Medical Information Privacy Notice  Effective May 9, 2023

We are required by law to protect the privacy of your health  information. We are also required to send you this notice, which  explains how we may use information about you and when we  can give out or “disclose” that information to others. You also have  rights regarding your health information that are described in this  notice. We are required by law to abide by the terms of this notice. 

The terms “information” or “health information” in this notice  include any information we maintain that reasonably can be used  to identify you and that relates to your physical or mental health  condition, the provision of health care to you, or the payment  for such health care. We will comply with the requirements of  applicable privacy laws related to notifying you in the event of a  breach of your health information. 

We have the right to change our privacy practices and the  terms of this notice. If we make a material change to our privacy  practices, we will provide to you, in our next annual distribution,  either a revised notice or information about the material change  and how to obtain a revised notice. We will provide you with this  information either by direct mail or electronically, in accordance  with applicable law. In all cases, if we maintain a website for your  particular health plan, we will post the revised notice on your  health plan website, such as www.hospicereport.com. We reserve  the right to make any revised or changed notice effective for  information we already have and for information that we receive in the future. 

Hospicereport.com collects and maintains oral, written and  electronic information to administer our business and to provide  products, services and information of importance to our enrollees.  We maintain physical, electronic and procedural security  safeguards in the handling and maintenance of our enrollees’  information, in accordance with applicable state and federal  standards, to protect against risks such as loss, destruction or misuse. 

Hospicereport.com is powered by Kara.health, a healthcare technology company. It is important to note that Hospicereport.com is not a broker and does not serve as a middleman for any healthcare services or products. Kara.health provides the technology platform for Hospicereport.com to deliver its content and services to its users.

How We Collect, Use, and  Disclose Information 

We collect, use, and disclose your health information to provide that information: 

• To you or someone who has the legal right to act for you (your  personal representative) in order to administer your rights as  described in this notice; and 
• To the Secretary of the Department of Health and Human  Services, if necessary, to make sure your privacy is protected. 

We have the right to collect, use, and disclose health information  for your treatment, to pay for your health care and to operate our  business. For example, we may collect, use, and disclose your  health information: 

• For Payment of premiums due us, to determine your coverage,  and to process claims for health care services you receive,  including for subrogation (when permitted by applicable law)  or coordination of other benefits you may have. For example,  we may tell a doctor whether you are eligible for coverage and what percentage of the bill may be covered. 
• For Treatment. We may collect, use, and disclose health  information to aid in your treatment or the coordination of  your care. For example, we may collect information from, or  disclose information to, your physicians or hospitals to help  them provide medical care to you. 
• For Health Care Operations. We may collect, use, and  disclose health information as necessary to operate and  manage our business activities related to providing and  managing your health care coverage. For example, we might  talk to your physician to suggest a disease management  or wellness program that could help improve your health  or we may analyze data to determine how we can improve  our services. We may also deidentify health information in  accordance with applicable laws. After that information is  de-identified, the information is no longer subject to this notice  and we may use the information for any lawful purpose. 
• To Provide You Information on Health Related Programs  or Products such as alternative medical treatments and  programs or about health-related products and services,  subject to limits imposed by law. 
• For Plan Sponsors. If your coverage is through an employer  sponsored group health plan, we may share summary health  information and enrollment and disenrollment information  with the plan sponsor. In addition, we may share other health  information with the plan sponsor for plan administration  purposes if the plan sponsor agrees to special restrictions on  its use and disclosure of the information in accordance with  federal law. 
• For Underwriting Purposes. We may collect, use, and disclose your health information for underwriting purposes;  however, we will not use or disclose your genetic information  for such purposes. 
• For Reminders. We may collect, use, and disclose health  information to send you reminders about your benefits or care,  such as appointment reminders with providers who provide  medical care to you. 
• For Communications to You. We may communicate,  electronically or via telephone, these treatment, payment or  health care operation messages using telephone numbers or  email addresses you provide to us.

We may collect, use, and disclose your health information for the following purposes under limited circumstances: 

• As Required by Law. We may disclose information when  required to do so by law. 
• To Persons Involved With Your Care. We may collect, use,  and disclose your health information to a person involved in  your care or who helps pay for your care, such as a family  member, when you are incapacitated or in an emergency, or  when you agree or fail to object when given the opportunity.  If you are unavailable or unable to object, we will use our  best judgment to decide if the disclosure is in your best  interests. Special rules apply regarding when we may disclose  health information to family members and others involved  in a deceased individual’s care. We may disclose health  information to any persons involved, prior to the death, in the  care or payment for care of a deceased individual, unless  we are aware that doing so would be inconsistent with a  preference previously expressed by the deceased. 
• For Public Health Activities such as reporting or preventing  disease outbreaks to a public health authority. 
• For Reporting Victims of Abuse, Neglect or Domestic  Violence to government authorities that are authorized by  law to receive such information, including a social service or  protective service agency. 
• For Health Oversight Activities to a health oversight agency  for activities authorized by law, such as licensure, governmental  audits and fraud and abuse investigations. 
• For Judicial or Administrative Proceedings such as in  response to a court order, search warrant or subpoena. 
• For Law Enforcement Purposes. We may disclose your  health information to a law enforcement official for purposes  such as providing limited information to locate a missing  person or report a crime. 
• To Avoid a Serious Threat to Health or Safety to you,  another person, or the public, by, for example, disclosing  information to public health agencies or law enforcement  authorities, or in the event of an emergency or natural disaster. 
• For Specialized Government Functions such as military and  veteran activities, national security and intelligence activities,  and the protective services for the President and others. 
• For Workers’ Compensation as authorized by, or to the extent  necessary to comply with, state workers compensation laws  that govern job-related injuries or illness. 
• For Research Purposes such as research related to the  evaluation of certain treatments or the prevention of disease  or disability, if the research study meets federal privacy law  requirements. 
• To Provide Information Regarding Decedents. We may  disclose information to a coroner or medical examiner to  identify a deceased person, determine a cause of death, or as  authorized by law. We may also disclose information to funeral  directors as necessary to carry out their duties. 
• For Organ Procurement Purposes. We may collect, use,  and disclose information to entities that handle procurement,  banking or transplantation of organs, eyes or tissue to facilitate donation and transplantation. 
• To Correctional Institutions or Law Enforcement Officials  if you are an inmate of a correctional institution or under the  custody of a law enforcement official, but only if necessary (1)  for the institution to provide you with health care; (2) to protect  your health and safety or the health and safety of others; or (3)  for the safety and security of the correctional institution. 
• To Business Associates that perform functions on our behalf  or provide us with services if the information is necessary  for such functions or services. Our business associates are  required, under contract with us and pursuant to federal law,  to protect the privacy of your information and are not allowed  to collect, use, and disclose any information other than as specified in our contract and as permitted by federal law. 
• Additional Restrictions on Use and Disclosure. Certain  federal and state laws may require special privacy protections  that restrict the use and disclosure of certain health  

information, including highly confidential information about you.  Such laws may protect the following types of information: 

1. Alcohol and Substance Abuse 

1. Biometric Information 
2. Child or Adult Abuse or Neglect, including  Sexual Assault 
3. Communicable Diseases 
4. Genetic Information 
5. HIV/AIDS 
6. Mental Health 
7. Minors’ Information 
8. Prescriptions 
9. Reproductive Health 
10. Sexually Transmitted Diseases 

If a use or disclosure of health information described above in this notice is prohibited or materially limited by other laws that  apply to us, it is our intent to meet the requirements of the more  stringent law.  

Except for uses and disclosures described and limited as set forth  in this notice, we will use and disclose your health information  only with a written authorization from you. This includes, except  for limited circumstances allowed by federal privacy law, not using or disclosing psychotherapy notes about you, selling your health  information to others, or using or disclosing your health information  for certain promotional communications that are prohibited  marketing communications under federal law, without your written  authorization. Once you give us authorization to release your  health information, we cannot guarantee that the recipient to  whom the information is provided will not disclose the information.  You may take back or “revoke” your written authorization at any  time in writing, except if we have already acted based on your  authorization. To find out where to mail your written authorization  and how to revoke an authorization, call the phone number listed  on your health plan ID card. 

What Are Your Rights 

The following are your rights with respect to your health  information: 

• You have the right to ask to restrict uses or disclosures  of your information for treatment, payment, or health care  operations. You also have the right to ask to restrict disclosures to family members or to others who are involved in your health  care or payment for your health care. We may also have  policies on dependent access that authorize your dependents  to request certain restrictions. Please note that while we  will try to honor your request and will permit requests  consistent with our policies, we are not required to agree  to any restriction. 
• You have the right to ask to receive confidential  communications of information in a different manner or at a  different place (for example, by sending information to a P.O.  Box instead of your home address). We will accommodate  reasonable requests in accordance with applicable state  and federal law. In certain circumstances, we will accept your verbal request to receive confidential communications;  however, we may also require you to confirm your request in  writing. In addition, any requests to modify or cancel a previous confidential communication request must be made in writing.  Mail your request to the address listed below. 
• You have the right to see and obtain a copy of certain health  information we maintain about you such as claims and case  or medical management records. If we maintain your health information electronically, you will have the right to request  that we send a copy of your health information in an electronic  format to you. You can also request that we provide a copy  of your information to a third party that you identify. In some  cases, you may receive a summary of this health information.  You must make a written request to inspect and copy your  health information or have your information sent to a third party.  Mail your request to the address listed below. In certain limited  circumstances, we may deny your request to inspect and copy  your health information. If we deny your request, you may  have the right to have the denial reviewed. We may charge a  reasonable fee for any copies. 
• You have the right to ask to amend certain health information  we maintain about you such as claims and case or medical  management records, if you believe the health information  about you is wrong or incomplete. Your request must be in  writing and provide the reasons for the requested amendment.  Mail your request to the address listed below. If we deny your  request, you may have a statement of your disagreement  added to your health information. 
• You have the right to receive an accounting of certain  disclosures of your information made by us during the six  years prior to your request. This accounting will not include  disclosures of information made: (i) for treatment, payment,  and health care operations purposes; (ii) to you or pursuant  to your authorization; and (iii) to correctional institutions or  law enforcement officials; and (iv) other disclosures for which  federal law does not require us to provide an accounting. 
• You have the right to a paper copy of this notice. You may ask for a copy of this notice at any time. Even if you have  agreed to receive this notice electronically, you are still entitled  to a paper copy of this notice. If we maintain a website, we  will post a copy of the revised notice on our website. You may  also obtain a copy of this notice on your plan website, such as  www.hospicereport.com.
• You have the right to make a written request that we  correct or amend your personal information. Depending  on your state of domicile, you may have the right to request  deletion of your personal information. If we are unable to honor  your request, we will notify you of our decision. If we deny your  request, you have the right to submit to us a written statement  of the reasons for your disagreement with our assessment  of the disputed information and what you consider to be the  correct information. We will make your statement accessible to  parties reviewing the information in dispute.  

Exercising Your Rights 

• Contacting your Health Plan. If you have any questions about this notice or want information about exercising your  rights, please call the toll-free member phone number on your health plan ID card or you may contact a Hospice Report Customer Call Center Representative at (714) 907-8295
• Submitting a Written Request. You can mail your written requests to exercise any of your rights, including modifying or canceling a confidential communication, requesting copies of your records, or requesting amendments to your record, to us  at the following address:                

Corporate Marketing, 
HOSPICEREPORT Health, 
848 N. Rainbow Blvd. #1349, 
Las Vegas, NV 89107.

• Timing. We will respond to your telephonic or written request within 30 business days of receipt.  
• Filing a Complaint. If you believe your privacy rights have been violated, you may file a complaint with us at the address  listed above. 

You may also notify the Secretary of the U.S. Department of Health and Human Services of your complaint. We will not take any action against you for filing a complaint. 

Financial Information Privacy Notice 

THIS NOTICE DESCRIBES HOW FINANCIAL INFORMATION ABOUT YOU MAY BE USED  AND DISCLOSED. PLEASE REVIEW IT CAREFULLY. 

Effective April 1, 2023 

We are committed to maintaining the confidentiality of your  personal financial information. For the purposes of this notice,  “personal financial information” means information about an  enrollee or an applicant for health care coverage that identifies  the individual, is not generally publicly available, and is collected  from the individual or is obtained in connection with providing health care coverage to the individual. 

Information We Collect 

Depending upon the product or service you have with us, we  may collect personal financial information about you from the following sources: 

• Information we receive from you on applications or other  forms, such as name, address, age, medical information and  Social Security number; 
• Information about your transactions with us, our affiliates or  others, such as premium payment and claims history; and 
• Information from a consumer reporting agency.  

Disclosure of Information 

We do not disclose personal financial information about our  enrollees or former enrollees to any third party, except as required  or permitted by law. For example, in the course of our general  business practices, we may, as permitted by law, disclose any  of the personal financial information that we collect about you,  without your authorization, to the following types of institutions: 

• To our corporate affiliates, which include financial service  providers, such as other insurers, and non-financial  companies, such as data processors; 
• To nonaffiliated companies for our everyday business  purposes, such as to process your transactions, maintain your  account(s), or respond to court orders and legal investigations;  and 
• To nonaffiliated companies that perform services for us,  including sending promotional communications on our behalf. 

Confidentiality and Security 

We maintain physical, electronic and procedural safeguards,  in accordance with applicable state and federal standards, to  protect your personal financial information against risks such as  loss, destruction or misuse. These measures include computer  safeguards, secured files and buildings, and restrictions on who  may access your personal financial information. 

Questions About This Notice 

If you have any questions about this notice, please call the  toll-free member phone number on your health plan ID card or contact the Hospice Report Customer Call Center at (714) 907-8295.