DTL, Inc. is committed to using your Protected Health Information (PHI) responsibly. This Notice of Privacy Protection describes how information about you may be used and disclosed and how you can get access to this information. Please review this carefully.
In April 2001, new privacy rules were enacted by the U.S. Department of Health and Human Services. Known as the Health Insurance Portability and Accountability Act of 1996 Privacy Rules (HIPAA Privacy Rules), these rules govern the use and disclosure of Protected Health Information (PHI). PHI is defined as individually identifiably health information, transmitted or maintained in any form or medium (including electronic media). It includes demographic information collected from an individual that relates to past, present or future physical or mental health condition of an individual or the provision or payment of health care.
How DTL, Inc. May Use and Disclose Your PHI:
In order for DTL, Inc. to effectively meet your health care coverage needs it may be necessary for us to either receive or disclose information about you which may include PHI. The instances where it may be necessary to use or disclose your PHI are as follows:
- for purposes of an individual or groups enrollment in a health plan,
- termination of a participants membership in a plan,
- review, completion and processing of application forms,
- sale of group benefits,
- completion and/or submission of claim forms,
- answering questions regarding a claim.
Your Health Information Rights:
You have the right to:
- inspect and copy your health record as provided for in 45 CFR 164.524,
- amend your health record as provided in 45 CFR 164.528,
- obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528,
- request communications of your health information by alternative means or at alternative locations,
- request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522, and
- revoke your authorization to use or disclose health information except to the extent that action has already been taken.
For More Information or to Report a Problem
If you have questions, would like additional information, or wish to report a problem, please contact DTL, Inc.s Privacy Officer so we may help you. We will take all reasonable steps to see that your concerns are addressed.
If you believe your privacy rights have been violated, you can file a complaint with DTL, Inc.s Privacy Officer, or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights. The address for the OCR is listed below:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C. 20201
DTL, Inc. is required to:
- maintain the privacy of your health information,
- provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you,
- abide by the terms of this Notice,
- notify you if we are unable to agree to a requested restriction, and
- accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
We will not use or disclose your health information without your authorization, except as described in this Notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.
Other Permitted Uses and Disclosures of PHI
In addition to the uses and disclosures of PHI noted above, you should also be aware that we may disclose your PHI when required to do so by applicable law. For example, the law requires us to disclose your PHI:
- when required by the Secretary of the U.S. Department of Health and Human Services to investigate our compliance efforts.
- Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
- Workers Compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
- Public Health: We may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
- Correctional Institution: Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals.
- Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.
- Abuse and Domestic Violence: As provided by federal and state law, we may, at our professional discretion, disclose to proper federal or state authorities healthcare information related to possible or known abuse or domestic violence. As also provided by federal and state law, we may refuse to disclose healthcare information to individuals, including legal parents, guardians, custodians, etc., when such disclosure may possibly be detrimental to the physical or mental healthcare or well being of the member.