Page 70 - Dental Benefit Plan Summary

TEXAS MUTUAL INSURANCE COMPANY DENTAL PPO PLAN

specified disclosure purpose. If return or destruction is not feasible, the Company will
limit further uses and disclosures to those purposes that make the return or destruction
infeasible.

The following classes of employees identified in the table below are under the control of the
Company. Such employees may only have access to, and use and disclose, PHI for plan
administrative functions that the Company performs as described in the table below.

Division Classes of Employees Business Use

Executive President & CEO Plan administration as needed.

Financial Business Analyst Benefits audit process.
Services

Financial Reporting Reconcile plan bank accounts.

Revenue Accounting Check processing.

Payroll Processing of benefits payroll
deductions.

Internal Audit Internal Auditors Benefits audit process.

Legal Sr. Counsel,Corporate Counsel, General Legal Services for plan
Counsel and Legal Assistant administration, open records and
employment law matters

Investments Cash Manager Monitor plan cash flow activity.

Information Lotus Notes and Infinium Support of HRIS databases and
Technology programming/support staff. programs.

Human HR Employee Services Team Employee health plan operations.
Resources

If you believe your rights under HIPAA have been violated, you have the right to file a
complaint with the Legal Department c/o Privacy Officer or with the Secretary of the U.S.
Department of Health and Human Services. The Company will discipline employees who
fail to comply with the HIPAA rules concerning uses and disclosures of PHI, from
counseling up to and including termination.

All other terms, provisions and conditions shown in this Summary Plan Description will
continue to apply

65 SECTION 12 - ERISA