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ConnectiCare’s Privacy Notice
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 ConnectiCare, protecting the privacy and
confidentiality of your personal information is very
important to us. In order to provide and administer
benefits and services to you, we may collect, use, and
disclose personal information. To help you better
understand our commitment to protect the privacy
and confidentiality of this information, we are
providing you with this notice describing what types
of information we collect, the measures we take to
safeguard it, and the situations in which we might
share that information. If you have questions about
this notice or wish to exercise any of the rights
outlined below, please call Customer Service at the
toll-free number on your ID card or 1-800-224-
2273 for assistance.
INFORMATION WE COLLECT
ConnectiCare collects information that helps us
administer your health benefits plan. Like all health
care companies, we collect the following types of
information about you and your dependents:
• Information we receive from you, your employer
or benefits plan sponsor (for group health plans),
medical provider or third parties, contained in
applications, enrollment forms, surveys, health
risk assessments, or other forms (e.g., name,
address, social security number, date of birth,
marital status, dependent information, payment
information, medical history).*
• Information about your relationship and
transactions with us, our affiliates, our agents,
and others (e.g., claims, payment information,
medical history, eligibility information, service
inquiries, complaints, appeal and grievance
information).
The information collected and stored by us is used for
specific business purposes such as administering your
benefit plan and complying with laws and regulations
and the requirements of accreditation organizations.
* Information we collect throug