UPHS_Enrollment_Flipbook_Print_Version

Uses and Disclosures for Health Care Operations. We will use and disclose your protectedhealth information as necessary, and as permitted by law, for our operations. For instance, thisinformation may be used or disclosed for the purposes of utilization review, cost analysis anddesigning the Program for your health benefits.Persons Involved In Your Care. Unless you object, we may disclose to a family member, a closefriend or any other person you identify, your protected health information that relates to thatperson’s involvement in payment for your health care. We may use or disclose protected healthinformation to assist in notifying a family member, personal representative or any other person thatis responsible for your care and general condition. We may also disclose limited protected healthinformation to a public or private entity that is authorized to assist in disaster relief efforts in orderfor that entity to locate a family member or other persons that may be involved in some aspect ofcaring for you.Health Products and Services. We may, from time to time, use your protected health informationto communicate with you about treatment alternatives and other health-related benefits andservices that may be of interest to you.Disclosures to the Plan Sponsor. We may disclose protected health information to the plansponsor for plan administrative purposes. The information disclosed will not be used by theUniversity of Pennsylvania Health System for any employment-related purposes. We may alsodisclose a summary of your health information to the plan sponsor so that the plan sponsor maysolicit premium bids from other health plans. Your summary health information may be disclosed tothe plan sponsor to modify, amend or terminate the plan. Summary health information isinformation that does not contain identifying information except that certain geographic informationmay be included. Summary health information can contain a summary of claims history, claimsexpenses or type of claims experienced by you for which a plan sponsor has provided healthbenefits under a group health plan. In addition to summary health information, we may discloseinformation to the plan sponsor about whether you are enrolled or have disenrolled in a healthinsurance plan offered by us and/or information about your participation in the plan.Other Uses and Disclosures. We are permitted or required by law to make certain other uses anddisclosures of your protected health information without your consent or authorization. Subject toconditions specified by law:• We may release your protected health information for any purpose when required by federal,state or local law;• We may release your protected health information for public health activities, such as requiredreporting of certain communicable diseases, injuries, birth and death and for required publichealth investigations;• We may release your protected health information to certain governmental agencies if wesuspect child abuse or neglect; we may also release your protected health information tocertain governmental agencies if we believe you to be a victim of abuse, neglect or domesticviolence;• We may release your protected health information to entities regulated by the Food and DrugAdministration, if necessary, to report adverse events, product defects or to participate inproduct recalls;• We may release your protected health information if required by law to a government oversightagency conducting audits, investigations, inspections and related oversight functions;• We may use or disclose protected health information in emergency circumstances;