HEALTH PRIVACY NOTICE
This notice dated November 15, 2014, explains how Clarence Miller Insurance Services, Inc. may collect, use and share your information. Please read carefully and contact us if you have any questions or would like to file a complaint. Contact information is as follows:
Mail - Attn: Privacy Manager, Clarence Miller Insurance Services, Inc., 1419 Lincoln Ave, Charleston, IL 61920
Email - firstname.lastname@example.org
Call - 217.345.6750.
Personally Identifiable Information (PII) means that information which can be used to distinguish or trace an individual’s identity, such as their name, social security number, date and place of birth, mother’s maiden name, among others, alone or when combined with other personal or identifying information that is linked or linkable to a specific individual.
If you believe your PII may have been compromised in any way and you would like to file a complaint with the Centers for Medicare & Medicaid Services (CMS), please visit this website: http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html.
WHY DID I RECEIVE THIS NOTICE?
We are legally required to give you this notice by applicable law and our agreement with the federal government. We respect your personal information and want you to fully understand how we may use and share your information.
WHAT INFORMATION WILL YOU ASK ME TO GIVE YOU & HOW DO YOU USE IT?
We must collect certain information about you, called Personally Identifiable Information (PII) in order to help you complete your application for health insurance. PII is information that can be used to identify you or trace your identity. These are a few examples of PII: name, address, zip code and county of residence, date of birth, telephone number, social security number, household income, number of individuals residing in your household, marital status race or ethnicity, credit or debit card numbers, checking account numbers and/or any personal information necessary to assist you with your request for assistance with your healthcare coverage.
WHAT DO YOU DO WITH THE INFORMATION THAT I VOLUNTARILY PROVIDE ON YOUR WEBSITE?
We do not collect PII through this website unless you voluntarily submit it. This information is used to complete transactions and provide the information, products and services that you have ordered or requested, and for administrative and analytical purposes. In addition, PII may be used to contact you (by telephone, regular mail, email, facsimile or other means) to answer your questions or respond to your comments, to send you information about our products and services, to provide emails, newsletters and other communications, to conduct market research, and to ensure compliance with our policies and applicable laws and regulations. When you opt not to receive emails or newsletters from us, we collect and store certain PII, such as your email address, in order to comply with your preferences regarding such materials and will add you to our non-contact list.
HOW WILL YOU USE MY INFORMATION?
We will use only the information that we need to help you obtain health insurance through the Federally Facilitated Exchange (“FFE”) and to provide authorized functions approved by the FFE, or other service as permitted under applicable law. Following are a few of the authorized functions that we may conduct: helping with your application for insurance, answering question about your eligibility, helping to enroll you in a qualified health plan, helping with filing appeals of eligibility determinations, correcting errors in your application, etc.
WILL YOU SHARE MY INFORMATION WITH ANYONE?
We may share non-PII with others from time to time. Examples of such non-PII include the number of users who visited this website during a specific time period and the general geographic location of visitors. This information is shared in an aggregate form.
We reserve the right to transfer any information we have about you, including PII, in connection with the sale or transfer of all or a portion of our business or assets to a third party.
CAN I INDICATE MY PREFERENCE FOR RECEIVING COMMUNICATION?
If you want to opt-out of receiving certain communications from us, please contact us at email@example.com.
WHAT DO YOU DO WITH CHILDREN’S INFORMATION?
Although parents are free to use this website on behalf of their children, we do not direct this site to children or knowingly collect personal information from children. We would be pleased to work with parents and guardians to delete from our records personal information that a child may have disclosed improperly on this site.
WHAT HAPPENS IF I DO NOT SHARE MY INFORMATION WITH YOU?
If you do not want to share your information, we will not be able to assist you in enrolling in a health insurance plan through our agency.
WILL YOU KEEP MY INFORMATION SAFE?
Yes. We are required to keep your information safe. We have developed privacy and security policies and practices that we must follow to make sure that we protect your PII. For your protection, please do not send e-mails to us that contain your personal health information. We cannot guarantee the security of these e-mails before they reach us, in contrast to the security precautions in place when you send us personal information via an online form on this website.
We are sincerely committed to protecting your personal privacy. While information is important for our ability to provide superior service, our most important asset is our customer’s trust. Keeping information secure and using it in a responsible manner is our top priority.
HOW WILL YOU INFORM ME ABOUT CHANGES TO THIS PRIVACY NOTICE?