19 ©2024 United Benefit Advisors, LLC. All rights reserved. Administer your plan We may disclose your health information to your health plan sponsor for plan administration. Example: Your company contracts with us to provide a health plan, and we provide your company with certain statistics to explain the premiums we charge. How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html. Help with public health and safety issues We can share health information about you for certain situations such as: x Preventing disease x Helping with product recalls x Reporting adverse reactions to medications x Reporting suspected abuse, neglect, or domestic violence x Preventing or reducing a serious threat to anyone’s health or safety Do research We can use or share your information for health research. Comply with the law We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law. Respond to organ and tissue donation requests and work with a medical examiner or funeral director x We can share health information about you with organ procurement organizations. x We can share health information with a coroner, medical examiner, or funeral director when an individual dies. Address workers’ compensation, law enforcement, and other government requests We can use or share health information about you: x For workers’ compensation claims x For law enforcement purposes or with a law enforcement official x With health oversight agencies for activities authorized by law x For special government functions such as military, national security, and presidential protective services Respond to lawsuits and legal actions We can share health information about you in response to a court or administrative order, or a subpoena.

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