top of page

HIPAA Privacy Statement

This notice describes how medical and personal information about you may be used and disclosed and how you can get access to this information.  Please review this document carefully.

You do not need to respond to this notice in any way.

Our Responsibilities and Privacy Commitment

We understand the importance of protecting your private information.  Our highest priority is to maintain your trust and confidence.  We will maintain our commitment to safeguarding your information now and in the future.

We are required by law to:

  • Maintain the privacy of your personal information.

  • Provide you with certain rights with respect to your personal information.

  • Provide you with a copy of the Notice of our duties and responsibilities, as well as our privacy practices with respect to your personal information.

  • Follow the Terms of the Notice that are s currently in effect.

  • We are providing this notice to you in accordance with privacy laws and because we want you to know that we value your privacy.

Information We Collect

Personal information is any information we obtain about you in the course of issuing insurance and/or providing services.  The information we may obtain includes, but is not limited to, your past, present or future physical or mental health or condition, the provision of health care to you, payment for the provision of health care to you, your Social Security number, employment history, credit history, income information and bank or credit card information.

We obtain this information from applications or other forms you complete and your business dealings with us.

Our Privacy and Security Procedures

Our employees who have access to this information are those who must have it to provide products or services to you.  Below are some examples of our guidelines for protecting information:

  • Paper copies, when used, are viewed, discussed and retained in private surroundings.

  • Individuals viewing information stored in a computer must have passwords to gain access.  Passwords are provided only to individuals who must have access to provide products or services to our insureds.

  • Our business associates use information only for the purpose provided.  Business associates sign a contract agreeing to follow our privacy procedures. 


Information We Disclose

We will not disclose any Personal Information about you, except as allowed by law.  We may share all of the information we collect with insurance companies, agents, companies that help us to conduct our insurance business, companies that are self-insured, or others as permitted by law.  Below are examples of the times that we may share information for business purposes:

  • Underwriting;

  • Premium Rating;

  • Submitting Applications;

  • Reinsuring risk;

  • Business management and planning; and

  • Sales, transfer, merger or consolidation of the business.

  • Your information may also be shared with a regulatory, law enforcement or other government authority as required by law.  This may include finding or preventing criminal activity, fraud, material misrepresentation or material nondisclosures in connection with an insurance issue.

  • With a medical care institution or professional to verify coverage, conduct an audit of their activities or discuss a medical problem of which the insured may not be aware.

  • With our business associates for use in auditing services or operations, auditing marketing services, performing various functions on our behalf, or to provide certain services.

  • And any others as permitted or required by law.


Your written authorization is required for uses and disclosures of Personal Information for purposes other than those described above.  We will not sell your Personal Information.  In the event that you do provide us authorization to use or disclose your Personal Information, you may revoke that authorization, in writing, at any time.  If you revoke your authorization, we will no longer use or disclose information for the specific purpose contained in the authorization.  We are required to retain any records may have containing you’re your Personal Information for the periods specified in document retention laws.  If you revoke your authorization for payment or health care operations, you may jeopardize the administration of the benefits under your health plan.


Your Rights

Upon written request, you have the right to:

  • Inspect and copy certain Personal Information.  We may charge a reasonable fee for the costs of copying or mailing.

  • Receive confidential communication of Personal Information.

  • Receive an electronic copy of your Personal Information when it is maintained electronically.

  • Request restrictions on certain uses and disclosures of your Personal Information, although we are not required to agree to a requested restriction.

  • Request an amendment to our Personal Information, although we are not required to agree to an amendment.

  • Receive an accounting of impermissible Personal Information disclosures or disclosures made in compliance with federal law (or state regulations, if applicable) for which an accounting is required.

  • Be notified of a breach of unsecured Personal Information.


We will respond to your request in a timely manner.  The written request must reasonably describe the information and the information requested must be reasonably locatable and retrievable.

How to File a Complaint Regarding the use and Disclosure of Personal Information

If you believe your privacy rights have been violated, you may file a complaint with us, with the Arkansas Department of Insurance, or with the Secretary of Health and Human Services.  All complaints must be in writing and you will not be retaliated against for filing a complaint.


How to Contact Us

You may contact our representative at the following address:

Arkansas State Employees Benefit Advisors 

Attn: Privacy Officer

1301 West 7th Street

Little Rock 72201


bottom of page