Globe Life And Accident Insurance Company
The following Notice describes how information about you may be used and disclosed, as well as how you can obtain access to this information. Please review it carefully.
This Notice gives you information required by the privacy provisions of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (HIPAA Privacy Rules) about the duties and privacy practices of Globe Life And Accident Insurance Company to protect the privacy of your medical information that we maintain as an issuer of health insurance policies that provide medical care benefits. If you enroll in Globe Life And Accident Insurance healthcare benefits, you will receive a copy of this Notice when our records indicate that we provide healthcare benefits to you under an individual health insurance policy.
This Notice applies to the designated healthcare components of Globe Life And Accident Insurance that use and disclose your medical information to provide medical care benefits to you under health insurance policies. We use the terms health and healthcare in this Notice to refer to the medical care benefits we provide to you. This Notice does not apply to the information that our non-healthcare components maintain about you as an issuer of life, disability, accident, indemnity, or any other non-health insurance policy.
The effective date of this Notice is April 14, 2003 and was last revised on September 23, 2013. We are required to follow the terms of this Notice until we replace it. We reserve the right to change the terms of this Notice at any time. If we make changes to this Notice, we will revise it and send a new Notice to all persons to whom we are required to give the new Notice. We reserve the right to make the new changes apply to all your medical information maintained by us before and after the effective date of the new Notice.
Purposes for which we may use or disclose your medical information without your consent or authorization include:
In some situations, the HIPAA Privacy Rules do not preempt (or take precedence over) state privacy laws that give you greater privacy protections. As a result, the privacy laws of a particular state might impose a privacy standard under which we will be required to operate (for example, a state privacy law relating to disclosures of medical information of minors).
We will need your written authorization for the use or disclosure of psychotherapy notes, marketing, and the sale of your protected health information. Other uses or disclosures not described in this notice require your written authorization to do so. If you give us written authorization to use or disclose your medical information for a purpose that is not described in this Notice, then, in most cases, you may revoke it in writing at any time. Your revocation will be effective for all your medical information we maintain, unless we have taken action in reliance on your authorization.
You may make a written request to us to do one or more of the following concerning your medical information that we maintain:
If you want to exercise any of these rights described in this Notice, please contact the Contact Office (below). We will give you the necessary information and forms for you to complete and return to the Contact Office. In some cases, we may charge you a nominal, cost-based fee to carry out your request.
If you believe we have violated your privacy rights, you have the right to complain to us or to the Secretary of the U.S. Department of Health and Human Services. You may file a complaint with us at our Contact Office (below). We will not retaliate against you if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.
To request additional copies of this Notice or to receive more information about our privacy practices or your rights, please contact us at the following Contact Office:
◆A.M. Best Company rating as of 7/19 based on financial strength, management skill and integrity. These ratings refer only to the overall financial status of the company and are not a recommendation of the specific policy provisions, notes or practices of the insurance company. For the latest rating, access www.ambest.com.
Policy Form Numbers: GMSA10, GMSB10, GMSC10, GMSF10, GMSHDF10, GMSG10 and GMSN10
Plans, benefits and product availability may vary by state. These plans have some limitations and exclusions. Use the "Get a Quote" feature to see a Outline of Coverage for details. This program is not connected with or endorsed by the U.S. government or the federal Medicare program.
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