AgdaPkt 2005-06-27 - Laserfiche WebLink

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~ / c?- l.:'/, Health Oversight Activities. We may disclose protected health infonnation to government oversight agencies (e.g., state insurance departments) for activities authorized by law. Judicial and Administrative Proceedings. We may disclose protected health infonnation in response to a court or administrative order. We may also disclose protected health infonnation about you in certain cases in response to a subpoena, discovery request or other lawful process. Law Enforcement. We may disclose protected health infonnation under limited circumstances to a law enforcement official in response to a warrant or similar process; to identify or locate a suspect; or to provide infonnation about the victim of a crime. . Coroners, Funeral Directors, Organ Donation. We may release protected health infonnation - to coroners or funeral directors as necessary to allow them to carry out their duties. We may also disclose protected health infonnation in connection with organ or tissue donation. Research. Under certain circumstances, we may disclose protected health infonnation about you for research purposes, provided certain measures have been taken to protect your privacy. To Avert a Serious Threat to Health or Safety. We may disclose protected health infonnation about you, with some limitations, when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Special Government Functions. We may disclose infonnation as required by military authorities or to authorized federal officials for national security and intelligence activities. Workers' Compensation. We may disclose protected health infonnation to .the extent necessary to comply with state law for workers' compensation programs. OTHER USES OR DISCLOSURES WITH AN AUTHORIZATION Other uses or disclosures of your protected health infonnation will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke an authorization at any time in writing, except to the extent that we have already taken action on the infonnation disclosed or if we are permitted by law to use the information to contest a claim or coverage under the Plan, . . . . . . . . . . YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION You have Certain rights regarding protected health information that the Plan maintains about you. . Right To Access Your Protected Health Information. You have the right to review or obtain copies of your protected health infonnation records, with some limited exceptions. Usually the records include enrollment, billing, claims payment and case or medical management records. Your request to review and/or obtain a copy of your protected health infonnation records must be made in writing, We may charge a fee for the costs of producing, copying and mailing your requesteD information, but we will tell you the cost in advance. . Right To Amend Your Protected Health Information. If you feel that protected health information maintained by the Plan is incorrect or incomplete, you may request that we amend the information. Your request must be made in writing and must include the reason you are seeking a change, We may deny your request if, for example, you ask us to amend infonnation that was not created by the Plan, as is often the case for health infonnation in our records, or you ask to amend a record that is already accurate and complete, . If we deny your request to amend, we will notify you in writing. You then have the right to submit to us a written statement of disagreement with our decision and we have the right to rebut that statement. . Right to an Accounting of Disclosures by the Plan. You have the right to request an accounting of disclosures we have made of your protected health infonnation. The list will not include our disc1osures related to your treatment, our payment or health care operations, or disc1osures made to you or with your authorization. The list may also exclude certain other 14