89  Disclosing information about an individual who is or is s uspected to be a victim of a crime. • Determining cause of death and organ donation. We may give PHI to a coroner or medical exam iner to identify a deceased person, determine a cause of death or other authorized duties. We may also disclose PHI for cadaveric organ, eye or tissue donation purposes. • Funeral purposes. We may give PHI to funeral directors to carry out their duties with respect to the decedent. • Research. For research, subject to certain conditions. • Health or safety threats. When, consistent with applicable law and standards of ethical conduct, the Fund in good faith believes the use or disclosure is necessary to prevent o r lessen a serious and imminent threat to the health or safety of a person or the public and the disclosure is to a person reasonably able to prevent or lessen the threat, including the target of the threat. • Workers’ compensation programs. When authorized by and to the extent necessary to comply with workers’ compensation or other similar programs established by law. Except as othe rwise indicated in this notice, uses and disclosures will be made only with your written authorization subject to your right to revoke your authorization. Other Uses or Disclosures The Fund may disclose protected health information to the plan sponsor of the Fund for reviewing your appeal of a benefit claim or for other reasons regarding the administration of this Plan. T he “plan sponsor” of this Fund is the Board of Trustees of the National IAM Benefit Trust Fund . Section 3: Y our Individual Privacy Rights Following is a description of your individual privacy rights. It is important to note that while all requests should b e directed to the Health Fund, the Fund contracts with numerous vendors, also called “business associates,” who provide services to the Fu nd and services and benefits to you on the Fund’s behalf. Once the Fund is notified that you choose to invoke any of t he individual rights listed below, it will notify the appropriate vendor on your behalf. Because some of your PHI is maintained and used by these business associates to provide or process your benefits, the Fund requires that they administer certain aspect s of the individual privacy rights. You may contact the Privacy Official at the address and phone number listed below: Ryk Tierney, Privacy Official National IAM Benefit Trust Fund 1300 Connecticut Avenue, NW, Suite 300 Washington, DC 20036 Phone: (202) 785 - 8148 Fax: (202) 728 - 0585 You May Request Restrictions on PHI Uses and Disclosures You may request the Fund to: • Restrict the uses and disclosures of your PHI to carry out treatment, payment or health care operations, or • Restrict uses and disclosures to family members, relatives, friends or other persons identified by you who are involved in your care. The Fund, however, is not required to agree to your request.

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