Rogers, Gunter, Vaughn Insurance Agency, Inc.
1117 Thomasville Road
Tallahassee, Florida 32303
Our Privacy Policies and Practices
We do not sell client information for any reason whatsoever.
We may collect non-public personal information about you from the following sources:
- information we receive from you on application or other forms
- information about your transactions with us
- information we receive from a consumer reporting agency
We will not disclose non-public personal information about you to others unless the disclosure is necessary to conduct our business and is permitted by law. We thank you for the confidence you have placed in us and are committed to protecting your privacy and confidentiality.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Health Insurance Portability and Accountability Act (HIPPA) Notice of Privacy Practices
As your health plan Agent of Record, we are required by applicable federal and state laws to maintain the privacy of your protected health information (PHI). This notice describes our privacy practices, our legal duties, and your rights concerning your PHI. We will follow the privacy practices that are described in this notice while it is in effect. This notice took effect April 14, 2003, and will remain in effect until a revised notice is issued.
While this rule set national standards for protection of identifiable health information by three types of covered entities: health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically, our firm strives to protect your information physically located in our office.
HOW WE CAN USE OR DISCLOSE PHI WITHOUT A SPECIFIC AUTHORIZATION
To Plan Sponsors, if applicable (including employers who act as Plan Sponsors): We may disclose enrollment and disenrollment information to the plan sponsor of your group health plan. We may also disclose certain PHI to the plan sponsor to perform plan administration functions. We may disclose summary health information to the plan sponsor so that the plan sponsor may either:
- Obtain premium bids; or
- Decide whether to amend, modify or terminate your group health plan
USES AND DISCLOSURE OF PHI PERMITTED ONLY AFTER AUTHORIZATION IS RECEIVED
Authorization: You may give us written authorization to use your PHI or disclose it to anyone for any purpose not otherwise permitted or required by law. If you give us an authorization (specific to the carriers requirements), you may revoke it in writing at any time. Your revocation will not affect any use or disclosure permitted by your authorization while it was in effect.
To Family and Friends: While the law permits us in certain circumstances to disclose your PHI to family, friends and others, we will do so only with your written authorization. In the event you are unable to authorize such disclosure, but emergency or similar circumstances indicate that disclosure would be in your best interest, we may disclose your PHI to family, friends or others to the extent necessary to help with your health care coverage arrangements.
Confidential Communication: You have the right to request that we communicate with you or your health insurance carrier in confidence regarding your PHI in such a manner as to restrict that information from others outside our organization.
Personal Identity Information (PII):
If you are concerned that we may have violated your privacy rights, you may complain to us using the contact information listed at the end of this notice. You may also submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address for the U.S. Department of Health and Human Services upon request.
We support your right to protect the privacy of your PII defined as:
Personal identity information (PII) is the electronic manifestation of an individualâs first name or first initial and last name, in combination with one or more of the following:
- Social Security number (SSN)
- Drivers license number or State-issued Identification Card number
- Account number*, credit or debit card number in combination with any required security code, access code, or password that could permit access to an individualâs financial account
- Medical information, including any information regarding an individualâs medical history, mental or physical condition, or medical treatment or diagnosis by a health care professional
- Health insurance information, including an individualâs health insurance policy number or subscriber identification number, any unique identifier used by a health insurer to identify the individual, or any information in an individualâs application and claims history, including any appeals records
This definition of electronic PII is not dependent on where the personal identity information is stored. This includes, but is not limited to, formal database systems such as DB2, Sybase, or Oracle as well as simple text files, spreadsheets, etc.Â Electronic personal identity information may exist on, but is not limited to, hard drives, magnetic tape, optical disks, diskettes, hand held computing devices, e
Contact Office: Rogers, Gunter, Vaughn Insurance Compliance Office
Telephone: 850-205-0241 Contact: Deborah K. Hunt
Address: P.O. Box 12099, Tallahassee, Florida 32317-2099