The
Central Nebraska Public Power and Irrigation District's Group
Health Plan, Flexible Spending Plan and Medicare Supplement
Plan
Notice
of Privacy Practices
THIS
NOTICE DESCRIBES HOW PROTECTED MEDICAL INFORMATION ABOUT EMPLOYEES
MAY BE USED AND DISCLOSED AND HOW EMPLOYEES CAN GAIN ACCESS
TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1.
The Central Nebraska Public Power and Irrigation District's
Group Health Plan, Flexible Spending Plan and Medicare Supplement
Plan (Central District's Group Health Plans) is permitted
to make uses and disclosures of protected health information
for treatment, payment and health care operations, as described
in the following examples:
a.
For treatment - Authorization for treatments not specifically
covered in the Hospital/Medical and Dental Benefit Plan.
b.
For payment - Claim status assistance.
c.
For health care operations - Eligibility or Enrollment/Termination
Purposes.
2. The Central District's Group Health Plans are permitted
or required, under specific circumstances, to use or disclose
protected health information without the individual's written
authorization. If a use or disclosure for any purpose prescribed
in the Privacy Regulation is prohibited or materially limited
by other applicable State law, the description of such use
or disclosure must reflect the more stringent law.
3.
Other uses and disclosures will be made only with the Individual's
written authorization, and the individual may revoke such
authorization.
4.
The Central District's Group Health Plans may disclose protected
health information to the sponsor of the Plan.
5.
The Individual has the following rights regarding protected
health information:
a.
The right to request restrictions on certain uses and disclosures
of protected health information. The Central District's
Group Health Plans are not required to agree to a requested
restriction, however.
b.
The right to receive confidential communications of protected
health information, as applicable.
c.
The right to inspect and copy protected health information,
as provided in the Privacy Regulation.
d.
The right to amend protected health information, as provided
in the Privacy Regulation.
e.
The right to receive an accounting of disclosures of protected
health information.
f.
The right to obtain a paper copy of the Notice from the
covered entity upon request. This right extends to an individual
who has agreed to receive the Notice electronically.
6.
The Central District's Group Health Plans are required by
law to maintain the privacy of protected health information
and to provide individuals with notice of its legal duties
and Privacy practices with respect to protected health information.
7.
The Central District's Group Health Plans are required to
abide by the terms of the Notice currently in effect.
8.
The Central District's Group Health Plans reserve the right
to change the terms of this Notice. The new Notice provisions
will be effective for all protected health information that
it maintains.
9.
The Central District's Group Health Plans will provide individuals
with a revised Notice by posting it on the Web site and making
copies available via interoffice mail.
10.
Individuals may complain to the Central District's Group Health
Plans and to the Secretary of the Department of Health and
Human Services, without fear of retaliation by the organization,
if they believe their privacy rights have been violated. A
brief description of how the individual may file a complaint
follows:
When
a privacy violation is discovered, an individual must file
a written report with the Central Nebraska Public Power
and Irrigation District's complaint officer. A report form
can be obtained by contacting the complaint officer. The
report, and any action taken, will be documented and appropriately
filed with the privacy manual.
11.
The Central District's Group Health Plans' contact person
for matters relating to complaints is:
Assistant
Controller
(308) 995-8601
415 Lincoln Street
P.O. Box 740
Holdrege, NE 68949
12.
This Notice is first in effect on April 14, 2004.
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