Privacy Practices

 

Your Privacy Rights

 
 

CONFIDENTIAL COMMUNICATION
Pan-American Life will not release any of your personal medical information to anyone other than as permitted by law without your prior written consent. After we obtain your written consent to share this information, you have the right to withdraw your consent for release of this information at any time by sending written notice to: Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130.

RESTRICTIONS
You have the right to request restrictions on certain uses and disclosures of your protected health information; however, Pan-American Life is not required to comply with such requests. We will make every effort to do so; however, to request restriction, you must send a written request to: Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130.

RECEIVING CONFIDENTIAL COMMUNICATION
You have the right to request that Pan-American Life communicates with you in a certain way if you feel the disclosure of your health information could endanger you. For example, you may ask that Pan-American Life only communicate with you at a certain telephone number or by email. If you wish to receive confidential communications, please send your request in writing to Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130. Pan-American Life will attempt to honor your reasonable requests for confidential communications.

ACCESS
You have the right to inspect your file in our office and to make copies of your file. A request to inspect and copy records containing your health information must be made in writing to Privacy Officer, Pan-American Life Insurance Company, Room 1530, 601 Poydras Street, New Orleans, LA 70130.

AMENDMENT
If you believe that your health information records are inaccurate or incomplete, you may request that Pan-American Life amend the records. That request may be made as long as the information is maintained by Pan-American Life. A request for an amendment of records must be made in writing to Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130. Pan-American Life may deny the request if it does not include a reason to support the amendment. The request also may be denied if your health information records were not created by Pan-American Life, if the health information you are requesting to amend is not part of Pan-American Life’s records, if the health information you wish to amend falls within an exception to the health information you are permitted to inspect and copy, or if Pan-American Life determines the records containing your health information are accurate and complete.

DISCLOSURES
You may request details regarding any disclosures of your medical information while it has been in our possession. You must submit your request in writing to: Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130.

CHANGES TO THIS NOTICE
Pan-American Life Insurance Company is required by law to maintain the privacy of your personal health information and to provide you with this notice advising you of our legal duties and privacy practices with respect to this information. Pan-American Life is also required to abide by the terms of this notice and to advise you if there are any changes in our privacy practice that will affect the protection of your health information in the future. If you elect to receive any or all of the above information electronically, you will always have the right to request paper copies of the information as well.

COMPLAINTS
If you have any complaints about the violation of your private medical information, please send a detailed description of your complaint to: Privacy Officer, Pan-American Life Insurance Company, 601 Poydras Street, Room 1530, New Orleans, LA 70130. If you do file a complaint, Pan-American Lifewill attempt to resolve the complaint to your satisfaction. No retaliatory action will be taken for the filing of such a complaint.

EFFECTIVE DATE
This notice was effective April 14, 2003 and revisions to this notice are effective August 1, 2008, and will remain in effect until you are notified otherwise.

CONTACT INFORMATION
If you have any questions about Pan-American Life's privacy practice, or if you wish to file a complaint, please contact us at:

Pan-American Life Insurance Group
Attn: Privacy Officer
601 Poydras Street, Room 1530 
New Orleans, LA 70130

Telephone: 1-877-939-4550