If you wish to request additional restrictions, please obtain a Right of Individual to Request Restrictions on Uses and Disclosures Form from your Benefits Administrator and submit the completed form to the Privacy Officer(s). While YEC will consider all requests for additional restrictions carefully, it is not required to agree to a requested restriction. You may request restrictions on YEC’s use and disclosure of your Protected Health Information for payment and health care operations in addition to those explained in this Notice. Right to Request Additional Restrictions. YEC may disclose your Protected Health Information as necessary to comply The government with special functions, such as the U.S. YEC may disclose your Protected Health Information to units of YEC may disclose your Protected Health Information to prevent or lessen a seriousĪnd imminent threat to the health or safety of an individual or the public.Į. YEC may disclose your Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order or other lawful process.ĭ. YEC may disclose your Protected Health information in theĬourse of a judicial or administrative proceeding in response to a legal order or other lawful process.Ĭ. YEC may use and disclose your Protected Health Information to the extentī.

YEC may use and disclose your Protected Health Information to others without your written authorization for the following purposes:Ī. Uses and Disclosures without your written Authorization You may obtain a copy of both the Authorization Form and the Revocation Notice from your benefits administrator. You may revoke your Authorization, except to the extent YEC has taken action in reliance on it, by delivering a written Revocation Notice to the Privacy Officer(s) of YEC identified below. YEC may use or disclose your Protected Health Information to others for any purpose other than the purposes described in Section IV below, only when you give YEC your authorization on its Authorization Form. Uses and Disclosures With Your Written Authorization When YEC uses or discloses your Protected Health Information, it is required to abide by the terms of this Notice (or other Notice in effect at the time of the use or disclosure).

YEC is required by federal law and applicable state law to protect the privacy of individually identifiable health information about you that it creates or receives (“your Protected Health Information”) and to provide you with this Notice of its legal duties and privacy practices. York Electric Cooperative, Inc.’s Privacy Obligations Section 125 Plan available as a benefit to their eligible employees. This Notice describes the privacy practices of York Electric Cooperative, Inc. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATIONĪBOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO

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