| Glatfelter
Insurance Group - Notice of Privacy Policy
At Glatfelter
Insurance Group, protecting your privacy is very important to us. We recognize
that our relationships with current and prospective clients are based
on integrity and trust. We work hard to maintain your privacy and are
very careful to preserve the private nature of our relationship with you.
At the same time, the very nature of our business sometimes requires that
we collect or share certain information about you with other organizations
or companies. Therefore, we want you to be aware of how we handle personal
information.
PURPOSE OF
THIS NOTICE
Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial
institution, directly or through its affiliates, from sharing nonpublic
personal information about you with a non-affiliated third party unless
the institution provides you with a notice of its privacy policies and
practices, such as the type of information that it collects about you
and the categories of persons or entities to whom it may be disclosed.
In compliance with the GLBA, we are providing you with this document,
which notifies you of the privacy policies and practices of the Glatfelter
Insurance Group and its affiliated companies (hereafter referred to as
"Glatfelter Insurance Group" or "GIG"). For a complete
list of Glatfelter Insurance Group affiliated companies, please see the
section titled, "Glatfelter Insurance Group Family of Companies."
The Glatfelter
Insurance Group and its affiliated companies do not and will not sell
or share nonpublic personal information about you with any non-affiliated
third party for any purpose unless you authorize it or it is otherwise
permitted by law.
Our "affiliates"
are companies with which we share common ownership and which offer property
and casualty, life and health, and certain benefit products.
OUR PRIVACY
POLICIES AND PRACTICES
1. Information we collect:
We collect nonpublic personal information about you from various sources
to help serve your financial and insurance needs, provide customer service,
offer new products or services, and fulfill legal and regulatory requirements.
The type of information that GIG collects varies according to the products
or services you request, and may include:
•
Information we receive from you on applications, interviews, or by other
means (such as name, address, Social Security number, assets and income);
• Information about your transactions with us, our affiliates
or others (such as products or services purchased, account balances
and payment
history);
• Information from your employer, benefit plan sponsor, or association
for any insurance product you may purchase through GIG (such as name,
address, Social Security number, age and marital status);
• Information we receive from a consumer reporting agency (such
as credit relationships and history);
• Information from other non-GIG sources (such as motor vehicle
reports, medical information, and demographic information);
• Information from visitors to GIG websites (such as that provided
through online forms, site visitor data and online information collecting
devices known as "cookies").
Unless it is specifically stated otherwise in an amended Privacy Policy
Notice, no additional information will be collected about you.
2. Information
we may disclose to third parties:
We may disclose all of the information we collect, as described above,
about our customers or former customers, to companies that perform marketing
services on our behalf or to other financial institutions with whom we
have joint marketing agreements. We also may disclose information about
our customers or former customers as permitted by law.
Any medical
or health information we collect about you will be disclosed to third
parties only to underwrite insurance or administer your policy or claim,
as permitted by law or as authorized by you and consistent with our HIPAA
Privacy Policy below.
3. Nonaffiliated
third parties to whom disclosures may be made:
We may disclose nonpublic personal information about you, such as we have
described above, to the following types of third parties that perform
marketing services on our behalf or with whom we have joint marketing
agreements:
•
Fulfillment service providers, such as envelope stuffing services;
• Financial institutions with whom we have joint marketing agreements,
such as insurance companies, agencies and brokerages; and
• Non-Financial Institutions with whom we have joint marketing
agreements or who may be performing services or functions on our behalf,
such as trade associations and affinity groups.
These disclosures
will be made only to the extent permitted by law. We may also disclose
nonpublic personal information about you to non-affiliated third parties
as permitted by law.
4. Affiliates
with whom we share certain information protected by the Fair Credit Reporting
Act, unless you tell us not to:
A. Categories
of Information We Disclose to Affiliated Companies:
We may disclose the following kinds of nonpublic personal information
about you to our affiliates:
•
Information we receive from you on applications or other forms, such
as name, address and Social Security number, and information we may
receive from you in connection with insurance products, such as your
assets and income;
• Information about your transactions with us, our affiliates
or others, such as types of insurance and investments you have through
us, your policy information, payment history, and parties to the transaction;
and
• Information we receive from consumer reporting agencies and
other agencies, such as your creditworthiness, credit history and motor
vehicle report.
We disclose
this information to our affiliates for a number of reasons, such as to
assist us in administering your insurance or to identify products or services
our affiliates may offer that may be of interest to you. Our affiliates
observe the same practices we do to protect the privacy of information
about you.
B. Categories
of Affiliates to Whom We Disclose Information:
We may disclose
nonpublic personal information about you to the following types of our
affiliated companies: our insurance agency and brokerage companies and
our insurance agents and brokers.
Under the
Fair Credit Reporting Act, you may exercise your right to opt out of Glatfelter
Insurance Group’s sharing of non-transactional information about
you with GIG affiliates. GIG may share other information about you with
its affiliates as permitted by law. If you prefer that GIG not share non-transactional
information about you with GIG affiliates as provided under the Fair Credit
Reporting Act, then you may direct us not to share this information by
writing us at Glatfelter Insurance Group, Attn: Privacy Coordinator, P.O.
Box 2726, York, Pennsylvania 17405 and simply state, "I wish to exercise
my right under the Fair Credit Reporting Act to opt out of Glatfelter
Insurance Group’s sharing of non-transactional information about
me with GIG affiliates." We will honor your request.
5. Our practices
regarding information confidentiality and security:
We restrict
access to nonpublic personal information about you to those employees
who need to know that information in order to provide products or services
to you. We maintain physical, electronic, and procedural safeguards that
comply with federal regulations to guard your nonpublic personal information.
6. Reservation
of the right to disclose information in unforeseen circumstances:
In connection
with the potential sale or transfer of its interests, GIG and its affiliates
reserves the right to sell or transfer your information (including but
not limited to your address, name, age, sex, zip code, state and country
of residency and other information that you provide through other communications)
to a third party entity that (1) concentrates its business in a similar
practice or service; (2) agrees to be GIG’s successor in interest
with regard to the maintenance and protection of the information collected;
and (3) agrees to the obligations of this privacy statement.
HIPAA PRIVACY
NOTICE
This HIPAA
Privacy Notice is in effect as of April 14, 2003.
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.
1. Statement
of Our Duties
We are required by law to maintain the privacy of your personal health
information and to provide you with this notice of our privacy practices
and legal duties. We are required to abide by the terms of this notice.
WE RESERVE
THE RIGHT TO CHANGE THE TERMS OF THIS NOTICE AND TO MAKE ANY NEW PROVISIONS
EFFECTIVE TO ALL OF THE PERSONAL HEALTH INFORMATION THAT WE MAINTAIN ABOUT
YOU. IF WE CHANGE OUR NOTICE, YOU MAY OBTAIN A COPY OF THE REVISED NOTICE
BY REQUESTING IT IN PERSON AT OUR OFFICE OR BY SENDING A WRITTEN REQUEST
FOR A COPY TO OUR PRIVACY COORDINATOR AT GLATFELTER INSURANCE GROUP, ATTN.
PRIVACY COORDINATOR, P.O. BOX 2726, YORK, PENNSYLVANIA 17405.
2. Statement
of Your Rights
You have a right to know how we may use or disclose your personal health
information. This notice informs you of those uses and disclosures. There
are certain uses and disclosures of your personal health information that
we are permitted or required to make by law without your permission. For
all other uses and disclosures, we first must obtain your permission.
In addition, you have the following rights:
•
The right to request that we place additional restrictions on our uses
and disclosures of your personal health information. However, we are
not obligated to agree to impose any such additional restrictions.
• The right to access, inspect and copy the protected information
pertaining to you that we maintain in our files about you, and the right
to have us correct or amend any information that we create in error.
Requests to access or amend your health information should be sent to
the contact person and address provided in paragraph 7.
• The right to receive an accounting of the disclosures of your
personal health information that we make for purposes other than activities
related to your treatment, or our payment functions or other health
care operations.
• The right to request that you receive communications of personal
health information in a confidential manner.
• The right to obtain a paper copy of this notice from us on request.
3. Information
We Collect About You
We collect the following categories of information about you from the
following sources:
•
Information that we obtain directly from you, in conversations or on
applications or other forms that you fill out.
• Information that we obtain as a result of our transactions with
you.
• Information that we obtain from your medical records or from
medical professionals.
• Information that we obtain from other entities, such as health
care providers or other insurance companies, in order to service your
policy or carry out other insurance-related needs.
4. Permissible
Uses and Disclosures of Protected Information
•
To Carry Out Treatment Functions. We may use or disclose your health
information without your permission for health care providers to provide
you with treatment.
• To Carry Out Payment Functions. We may use or disclose your
health information without your permission to carry out activities relating
to
reimbursing you for the provision of health care, obtaining premiums,
determining coverage, and providing benefits under the policy of insurance
that you are purchasing. Such functions may include reviewing health
care services with respect to medical necessity, coverage under
the policy, appropriateness of care, or justification of charges.
• To Carry Out Certain Operations Relating To Your Benefit Plan.
We also may use or disclose your protected health information without
your permission to carry out certain limited activities relating to
your health insurance benefits, including reviewing the competence or
qualifications of health care professionals, placing contracts for stop-loss
insurance and conducting quality assessment activities.
• In Situations Permitted Or Required By Law. We also may use
or disclose your protected health information without your written permission
for other purposes permitted or required by law, including the following:
• As authorized by and to the extent necessary to comply with
workers’ compensation or other no-fault laws.
• As authorized by law and to the extent necessary to service
insurance policies and benefits that are exempt benefits, such as in
connection with servicing life, disability, property and casualty, accident
and sickness,
worker’s compensation and auto insurance or other similar insurance
coverage under which benefits for medical care are secondary or incidental
to other insurance benefits.
• To a health oversight agency for activities including audits
or civil, criminal or administrative proceedings.
• To a public health authority for purposes of public health activities
(such as to the Food and Drug Administration to report consumer product
defects).
• To a law enforcement official for law enforcement purposes or
in response to a court order or in the course of any judicial or administrative
proceeding.
• To organ procurement organizations, or to other entities for
approved research purposes.
• To a government authority, including a social service or protective
services agency, authorized to receive reports of abuse, neglect or
domestic violence.
• For Any Purposes to Which You Have Not Objected. In certain
limited circumstances, we may use or disclose your protected health
information after we have given you an opportunity to object and you
have not objected. For example, if you do not object, we may use limited
information about you to maintain an office directory, to notify family
members or any other person identified by you regarding issues directly
related to such person’s involvement with your care or payment
for that care, or in emergency circumstances.
• As Permitted By Plan Documents. In certain limited circumstances
where we may be acting as a third party administrator, we may disclose
your protected health information to plan sponsors pursuant to the
restrictions imposed on the plan sponsor in the sponsor’s plan
documents.
• For Purposes For Which We Have Obtained Your Written Permission.
All other uses or disclosures of your protected health information will
be made only with your written, permission, and any permission that
you give us may be revoked by you at any time.
5. Complaints
About Misuse of Health Information
You may complain either directly to us or to the Secretary of Health and
Human Services if you believe that your rights with respect to our protection
of your health information have been violated. To file a complaint with
us, you may submit a complaint in writing that includes as many details
(such as names and dates) as possible to our Privacy Officer at the address
in Paragraph 7. You will not be retaliated against in any way for filing
a complaint.
6. Our Practices
Regarding Confidentiality and Security
We restrict access to nonpublic personal information about you to those
employees who need to know that information in order to provide products
or services to you. We maintain physical, electronic, and procedural safeguards
that comply with federal regulations to guard your nonpublic personal
information.
7. Contact
Person For Filing Complaint or Obtaining Further Information
GLATFELTER
INSURANCE GROUP
ATTN. PRIVACY COORDINATOR
P.O. BOX 2726
YORK, PENNSYLVANIA 17405
(717) 741-0911
Our Policy
Regarding Dispute Resolution
Any controversy or claim arising out of or relating to our privacy policy,
or the breach thereof, shall be settled by arbitration in accordance with
the rules of the American Arbitration Association, and judgment upon the
award rendered by the arbitrator(s) may be entered in any court having
jurisdiction thereof.
Glatfelter Insurance Group Family of Companies
This Notice
is being provided on behalf of the following
Glatfelter Insurance Group affiliates:
Arthur J.
Glatfelter Agency, Inc.
The Glatfelter Agency, Inc.
Special Needs Agency
Susquehanna Agents Alliance, LLC
GIG of Missouri, Inc.
The Insurancenter
Glatfelter Underwriting Services, Inc.
Volunteer Firemen’s Insurance Services, Inc.
Robert S. Maxam, Inc.
Glatfelter Claims Management, Inc.
Glatfelter Wholesale Insurance Services
Rural Special Districts Insurance Services
Foundry Insurance Agency, Inc.
Hospice and Community Care Insurance Services
P.O. Box
2726
183 Leader Heights Road
York, Pennsylvania 17405
(717) 741-0911 • (800) 233-1957
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