|
|

1.
Our Notice
Florida Health Choice Network, A Florida Health Administrators Product,
appreciate the opportunity to provide health care services to you
and your family. In the course of providing network access or administering
benefit plans Florida Health Choice Network, A Florida Health Administrators
Product, must collect, use and disclose nonpublic personal information.
We consider this information private and confidential and consequently
we have policies and procedures in place to protect the information
against unlawful use and disclosure. In addition, law requires us
to:
A. Generally keep confidential your nonpublic personal information
while providing for the uses and disclosures described here which
are necessary to administer your health care benefits: and
B. Provide you with this Notice of our legal duties and privacy
practices with respect to your nonpublic personal information. Please
review this Notice carefully. If you have questions about this Notice,
please contact us. The effective date of this notice is July 1,
2001. Please be aware that this Notice may be updated form time
to time.
2. What is Nonpublic Personal Information?
Nonpublic personal information ("NPI") is information
maintained by Florida Health Choice Network, A Florida Health Administrators
Product, that identifies an individual enrolled in a health benefits
plan administered by Florida Health Choice Network, A Florida Health
Administrators Product, and relates to the person's participation
in the plan, the provision of health care to that person, or payment
for the provision of healthcare to that person. NPI does not include
publicly available information, or information that is available
or reported in a summarized or Aggregate fashion that does not identify
any individual person. NPI includes information that federal regulations
refer to as "protected health information" and certain state laws
refer to as "nonpublic personal financial information" and "nonpublic
personal health information."
3. What types of Nonpublic Personal Information
do we collect and disclose?
In order to administer benefits and operate our programs, we collect
the following types of information about you and your dependents:
(a) Information we receive directly or indirectly from you, your
employer or health benefits plan sponsor through enrollment forms,
surveys or other forms, in writing, in person, by telephone, or
electronically including email and our website (e.g., name, address,
social security number, date of birth, marital status, dependent
information, employment information, medical history): and (b) Information
we collect from affiliates, health care providers, and others regarding
your health care services and your coverage (e.g., health care claims
and encounters, medical history, eligibility information, payment
information, and service request, appeal and grievance information).
Florida Health Choice Network, A Florida Health Administrators Product,
discloses NPI to affiliates and third parties, as permitted by law.
We do not disclose and do not intent to disclose NPI other than
as authorized by the member (directly or through the policyholder,
subscriber, or other personal representative) or as permitted by
law including but not limited to processing and servicing transactions,
administering health care benefits including reporting, investigating
or preventing fraud or material misrepresentation, underwriting,
processing premium payments, claims processing, and utilization
review, and to comply with other federal, state or local laws, rules
and other applicable legal requirements.
4. How do we protect the confidentiality
of your information?
Within Florida Health Choice Network, A Florida Health Administrators
Product, we restrict the access to your NPI information to those
employees who need it to provide products or services to you and
your dependents. When storing NPI electronically or on paper, we
maintain physical, electronic and procedural safeguards to protect
against unauthorized access and use. For example, access to facilities
is limited to authorized personnel and we use various technologies
to protect information we maintain electronically. We also have
established a Privacy Officer, who has overall responsibility for
developing privacy and security policies and procedures to safeguard
NPI against uses and disclosures that are inconsistent with applicable
law. Our Privacy Officer is also responsible for training and educating
our personnel regarding our privacy and security policies and procedures,
and for overseeing the implementation and enforcement of these policies
and procedures.
5. How do we inform members about future
updates?
Updates of this Notice will be posted on this Website,
in this location.
6. How can you contact us if you feel that
your information has been used inappropriately?
If you believe that your privacy rights or terms of this Notice
have been violated, please follow the applicable complaint, grievance
or appeal process set forth in your plan documents.
|