16 ©2024 United Benefit Advisors, LLC. All rights reserved. HIPAA Notice of Privacy Practices The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that we maintain the privacy of protected health information, give notice of our legal duties and privacy practices regarding health information about you and follow the terms of our notice currently in effect. If not attached to this document, you may request a copy of the current Privacy Practices, explaining how medical information about you may be used and disclosed and how you can get access to this information. As Required by Law . We will disclose Health Information when required to do so by international, federal, state, or local law. You have the right to: x Inspect and copy records x Receive an electronic copy of electronic medical records x Get notice of a breach x Amend records x Receive an accounting of disclosures x Request restrictions x Request confidential communications x Receive a paper copy of this notice x File a complaint if you believe your privacy rights have been violated Your Information. Your Rights. Our Responsibilities. This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Your Rights When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. Get a copy of health and claims records x You can ask to see or get a copy of your health and claims records and other health information we have about you. Ask us how to do this. x We will provide a copy or a summary of your health and claims records, usually within 30 days of your request. We may charge a reasonable, cost-based fee. Ask us to correct health and claims records x You can ask us to correct your health and claims records if you think they are incorrect or incomplete. x We may say “no” to your request, but we’ll tell you why in writing within 60 days.

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