Page 18 - 15NH Intertek
P. 18
Enrollment
Guide
X Date: 10/1/2014 HIPAA Comprehensive Notice of Privacy Policy
X Name of Entity/Sender: Heather and Procedures
Schuerman
X Contact—Position/Ofice: Director— Important Notice—Comprehensive Notice of Privacy
Employee Services Policy and Procedures
X Address: 2 Riverway, This notice describes how medical information about you may be used
Suite 500 and disclosed and how you can get access to this information. Please
Houston, TX 77056 review it carefully.
X Phone Number: (713) 543-3777 This Notice is provided to you on behalf of: Intertek Comprehensive Employee
Welfare Beneit Plan*
Nothing in this notice gives you or your
dependents a right to coverage under The Plan’s Duty to Safeguard Your Protected Health Information
the Plan. Your (or your dependents’) Individually identiiable information about your past, present, or future health or
right to coverage under the Plan is condition, the provision of health care to you, or payment for the health care is
determined solely under the terms of considered “Protected Health Information” (“PHI”). The Plan is required to extend
the Plan. certain protections to your PHI, and to give you this Notice about its privacy
practices that explains how, when, and why the Plan may use or disclose your PHI.
Maternity and Newborn Except in speciied circumstances, the Plan may use or disclose only the minimum
Infant Coverage necessary PHI to accomplish the purpose of the use or disclosure.
Group health plans and health insurance The Plan is required to follow the privacy practices described in this Notice, though
issuers generally may not, under federal it reserves the right to change those practices and the terms of this Notice at
law, restrict beneits for any hospital length any time. If it does so, and the change is material, you will receive a revised
of stay in connection with childbirth for the version of this Notice either by hand delivery, mail delivery to your last known
mother or newborn child to less than 48 address, or some other fashion. This Notice, and any material revisions of it, will
hours following a vaginal delivery, or less also be provided to you in writing upon your request (ask your Human Resources
than 96 hours following a caesarian section. representative, or contact the Plan’s Privacy Oficial, described below), and will be
However, federal law generally does not posted on any website maintained by Intertek that describes beneits available to
prohibit the mother’s or newborn’s attending employees and dependents.
provider, after consulting with the mother, You may also receive one or more other privacy notices from insurance companies
from discharging the mother or her newborn that provide beneits under the Plan. Those notices will describe how the insurance
earlier than 48 hours (or 96 hours as companies use and disclose PHI and your rights with respect to the PHI they
applicable). In any case, plans and issuers maintain.
may not, under federal law, require that a
provider obtain authorization from the plan How the Plan May Use and Disclose Your Protected Health
or the issuer for prescribing a length of stay Information
not in excess of 48 hours (or 96 hours).
The Plan uses and discloses PHI for a variety of reasons. For its routine uses
and disclosures it does not require your authorization, but for other uses and
disclosures, your authorization (or the authorization of your personal representative
(e.g., a person who is your custodian, guardian, or has your power-of-attorney)
may be required. The following offers more description and examples of the Plan’s
uses and disclosures of your PHI.
18
Guide
X Date: 10/1/2014 HIPAA Comprehensive Notice of Privacy Policy
X Name of Entity/Sender: Heather and Procedures
Schuerman
X Contact—Position/Ofice: Director— Important Notice—Comprehensive Notice of Privacy
Employee Services Policy and Procedures
X Address: 2 Riverway, This notice describes how medical information about you may be used
Suite 500 and disclosed and how you can get access to this information. Please
Houston, TX 77056 review it carefully.
X Phone Number: (713) 543-3777 This Notice is provided to you on behalf of: Intertek Comprehensive Employee
Welfare Beneit Plan*
Nothing in this notice gives you or your
dependents a right to coverage under The Plan’s Duty to Safeguard Your Protected Health Information
the Plan. Your (or your dependents’) Individually identiiable information about your past, present, or future health or
right to coverage under the Plan is condition, the provision of health care to you, or payment for the health care is
determined solely under the terms of considered “Protected Health Information” (“PHI”). The Plan is required to extend
the Plan. certain protections to your PHI, and to give you this Notice about its privacy
practices that explains how, when, and why the Plan may use or disclose your PHI.
Maternity and Newborn Except in speciied circumstances, the Plan may use or disclose only the minimum
Infant Coverage necessary PHI to accomplish the purpose of the use or disclosure.
Group health plans and health insurance The Plan is required to follow the privacy practices described in this Notice, though
issuers generally may not, under federal it reserves the right to change those practices and the terms of this Notice at
law, restrict beneits for any hospital length any time. If it does so, and the change is material, you will receive a revised
of stay in connection with childbirth for the version of this Notice either by hand delivery, mail delivery to your last known
mother or newborn child to less than 48 address, or some other fashion. This Notice, and any material revisions of it, will
hours following a vaginal delivery, or less also be provided to you in writing upon your request (ask your Human Resources
than 96 hours following a caesarian section. representative, or contact the Plan’s Privacy Oficial, described below), and will be
However, federal law generally does not posted on any website maintained by Intertek that describes beneits available to
prohibit the mother’s or newborn’s attending employees and dependents.
provider, after consulting with the mother, You may also receive one or more other privacy notices from insurance companies
from discharging the mother or her newborn that provide beneits under the Plan. Those notices will describe how the insurance
earlier than 48 hours (or 96 hours as companies use and disclose PHI and your rights with respect to the PHI they
applicable). In any case, plans and issuers maintain.
may not, under federal law, require that a
provider obtain authorization from the plan How the Plan May Use and Disclose Your Protected Health
or the issuer for prescribing a length of stay Information
not in excess of 48 hours (or 96 hours).
The Plan uses and discloses PHI for a variety of reasons. For its routine uses
and disclosures it does not require your authorization, but for other uses and
disclosures, your authorization (or the authorization of your personal representative
(e.g., a person who is your custodian, guardian, or has your power-of-attorney)
may be required. The following offers more description and examples of the Plan’s
uses and disclosures of your PHI.
18
