• For treatment, payment, or health care operations • To you about your own health information • Incidental to other permitted or required disclosures • Where authorization was provided • To family members or friends involved in your care (where disclosure is permitted without authorization) • For national security or intelligence purposes or to correctional institutions or law enforcement officials in certain circumstances • As part of a “limited data set” (health information that excludes certain identifying information) In addition, your right to an accounting of disclosures to a health oversight agency or law enforcement official may be suspended at the request of the agency or official. If you want to exercise this right, your request to the Plan must be in writing. Within 60 days of the request, the Plan will provide you with the list of disclosures or a written statement that the time period for providing this list will be extended for no more than 30 more days, along with the reasons for the delay and the date by which the Plan expects to address your request. You may make one request in any 12-month period at no cost to you, but the Plan may charge a fee for subsequent requests. You’ll be notified of the fee in advance and have the opportunity to change or revoke your request. Right to obtain a paper copy of this notice from the Plan upon request You have the right to obtain a paper copy of this privacy notice upon request. Even individuals who agreed to receive this notice electronically may request a paper copy at any time. Changes to the information in this notice The Plan must abide by the terms of the privacy notice currently in effect. This notice takes effect on September 23, 2013. However, the Plan reserves the right to change the terms of its privacy policies, as described in this notice, at any time and to make new provisions effective for all health information that the Plan maintains. This includes health information that was previously created or received, not just health information created or received after the policy is changed. If changes are made to the Plan’s privacy policies described in this notice, you will be provided with a revised privacy notice. If the Health Plan makes a material revision to this Notice, it will notify by direct mail to all named insured participants who are covered by the plan within sixty (60) days after the date the material change is made.
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