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.

Temp Health Plans is required by law to maintain the privacy of protected health information and to provide the people we insure with this notice of our legal duties and privacy practices. Temp Health Plans is required to abide by the terms of the Notice.

Information We Collect

To serve your health insurance needs, Temp Health Plans collects information about you. We may collect this information directly from you orally or on applications or other forms. In addition, this information may include your transactions with Temp Health Plans, its affiliates and others. It is impossible to describe every type of information that we collect, but here are some examples: your name, age, address, Social Security number, telephone number, occupation and other demographic information about you and your family; whether you are a past or present customer with us, or if you ever applied for an insurance product or service from us, as well as your history of other insurance coverage and applications (if you apply online, information is collected through an Internet “cookie,” an information-collecting device from a web server); your past, present or future physical, mental or behavioral health or condition; your health care history; your history of insurance coverage, premiums, claims and payments through Temp Health Plans; information from consumer reporting agencies and data collection agencies.

How Temp Health Plans May Use and Disclose Information About You

We use and disclose information about you in serving your health insurance needs. It is impossible to describe every type of information that we use or disclose but we have provided some examples of how we use this information to provide services to you and your dependents.

Payment: We may use and disclose protected health information for payment purposes, including billing, review of health care services, determining whether a service is “medically necessary” and for utilization review. For instance, a doctor or health facility involved in your care may forward a claim to us with your protected health information. Temp Health Plans must have this health information to process your claims.

Health Care Operations: Temp Health Plans may use and disclose protected health information as part of our health care operations. For example, we may use and disclose information in the underwriting process, renewal process, quality assessment activities or accreditation and certification.

Plan Sponsors: If you are enrolled in a group health plan, Temp Health Plans may provide protected health information to the plan sponsor. For instance, we may share enrollment or disenrollment information with your employer.

Permitted or Required by Law: Temp Health Plans may release information when requested by law enforcement officials or when permitted or required by law. If you are involved in a lawsuit or dispute, Temp Health Plans may need to disclose protected health information in response to a court or administrative order.

Our Security Safeguards

Temp Health Plans has established safeguards to ensure the security and confidentiality of information about you. These safeguards include protection against any anticipated threats or hazards to the security or integrity of the information, as well as protection against the unauthorized access to or use of this information. We restrict access to your information to those employees “who need to know that information” to provide products or services to you or on your behalf.

Any other use or disclosure of your protected health information may only be made with your written authorization, which may be revoked under certain circumstances at any time.

Your Rights Regarding Protected Health Information

You have the following rights regarding protected health information we maintain about you:

Right to Access: You have the right to request to access and/or inspect your protected health information in a designated record set. A designated record set could include information related to enrollment, premium payment, claims adjudication and medical management. Right to Access form

Right to Amend: If you feel that the information we have about you is incorrect, you may ask to have protected health information in a designated record set amended. You have the right to request an amendment as long as the information is kept and created by Temp Health Plans. Right to Amend form

Right to an Accounting of Disclosures: You have the right to receive an accounting of disclosures made by us of your protected health information after April 14, 2003. The accounting will not include disclosures made for purposes of treatment, payment or health care operations, disclosures permitted or required by law, or disclosures to you or to third parties to whom you have authorized disclosure. Right to Request an Accounting of Disclosures form

Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment or health care operations. We are not required to agree to a requested restriction. Right to Request Restrictions form

Right to Confidential Communications: If you feel that your life may be in danger if Temp Health Plans contacts you at the address or phone number maintained in our records, you may request that we contact you in a different way or at a different location. Right to Request Confidential Communications form

Complaints: If you believe your privacy rights have been violated, you may file a complaint with Temp Health Plans or with the Secretary of the Department of Health and Human Services. All complaints must be in writing. You will not be retaliated against for filing a complaint.

Changes to This Notice

We reserve the right to make changes to this notice and to make the revised or changed notice effective for protected health information we already have about you as well as any information we receive or create in the future. Any changes to this notice will be posted on our website, and if we make substantial material changes to the notice, we will distribute the revised notice to you or your plan sponsor via mail.