Other permitted or required uses and disclosures without your written authorization
Priority Health is allowed or required to share your information in other ways - usually in ways that contribute to the public good, such as public health and research. Priority Health may also use or disclose your health information:
- When required by law
- For law enforcement purposes
- When necessary for judicial or administrative (i.e., court) proceedings
- For compliance with workers' compensation requirements, as authorized by applicable law
- For various government functions, such as disclosures to health oversight agencies for activities authorized by law, the Armed Forces for active personnel, to Intelligence Agencies for national security, and the Department of State for foreign services reasons (e.g., security clearance)
- As necessary for a coroner, medical examiner, law enforcement official, or funeral director to carry out their legal duties with respect to a deceased individual or to cadaveric organ, eye or tissue donation and transplant organizations
- For matters of Public Interest
- Reporting adult abuse, neglect or domestic violence
- To prevent a serious threat to an individual or a community's health and safety
- Reporting to organ procurement and tissue donation organizations
- For public health and safety activities, including disease control and vital statistic reporting, child abuse reporting and Food and Drug Administration oversight
- For research purposes (as long as applicable research privacy standards are met)
- To make a collection of "de-identified" information that cannot be traced back to you
- From time to time, we engage third parties called Business Associates to provide various services for us. Whenever an arrangement with such a third party involves the use or disclosure of your personal health information, we will have a written contract with that third party designed to protect the privacy of your personal health information. For example, we may share your information with business associates who process claims or conduct disease management programs on our behalf.
Disclosures to health plan sponsors
(This section of the Notice of Privacy Practices applies to only to group health plans).
Priority Health may share information with the sponsor of your group plan (usually, your employer) about whether you are enrolled or disenrolled in the plan. Priority Health may also share "summary health information" with the sponsor. Summary health information has most identifying information (such as your name, your age and address except for zip code) removed, and it summarizes the amount, type, and history of claims paid under the sponsor's group health plan. The sponsor may use this information to obtain premium bids for health insurance coverage or to decide whether to modify, amend or terminate the plan. If the sponsor of your group health plan takes appropriate steps to comply with federal privacy regulations, Priority Health may also disclose your protected health information to the sponsor for the sponsor's administration of the group health plan.