2024 Archdiocese of Atlanta / Lay Employee Quick Guide - Flipbook - Page 44
PRIVACY NOTICE
THE ROMAN CATHOLIC ARCHDIOCESE OF ATLANTA
GROUP HEALTH CARE PLAN
AND
THE ROMAN CATHOLIC ARCHDIOCESE OF ATLANTA
SENIOR PRIEST WELFARE PLAN
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.
Effective Date
This Notice is effective on: October 1, 2018
In accordance with the Health Insurance Portability and Accountability Act, as amended (“HIPAA”), this Notice is issued by
the Roman Catholic Archdiocese of Atlanta Group Health Care Plan and the Roman Catholic Archdiocese of Atlanta Senior
Priest Welfare Plan (collectively the “Plan” or “we”). The Plan is required by law to:
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Maintain the privacy of your “protected health information”;
Provide you with certain rights with respect to your protected health information;
Provide you with notice of the Plan’s legal duties and privacy practice with respect to protected
health information; and
Follow the terms of this Notice as currently in effect.
Generally, protected health information is individually identifiable health information maintained by the Plan that relates to
(1) your past, present, or future physical or mental health or condition, (2) the provision of health care to you, or (3) the past,
present, or future payment for the provision of health care to you. A reference in this Notice to “Plan Sponsor” means the
Roman Catholic Archdiocese of Atlanta (the “Archdiocese”).
As you read through this Notice, keep in mind that the Plan is considered to be a distinct legal entity that is separate and apart
from the Plan Sponsor. However, without involvement by the Plan Sponsor (for example, when an individual asks the Plan
Sponsor to help resolve payment questions), the Plan would not operate smoothly. To ensure the continued smooth operation
of the Plan, it has been amended as required by law to permit the Plan Sponsor to use and disclose protected health information
as necessary to allow the Plan Sponsor to perform its administrative functions on behalf of the Plan and those who participate
in the Plan.
This Notice relates only to the Plan and to the administrative functions of the Plan. This Notice has no bearing on functions,
rights, or obligations of the Archdiocese or any portion of the Archdiocese with respect to your health information that is
outside of the Plan. This Notice describes how the Plan and those who help with the Plan’s functions may use and disclose
protected health information about you when that information is maintained by the Plan. This Notice also describes how you
can get access to protected health information maintained by the Plan.
The Plan receives and maintains your protected health information in the course of providing benefits to you. The Plan may
use outside parties called Business Associates to help administer its functions. For example, the Plan uses a Business Associate
to receive and process claims. Business Associates receive and maintain your protected health information in the course of
assisting the Plan. A Business Associate is required by HIPAA to agree to implement appropriate safeguards regarding your
protected health information.
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