To Business Associates. We may disclose PHI to Business Associates who provide services to the Plan. These entities are required by law and contract to safeguard PHI. For example, the Plan may disclose PHI to a Business Associate that administers claims. To the Plan Sponsor. We may disclose PHI to certain employees of Life Is Good for the purpose of administering the Plan. These employees will use or disclose PHI only as necessary to perform Plan administration functions or as required by HIPAA. PHI will not be used for employment-related purposes without your authorization. Substance Use Disorder Treatment Information. If the Plan receives PHI from a Substance Use Disorder Treatment Program subject to federal law (42 CFR Part 2), additional confidentiality protections apply. If such information is provided to the Plan based on your general permission for treatment, payment, or health care operations, the Plan will use or disclose the information only for those purposes and only as described in this Notice. If the Plan receives your information based on your specific written authorization, the Plan will use or disclose the information solely as permitted by that authorization. The Plan will not use or disclose substance use disorder treatment records in any civil, criminal, administrative, or legislative proceeding against you unless you have provided written permission; or a court has issued an order allowing the disclosure and provides you with notice as required by law. Your Rights Right to Inspect and Copy You have the right to inspect and obtain copies of your PHI. We may charge a reasonable fee for copying, mailing, or related expenses. Requests must be submitted in writing to the contact listed below. In some circumstances, we may deny your request. If your information is maintained electronically, you may request an electronic copy. Right to Amend If you believe your PHI is incorrect or incomplete, you may request an amendment. Requests must be submitted in writing. We may deny your request in certain circumstances. If denied, you may submit a statement of disagreement to be included in future disclosures of the disputed information. Right to an Accounting of Disclosures You have the right to request an accounting of certain disclosures of your PHI made within the last six years. The accounting will not include disclosures for treatment, payment, or health care operations; to you; pursuant to your authorization; to family or friends involved in your care; for national security; or incidental to otherwise permissible disclosures. Your request for an accounting must be submitted in writing to the person listed below. You may request an accounting of disclosures made within the last six years. You may request one accounting free of charge within a 12-month period. Right to Request Restrictions You have the right to request that we not use or disclose information for treatment, payment, or other administrative purposes except when specifically authorized by you, when required by law, or in emergency circumstances. You also have the right to request that we limit the protected health information that we disclose to someone involved in your care or the payment for your care, such as a family member or friend. Your request for restrictions must be submitted in writing to the person listed below. We will consider your request, but in most cases are not legally obligated to agree to those restrictions. However, we will comply with any restriction request if the disclosure is to a health plan for purposes of payment or health care operations (not for treatment) and the protected health information pertains solely to a health care item or service that has been paid for out-of-pocket and in full. Right to Request Confidential Communications You may request to receive communications in a confidential manner, such as at an alternate address or phone number. We will accommodate reasonable requests. Right to Be Notified of a Breach You have the right to be notified if a breach occurs involving your unsecured PHI. Notification will be made in accordance with federal requirements. Right to a Paper Copy of This Notice If you receive this notice electronically, you may request a paper copy at any time. Our Legal Responsibilities