Privacy Notice for Renaissance Agencies, Inc.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.
At Renaissance Agencies, we value the trust you have placed in us and intend to continue to earn your trust each day. Protecting the privacy of your personal information is a major priority throughout all of our business practices and procedures. Our commitment to protecting your privacy is reflected in this Privacy Notice, which describes our policies in using, gathering, communicating and protecting information about you. Our procedures and policies protecting and safeguarding your personal information are maintained both while you are insured under a policy we administer and for any time thereafter.
Personal Information We CollectWe receive information from you on applications for insurance and related forms. We also receive information from outside sources including eligibility listings from schools and providers of administrative services. This information may include your name, address, social security number, phone number, marital status (including domestic partnerships), your dependants and your academic enrollment status. We also may receive information regarding prior health insurance coverage.
We receive information from you and others regarding premium payments. This information may include credit card numbers, bank account numbers and other material relating to premium payments you make.
We receive information about you in connection with health coverage claims from third parties providing benefits and services under your coverage, including providers of medical services. This information may include medical services bills and medical record information.
We retain personal information only so long as required by our business practices or by applicable law.
Personal Information We DiscloseWe do not disclose any nonpublic information about you to anyone; except as permitted or required by law. We do not sell or otherwise disclose your personal information to anyone for purposes unrelated to our products and services.
We may disclose your personal information to underwrite your health insurance coverage, process and record your premium payments, communicate your eligibility for benefits as provided in the policies, protect you against fraud, and to service health insurance claims.
For instance, we may provide insurance companies, medical health care providers, third party claims administrators and schools with information confirming that insurance premium has been received paying for insurance coverage during a specific period of time and with information confirming that specified medical services were provided and are eligible for payment
We may also provide information to a court, government agency or other third parties when subpoenaed or as otherwise required by law.
Our Policies and Procedures with Respect to Confidentiality and Security of Personal InformationWe restrict access to information about you to those employees and third parties who need to know that information in order to provide the benefits and services pertinent to your insurance policies. All personal information exchanged with third parties (such as health care providers, insurance companies and entities administering claims) is restricted by confidentiality agreements. Our employees are trained and required to safeguard all such information. We maintain physical, electronic and procedural safeguards that comply with federal and state regulations to protect information about you from disclosure. If, at any time in the future, it is necessary to disclose any of your personal information in a manner that is inconsistent with this policy, we will give you advance notice of the proposed change so that you will have the opportunity to consent or refuse consent to such disclosure.
Your Access to Your Personal InformationYou may request a copy of our records of personal information relating to you and may ask us to correct any incorrect information in those records. Note that we may not be able to correct inaccuracies in information provided to us by others.
To submit a request to review your information write us and include your name, the name of your school, the relevant academic year and your student ID number and identify the information you want to review. If you want to request a change to inaccurate information you may call us at (800) 537-1777 or write us at:
Renaissance Agencies, Inc.
Attention Privacy Manager
P.O. Box 2300
Santa Monica, California 90407-2300.
Facsimile: (310) 394-0142
This notice is provided under the Gramm-Leach-Bliley Act enacted by Congress and regulations promulgated by the federal Department of Human Services under the Health Insurance Portability and Accountability Act (HIPAA). You do not need to contact us or take any other action to preserve the privacy of your personal information as a result of this notice. You may wish to file this notice with your insurance papers.