91 • Law enforcement health purposes. When required for law enforcement purposes (for example, to report certain types of wounds). • Law enforcement emergency purposes. For c ertain law enforcement purposes, including: − Identifying or locating a suspect, fugitive, material witness or missing person, and − Disclosing information about an individual who is or is suspected to be a victim of a crime. • Determining cause of death and organ donation. We may give PHI to a coroner or medical examiner 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 f aith believes the use or disclosure is necessary to prevent or 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 otherwise 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. The “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 i s important to note that while all requests should be directed to the Health Fund, the Fund contracts with numerous vendors, also called “business associates,” who provide services to the Fund and services and benefits to you on the Fund’s behalf. Once the Fund is notified that you choose to invoke any of the 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, t he Fund requires that they administer certain aspects 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 99 M St. SE, Suite 600 Washington, D.C. 20003 - 3799 Phone: (202) 785 - 8148 Fax: (202) 728 - 0585
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