Page 43 - EPO_Member_Kit

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• We may release your member information to a friend, family member or other individual
who is authorized by law to act on your behalf. For example, parents may obtain information
about their children covered by HAP, even if the parent is not covered by HAP.
• We may give a limited amount of information to someone who helps pay for your care. For
example, if your spouse contacts us about a claim, we may tell him/her whether the claim
has been paid.
• We may use your information so that we can contact you, either by phone or by mail, in
order to conduct surveys, such as the annual member satisfaction survey.
• In certain extraordinary circumstances, such as a medical emergency, we may release your
information as necessary to a friend or family member who is involved in your care, if we
determine that the release of information is in your best interest. For example, if you have a
medical emergency in a foreign country and are unable to contact us directly, we may speak
with a friend or family member who is acting on your behalf.
Using and Disclosing Member Information for Other Purposes
There are also state and federal laws that require us to release your member information to others
in some of the following situations:
• We may report information to state and federal agencies that regulate us, such as the US
Department of Health and Human Services and the Michigan Office of Financial and
Insurance Services.
• We may share information for public health activities, such as for reporting disease, injury,
birth and death, and for required public health investigations. For example, we may report
information to the Food and Drug Administration if necessary to report adverse events,
product defects or for product recalls.
• We may report information to public health agencies if we believe there is a serious health or
safety threat.
• We may share information with a health oversight agency for certain oversight activities (for
example, audits, inspections, licensure and disciplinary actions).
• We may provide information to a court or administrative agency (for example, pursuant to a
court order, search warrant, subpoena or discovery request).
• We may report information for law enforcement purposes.
• We may report information to a government authority regarding abuse, neglect or domestic
• We may share information with a coroner or medical examiner to identify a deceased
person, determine a cause of death, or as authorized by law. We may also share member
information with funeral directors as necessary to carry out their duties.
• We may use or share information for procurement, banking or transplantation of organs,
eyes or tissue.