotice%u201d) describes the legal obligations of the Plan and your legalrights regarding your protected health information held by the Plan under HIPAA. Among other things, this Noticedescribes how your protected health information may be used or disclosed to carry out treatment, payment, orhealth care operations, or for any other purposes that are permitted or required by law.We are required to provide this Notice to you pursuant to HIPAA. The HIPAA Privacy Rule protects only certainmedical information known as %u201cprotected health information.%u201d Generally, protected health information is individuallyidentifiable health information, including demographic information, collected from you or created or received by ahealth care provider, a health care clearinghouse, a health plan, or your employer on behalf of a group health plan,which relates to:(1) your past, present or future physical or mental health or condition;(2) the provision of health care to you; or(3) the past, present or future payment for the provision of health care to you.Note: If you are covered by one or more fully-insured group health plans, you will receive a separate noticeregarding the availability of a notice of privacy practices applicable to that coverage and how to obtain a copy ofthe notice directly from the insurance carrier.Notice of Privacy PracticesThis notice describes how medical information about you may be used and disclosed and how you can get accessto this information. Please review it carefully.Contact InformationIf you have any questions about this Notice or about our privacy practices, please contact the Human Resources -HIPAA Privacy Officer. This Notice as revised is effective January 1, 2023.26Our ResponsibilitiesWe are required by law to:maintain the privacy of your protected health information;provide you with certain rights with respect to your protected health information;provide you with a copy of this Notice of our legal duties and privacy practices with respect to your protectedhealth information; andfollow the terms of the Notice that is currently in effect.We reserve the right to change the terms of this Notice and to make new provisions regarding your protected healthinformation that we maintain, as allowed or required by law. If we make any material change to this Notice, we willprovide you with a copy of our revised Notice of Privacy Practices. You may also obtain a copy of the latest revisedNotice by contacting our Privacy Officer at the contact information provided above. Except as provided within thisNotice, we may not disclose your protected health information without your prior authorization.How We May Use and Disclose Your Protected Health InformationUnder the law, we may use or disclose your protected health information under certain circumstances without yourpermission. The following categories describe the different ways that we may use and disclose your protected healthinformation. For each category of uses or disclosures we will explain what we mean and present some examples. Notevery use or disclosure in a category will be listed. However, all of the ways we are permitted to use and discloseprotected health information will fall within one of the categories.HIPPA Notice of Privacy PracticesThe Ardena Health Plan maintains a Notice of Privacy Practices that provides information to individuals whoseprotected health information (PHI) will be used or maintained by the Plan. If you would like a copy of the Plan%u2019sNotice of Privacy Practices, please contact Human Resources.