Universal Plan Administrators
P.O. Box 155
Draper, Utah 84020-0155
801-57-09798 * 1-800-222-0901
NOTICE OF PRIVACY PRACTICE
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
Protecting Your Personal and Health Information
Universal Plan Administrators, Inc .of Utah is committed to protecting the privacy of your personal information. We are required by applicable federal and state laws to maintain the privacy of your personal and health information. This notice explains our privacy practices, our legal duties, and your rights concerning your personal and health information. Personal and health information (referred to in this notice as (“personal information”) means any information that is identifiable to you as your personal information, including information regarding your health care and treatment; identifiable factors including your name, age, address, income or other financial information. We will follow the privacy practices that are described in this notice while it is in effect.
1. Why do we collect your personal information?
We collect personal information from you to help us determine when to pay claims.
2. How do we collect your personal information?
We collect your personal information through you and your health care providers. For example, we receive personal information from you and from your health care providers through insurance transactions, such as the submission of claims for reimbursement of covered benefits.
3. How do we protect your personal information?
We protect your personal information by:
- Treating all of your personal information that we collect as confidential;
- Stating confidentiality policies and practices in our employees handbooks as well as measures for privacy violations;
- Restricting access to your personal information only to those employees who need to know your personal information in order to provide our services to you, such as paying a clam for a covered benefit;
- Maintaining physical, electronic, and procedural safeguards that comply with federal and state regulations to guard your personal information
4. How do we use and disclose your personal information?
- Payment: We may use and disclose your personal information for our payment activities, including the payment of claims from physicians, hospitals and other providers for services delivered to you.
- Health Care Operations: We may use and disclose your personal information for our internal operations.
- To You or Your Authorized representative: Upon your request, we'll disclose your personal information to you or your authorized representative. If you authorize us to do so may use your personal information or disclose it to the person or entity you name on your signed authorization. Once you provide us with an authorization, you may revoke it in writing at any time. Your revocation won’t affect any use or disclosure permitted by your authorization while it was in effect. In certain situations when disclosure of you information could be harmful to you or another person, we may limit the information available to you, or use an alternative means of meeting your request.
- To Your Parents, if You are a Minor: Some state laws concerning minors permit or require disclosure of protected health information to parents, guardians, and persons acting in a similar legal status. We will act consistently with the laws of the state where the treatment is provided, and will make disclosures consistent with such laws.
- Your Family and Friends: If you are unable to consent to the disclosure of your personal information, such as in a medical emergency, we may disclose your personal information to a family member or friend to the extent necessary to help with your health care or with payment for your health-care. We’ll only do so if we determine that the disclosure is in your best interest.
- Required by Law: We must disclose your personal information when we are required to do so by law.
- Process and Proceedings: We may disclose your personal information in response to a court order, subpoena, discovery request or other lawful process.
- Law Enforcement: We may disclose limited information to law enforcement officials.
5. What rights do you have as an individual regarding our use and disclosure of you personal information?
You have the right to request all of the following:
- Access to your Personal information: You have the right to review and receive a copy of your personal information We may charge you a nominal fee for providing you with copies of your personal information.
- Amendment: You have the right to request that we amend your personal information. Your request must be in writing, and it must identify the information that you think is incorrect and explain why the information should be amended. We may decline your request for certain reasons, including if you ask us to change information that we didn’t create. If we decline your request to amend your records, we’ll provide you a written explanation. You may respond with a statement of disagreement to be appended to the information you wanted amended