Page 284 - 2021-2022 New Hire Benefits

You can also help stop identity theft before it happens:

• Securely register up to 10 credit or debit cards for 24x7 surveillance
• Registered cards are monitored using sophisticated web crawling technology that watches underground
chat rooms where thieves are selling and trading stolen personal information
• Receive early warning of potential threats and are notified if your identity has been misused

If you are a victim of financial or medical Identity fraud, call 1-877-409-9597. Please provide your Employer’s
Name and this account number: 01-AA-SUL-100101

Identity Theft Protection is provided by Sun Life Financial through Assist America.

HIPAA: NOTICE OF PRIVACY PRACTICES

This notice describes how medical information about you may be used and disclosed and how you
can get access to this information. Please review it carefully.

This Notice of Privacy Practices ("Notice") applies to Protected Health Information (defined below) associated
with Group Health Plans (defined below) provided by Renbrook School to its employees, its employee's
dependents and, as applicable, retired employees. This Notice describes how Renbrook, collectively "we, us, or
our" may use and disclose Protected Health Information to carry out payment and health care operations, and
for other purposes that are permitted or required by law.
We are required by the privacy regulations issued under the Health Insurance Portability and Accountability
Act of 1996 ("HIPAA") to maintain the privacy of Protected Health Information and to provide individuals
covered under our group health plan with notice of our legal duties and privacy practices concerning Protected
Health Information. We are required to abide by the terms of this Notice so long as it remains in effect. We
reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make the new
Notice effective for all Protected Health Information maintained by us. If we make material changes to our
privacy practices, copies of revised notices will be mailed to all policyholders then covered by the Group Health
Plan. Copies of our current Notice may be obtained by contacting Renbrook School at the telephone number or
address below.

DEFINITIONS
Group Health Plan means, for purposes of this Notice, the benefits that we provide to our employees,
employee dependents and, as applicable, retired employees as described in the Medical Insurance section of
the booklet Renbrook School Employee Benefits 2018-2019. The school participates in the medical
insurance program offered through the Connecticut Independent School Health Plan (CISHP) consortium.

Protected Health Information ("PHI") means individually identifiable health information, as defined by
HIPAA, that is created or received by us and that relates to the past, present, or future physical or mental
health or condition of an individual; the provision of health care to an individual; or the past, present, or future
payment for the provision of health care to an individual; and that identifies the individual or for which there is
a reasonable basis to believe the information can be used to identify the individual. PHI includes information of
persons living or deceased.

USES AND DISCLOSURES OF YOUR PROTECTED HEALTH INFORMATION
The following categories describe different ways that we use and disclose PHI. For each category of uses and
disclosures we will explain what we mean and, where appropriate, provide examples for illustrative purposes.
Not every use or disclosure in a category will be listed. However, all of the ways we are permitted or required
to use and disclose PHI will fall within one of the categories.
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