THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY.
Alyfe, hereafter referred to as “Company” is required to maintain the privacy of your health information and to provide you this Notice about privacy practices, legal duties and your rights concerning your protected health information (“PHI”). If you have questions about any part of this Notice or if you want more information about the company privacy practices please contact:
Alyfe Wellbeing Strategies
171 Green Meadows Drive South
Lewis Center, Ohio 43035
Privacy and Compliance Officer at Alyfe Toll-Free 866-668-7483
Employee Health Management Disclaimer
Our Company provides health promotion services to your organization in an effort to assist in improving the health and productivity of various populations. Alyfe is not an insurance company, but an evidence-based corporate wellness company. Programs and services are provided by certified and licensed professionals employed by Alyfe. Health care professional availability for certain services requests may be dependent on licensure, scope of practice restrictions and other state or federal requirements. Alyfe does not guarantee individual health outcomes. Program and service components are subject to change without notice.
Protection of Personal Health Information
Our company collects and maintains oral, written and electronic information to administer and provide employee-based population health programs and services. Our company has established stringent physical, electronic and procedural security safeguards to properly handle your information and to protect against risks such as loss, destruction or misuse in compliance with all applicable regulations and laws are in practice by Alyfe.
Notice of Privacy Practices
Effective: June 20, 2005, Updated 12/29/2015.
This notice describes how your information may be used and/or disclosed. Please review this notice carefully.
Our company is required, by law, to protect the privacy of your health information. This notice explains how information collected from you may be used and when our company may “disclose” that information to others. Your rights regarding your health information are described in this notice. Alyfe is required, by law, to abide by the terms of this notice. The terms “information” or “health information” in this notice include any personal information that is created or received by our company personnel as it relates to your participation in health promotion services provided to you.
How Alyfe Uses or Discloses Information
Our company will not distribute or disseminate your personal health information to your employer and will only release personal information to a third party, such as a health plan sponsor, with your express written permission and only for the purpose of: administering additional wellness programming; additional health plan services; conducting other health plan activities as permitted by law; compliance with applicable law or response to a valid legal process. Alyfe reserves the right to share de-identified aggregate health information to an employer or plan sponsor when appropriate release of information is executed by you. Alyfe must obtain your written authorization to use or disclose your health information. If a use or disclosure of health information is prohibited or materially limited by other applicable law, it is the intention of Alyfe to meet the requirements of the more stringent law. In some states, your authorization may also be required for disclosure of your health information.
Biometric Screening Services. The data derived from these screenings is considered preliminary and not diagnostic, considered “PHI” and as such will remain confidential. Release of disclosure of individual screening results is prohibited without the written consent of the individual. Non-identifiable data reported in the aggregate form and shall not constitute disclosure of “PHI”.
Health Care Operations. Our company may use your PHI in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioners and provider performance, conducting training programs, accreditation, certification, licensing and credentialing activities.
Required by Law. Our company may use and disclose your PHI information when required to do so by law.
Public Health. Company may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure.
Law Enforcement. Company may disclose your health information to law enforcement officials for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes.
WHEN COMPANY MAY NOT USE OR DISCLOSE YOUR HEALTH INFORMATION.
Except as described in this Notice of Privacy Practices, our Company will not use or disclose your health information without your written authorization. If you do authorize Company to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.
YOUR HEALTH INFORMATION RIGHTS.
1. You have the right to request restrictions on certain uses and disclosures of your health information. Company is not required to agree to the restriction that you requested.
2. You have the right to receive your health information through reasonable alternative means or an alternative location.
3. You have the right to inspect and copy your health information. Company may impose a charge for copying expenses.
4. You have a right to request that Company amend your health information that is incorrect or incomplete. Company is not required to change your health information and will provide you with information about Company denial and how you can disagree with the denial.
5. You have a right to receive an accounting of disclosures of your health information made by Company, except that Company does not have to account for the disclosures for treatment, payment, health care operations, information provided to you, and certain government functions described above.
6. You have a right to a paper copy of this Notice of Privacy Practices. If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact:
Alyfe Wellbeing Strategies
171 Green Meadows Drive South
Lewis Center, Ohio 43035
Privacy and Compliance Officer (614) 985-6569
CHANGES TO THIS NOTICE OF PRIVACY PRACTICES. Alyfe reserves the right to amend this Notice of Privacy Practices at any time in the future, and to make the new provisions effective for all information that it maintains, including information that was created or received prior to the date of such amendment. Until such amendment is made, our Company is required by law to comply with this Notice.
Complaints. Complaints about this Notice of Privacy Practices or how our Company handles your health information should be directed to: Alyfe Privacy and Compliance (614)985-6569
For further information, contact:
Office of Civil Rights Ph: 202-205-8725
Department of Health and Human Services
Hubert H. Humphrey Building
200 Independence Avenue, SW
Washington, DC 20201
If you are not satisfied with Company’s response, you may file a complaint with:
Region V, Office for Civil Rights Ph: 312-886-2359
U.S. Department of Health and Human Services Fax: 312-886-1807
233 N. Michigan Ave., Suite 240 TDD: 312-353-5693
Chicago, Ill. 60601
Alternatively, you may email a complaint to: OCRComplain@hhs.gov