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 Legal Duty of the Plan

The Kennett Consolidated School District’s Employee Health Plan (the “Plan”) is required by applicable federal and state laws to maintain the privacy of your PHI. We are also required to give each of the participants in our health benefits plans this notice about our privacy practices, our legal duties, your rights and the rights of your dependents concerning PHI. You, and each of your covered dependents, are also sometimes referred to herein as a “Member”. The Plan must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect on April 14, 2004, and will remain in effect until we replace it.

The Plan reserves the right to change our privacy practices, and the terms of this notice, at any time, according to applicable law. Before we make a material change in our privacy practices, we will change our notice and send the new notice to each of our enrolled Subscribers at the time of the change. You may request a copy of our notice at any time. The notice is also available on our web site, kcsd.org. For more information about the Plan’s privacy practices, or to request an additional copy of this notice, please contact us by using the information listed at the end of this notice.

PHI
Our Uses and Disclosures of PHI
Other Uses and Disclosures of PHI
Member Rights
Questions and Complaints