The privacy and security of your health information is very important to The Health Plan. For that reason, we have procedures in place to ensure that your information is well protected. The following notice describes how your medical information may be used and disclosed and how you can get access to this information.

Notice of Privacy Practices

The Collective Health Benefits Team is available to assist you with any questions or concerns. You can reach them by submitting an Employee Benefits ticket.

In addition, you have rights under HIPAA. To exercise these rights, we have provided the following forms:

• Collective Health PHI Amendment Request

  Use this form to ask us to correct your health and claims records.

• Collective Health Accounting of Disclosures Request

  Use this form to get a list of who we shared your information with.

• Collective Health Records Access Request

  Use this form to get a copy of your health and claims records.

• Collective Health Authorization for the Release of PHI

  Use this form to give us permission to share your information with someone else.

• Minor Authorization for Parent Access to Sensitive Information

  Use this form if you are 13-17 years old to give us permission to share certain sensitive information with your parent or legal guardian.

• Collective Health Privacy Restriction Request

  Use this form to ask us to limit the health information that we use or share about you.

• Collective Health Confidential Communication Request

  Use this form to ask us to contact you in a specific way or to send mail to a different address.

Please contact the Health and Welfare Benefits Plan department at benefits@collectivehealth.com to submit a complaint if you feel your privacy rights were violated.

If you have a question or concern, please contact the Privacy Office at privacy@collectivehealth.com

Compliance Notices

2026 Annual Legal Notice, Creditable Coverage Disclosure, and Marketplace Notice

2023 ILDOL EHB