[ Valley Health Plan ]
 
 

Protecting Your Privacy
Valley Health Plan, Inc.
Subscriber Privacy Policy

The company listed above recognizes the importance of our customers’ trust. Because you and your family have entrusted us with your nonpublic personal financial information, we are committed to safeguarding that information. This Notice, which is required by state and federal law, explains our Privacy Policies.

Why Do We Collect Your Personal Information?
In order to serve your needs, there are occasions when we may collect personal information about you. We collect personal information from you to help us:

  • Process your enrollment application;
  • Pay claims; and
  • Coordinate benefits with other insurance companies.

What Type of Personal Information Do We Collect?
We treat any information that is identifiable to you and not available to the general public as your personal information. For example, we may collect information we receive from you on an application for insurance, or information from your transactions with us, our affiliates or others, such as:

  • Your name, home address, telephone number, date of birth, social security number;
  • Employer name and income, when necessary for coverage;
  • Information regarding your insurance plan, such as type of insurance coverage and benefits; and
  • Premium payment history.
We may also collect personal information about you from your health care providers or other participants in the health care system, as well as from your employer or plan administrator, credit bureaus or consumer reporting agencies to process claims or to approve your application for coverage.

What Types of Personal Information Do We Disclose?
The personal information we collect is used to administer your plan effectively. We will not disclose your personal information unless we are allowed or required by law to make the disclosure. Following are some categories of disclosures we may make as allowed or required by law:

  • We may disclose all of the information we collect to our affiliates that offer insurance and related services and products, such as subrogation.
  • We may disclose all of the information that we collect to service companies (both affiliates and non-affiliates) that perform insurance functions on our behalf, such as insurance agents, auditors, benefit consultants, or care management specialists for utilization management and quality improvement. (When we do this, we require them also to protect customers’ personal information.)
  • We may disclose all of the information we collect to health care providers (doctors and others who provide you with care) in connection with an insurance transaction, such as verifying that you have coverage.
  • We may disclose all of the information we collect to an insurance regulatory authority, such as the State of Wisconsin Office of the Commissioner of Insurance.

Opting Out of Information Sharing
You may have received notices from other organizations that allow you to "opt out" of certain disclosures. The most common type of disclosure that applies to "opt outs" is the disclosure of personal information to a non-affiliated company so that company can market its products or services to you. As a health plan, we must follow many federal and state laws that prohibit us from making these types of disclosures. Because we do not make disclosures that apply to "opt outs," it is not necessary for you to complete an "opt out" form or take any action to restrict such disclosures.

Safeguarding Your Personal Information
We maintain physical, electronic and procedural safeguards that comply with applicable federal laws and regulations to guard your personal information. Upon your request, we will assign a random identification number as your health plan subscriber number, instead of using your Social Security number. We also restrict access to your personal information to those employees who need to know the information in order to perform their job duties, and provide them with regular training on confidentiality. Any employee of the companies listed in this Privacy Notice who would violate our privacy policies would be subject to discipline.


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