HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

Eateries, Inc.  Health Plan

INFORMATION PRIVACY NOTICE

Original Date:  April, 2004                                                                                                                                                                  

Revision Date:                                                                       

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.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) grants you certain privacy rights with respect to the Health Information about you that is maintained by the Eateries, Inc. Health Plan (the Plan).  In addition, HIPAA requires that the Plan comply with rules designed to protect this information from improper uses and disclosures.  One of your rights under HIPAA is to know how the Plan handles your Health Information.  This Notice is designed to explain how the Plan uses and discloses your Health Information, and what rights you have with respect to your Health Information.  This Privacy Notice applies to all plans sponsored by Eateries, Inc. that qualify as covered entities under HIPAA.  Therefore, the terms “Plan,” and “Benefits Coordinator” must be construed to apply to all the plans in which you are a participant.

If you have any questions about this notice, please contact the Eateries, Inc. Health Plan’s Privacy Officer, Meline Epley.

WHO SEES MY HEALTH INFORMATION?

The Eateries, Inc. Benefits Coordinators include all Individuals who must see health related information that can be linked to an Individual (“Protected Health Information”) in order to operate the Plan.  Benefits Coordinators are members of the Eateries, Inc. staff.  However, certain employees of outside businesses  help operate the Plan as well and necessarily receive and use Health Information.  Collectively, this notice refers to all individuals authorized to receive, use, or disclose Protected Health Information as the Plan Administration Group.  Any member of the Plan Administration Group must complete training about privacy and security procedures.  Each member of the Group understands that a violation of the Plan’s privacy and security procedures may result in sanctions, penalties, or even prison sentences.  Therefore, Group members take the privacy of your information very seriously.

OUR PROMISE TO YOU

As Plan Administration Group members of the Eateries, Inc. Health Plan, we understand that your health and medical information is private information.  Eateries, Inc. is 100 percent committed to using the Health Information we obtain about you only for the purposes of paying benefits, operating the plan, and as expressly permitted or Required by Law.  We will only use the Protected Health Information we obtain for a different purpose if you expressly authorize us to do so.

HOW WE USE AND DISCLOSE
THE HEALTH INFORMATION WE OBTAIN

Group members only use and disclose Protected Health Information in ways that are expressly permitted by HIPAA.  The sections entitled Treatment, Payment and Health Care Operations describe how we might use and disclose the Health Information we obtain about you (your “Health Information”).  Some of these uses and disclosures are routine, and are necessary in order to run the plan, and to provide assistance to the health care providers who treat you.  Others are not routine, but are Required by Law or necessary due to special circumstances.  The disclosures listed here are merely examples of ways in which the plan could use or disclose your health information; the plan does not necessarily fulfill each of these functions for all qualifying health plans.  The Plan has developed procedures for all of these uses and disclosures. 

Treatment.  Group members may use or disclose your Health Information to facilitate medical Treatment or services by your health care providers such as doctors, nurses, technicians, medical students, other hospital personnel or pharmacists who are involved in taking care of you.  For example, we might disclose information about recent prescription medications or surgical procedures to an emergency room doctor, if he or she requested it in order to provide you the best emergency Treatment. 

Payment.  Group members may use and disclose your Health Information in order to determine your eligibility for Plan benefits, to process claims for Payment for your Treatment, or to determine whether any other plan or party might be responsible for paying for the Treatment.  For example, a Group member could review Health Information about you that is contained on a bill in the process of assisting you with receiving benefits from insurance providers or third-party administrators.  These are just some examples of how the Plan might use and disclose your Health Information in order to make sure the Plan pays benefits properly.

Health Care Operations.  Group members may use and disclose your Health Information in order to run the Plan.  For example, we may review your Health Information in order to:

1.             Conduct quality assessment and improvement activities;

2.             Perform underwriting, premium rating, and other activities relating to Plan coverage;

3.             Submit claims for stop loss (or excess loss) coverage;

4.             Conduct or arrange for medical review, legal services, audit services, and fraud and abuse detection programs;

5.             Learn about the successes and failures of the Plan, and about ways to manage costs; and to

6.             Manage the business of the Plan and make sure it is administered properly and effectively.

Required By Law.  Group members will disclose your Health Information when required to do so by federal, state or local law.  For example, we will disclose information about medical bills submitted by your health care provider pursuant to a court order in a litigation proceeding alleging that the provider has fraudulent billing practices.

To Prevent Serious Threats to Health or Safety.  We may use and disclose your Health Information in order to prevent a serious threat to your health and safety or the health and safety of the public or another person.  Any such disclosure would only be to a person who is able to help prevent the threat.

SPECIAL SITUATIONS

Disclosures to Eateries, Inc. Employees who are not Group Members.  If an employee of Eateries, Inc. who is not a member of the Plan Administration Group requests information from the Plan for purposes of modifying, amending or terminating the Plan, or in order to obtain premium bids from health plans for providing health insurance coverage, Group members may provide that employee “Summary Health Information.”  Summary Health Information summarizes the claims history, claims expenses or type of claims experienced by Plan participants, and is redacted to eliminate information that identifies Individual participants.

In addition, Group members may disclose to such employees information about whether an Individual is participating in the Plan or is enrolled in or has disenrolled from a fully insured benefit offered by the Plan.

Organ and Tissue Donation.  If you are an organ donor, we may release your Health Information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, in order to facilitate organ or tissue donation and transplantation.

Military and Veterans.  If you are a member of the armed forces of the United States or any other country, we may release your Health Information if Eateries, Inc. is required to by the appropriate military command authorities.

Workers’ Compensation.  Group members may release your Health Information if required to in order to comply with workers’ compensation laws.

Public Health Risks.  We may disclose your Health Information for public health activities, which generally include the following:

1.             To prevent or control disease, injury or disability;

2.             To report births and deaths;

3.             To report child abuse or neglect;

4.             To report reactions to medications or problems with products;

5.             To notify people of recalls of products they may be using;

6.             To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;

7.             To notify the appropriate government authority if the Group member believes that you have been the victim of abuse, neglect or domestic violence, and you agree to the disclosure, or the disclosure is Required by Law.

Health Oversight Activities.  We may disclose your Health Information to a Health Oversight Agency for activities authorized by Law.  These oversight activities include, for example audits, investigations, inspections, and licensure.  These activities are necessary for the government to monitor the health care system, government programs, arid compliance with civil rights laws.

Lawsuits and Disputes.  If you are involved in a lawsuit or a dispute, we may disclose your Health Information in response to a court or administrative order.  Group members may also disclose your Health Information in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

Law Enforcement.  If asked to do so by a Law Enforcement Official, a Group member may release your Health Information under the following circumstances:

1.             In response to a court order, subpoena, warrant, summons or similar process;

2.             To identify or locate a suspect, fugitive, material witness, or missing person;

3.             About the victim of a crime if, under certain limited circumstances, the Group member is unable to obtain the person’s agreement;

4.             About a death the Privacy Officer or his or her designee believes may be the result of criminal conduct;

5.             About criminal conduct at a hospital; and

6.             In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.

Coroners, Medical Examiners and Funeral Directors.  We may release your Health Information to a coroner or medical examiner.  This may be necessary, for example, to identify you if you die or to determine the cause of your death.  We may also release your Health Information to funeral directors as necessary to carry out their duties.

National Security and Intelligence Activities.  Group members may release your Health Information to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

Inmates.  If you are an inmate of a correctional institution or under the custody of a Law Enforcement Official, we may release your Health Information to the correctional institution or Law Enforcement Official.  This release would be necessary (i) for the institution to provide you with health care; (ii) to protect your health and safety or the health and safety of others; or (iii) for the safety and security of the correctional institution.

YOUR RIGHTS REGARDING THE HEALTH
INFORMATION ABOUT YOU THAT WE MAINTAIN

You have the following rights regarding the Health Information that the Plan maintains about you:

Right to Inspect and Copy.  You have the right to inspect and copy your Health Information that may be used to make decisions about your Plan benefits.  To inspect and copy medical information that may be used to make decisions about you, you must complete the Form entitled “Request for Access to Protected Health Information” and submit the Form to the Privacy Officer.  If you request a copy of the information, you may be charged a fee for the costs of copying, mailing or supplies associated with your request.  The form is available from the Privacy Officer.

Your request to inspect and copy may be denied in certain very limited circumstances.  If you are denied access to medical information, you may request that the denial be reviewed.

Right to Amend.  If you feel that medical information the Plan has about you is incorrect or incomplete, you may ask the Plan to amend the information.  You have the right to request an amendment for as long as the information is kept by or for the Plan.

To request an amendment, you must complete a Form entitled “Request for Amendment of Protected Health Information.”  This Form is available upon request from the Privacy Officer.  Your request for an amendment may be denied if you do not complete this Form.  In addition, your request may be denied if you ask us to amend information that:

1.             Is not part of the medical information kept by or for the Plan;

2.             Was not created by the Plan unless the person or entity that created the information is no longer available to make the amendment;

3.             Is not part of the information which you would be permitted to inspect and a copy; or

4.             Is accurate and complete.

Right to an Accounting of Disclosures.  You have the right to request an “accounting of disclosures” where such disclosure was made for any purpose other than Treatment Payment, or Health Care Operations.

To request this list or accounting of disclosures, you must complete the Form entitled “Request for an Accounting of Disclosures of Protected Health Information” and submit the Form to the Privacy Officer.  Your request must state a time period which may not be longer than six (6) years and may not include dates before April, 2004.  Your request should indicate in what form you want the list (for example, paper or electronic).  This first list you request with a twelve (12)‑month period will be free.  If additional lists are requested, the Plan may charge you for the costs of providing the lists.  You will be notified of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

Right to Request Restrictions.  You have the right to request a restriction or limitation on the medical information the Plan uses or discloses about you for Treatment, Payment or Health Care Operations.  You also have the right to request a limit on the medical information the Plan discloses about you to someone who is involved in your care or the Payment for your care, like a family member or friend.  For example, you could ask that we not use or disclose information about a previous surgery you had to your spouse, even though your spouse is involved in the Payment for a related surgery.

The Plan is not required to agree to your request.

To request restrictions, you must complete the Form entitled “Request for Restriction of Protected Health Information” and submit it to the Privacy Officer.

Right to Request Confidential Communications.  If you believe that the normal form of communications of benefit information could endanger you, you have the right to request that the Plan communicate with you about medical matters in a certain way or at a certain location.  For example, you can ask that we only contact you at work or by mail.

To request confidential communications, you must complete the Form entitled “Request for Confidential Communications of Protected Health Information” and submit it to the Privacy Officer.  The Plan will not ask you the reason for your request and will accommodate all reasonable requests.  Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This Notice.  You may obtain an electronic copy of this notice at the following address, under the section entitled Company Information:  www.eats-inc.com.  You also have the right to a paper copy of this notice.  You may request a copy of this notice at any time, and you may obtain a copy by contacting the Privacy Officer.

CHANGES TO THIS NOTICE

The Plan reserves the right to change this notice.  The Plan reserves the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future.  A copy of the current notice will be posted on the Eateries, Inc. website, if the website includes a description of the Plan.  The notice will contain on the first page, in the top left hand corner, the effective date.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with the hospital or with the Secretary of the Department of Health and Human Services.  To file a complaint with the Plan, contact the Privacy Officer, Meline Epley.  All complaints must be submitted in writing.

You will not be penalized or retaliated against for filing a complaint.

OTHER USES OF MEDICAL INFORMATION

Other uses and disclosures of medical information not covered by this notice or the laws that apply to the Plan will be made only with your written authorization.  If you provide the Plan authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time.  If you revoke your authorization, the Plan will no longer use or disclose medical information about you for the reasons covered by your written authorization.  You understand that the Plan is unable to take back any disclosures already made with your authorization.