HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices

Effective Date: March 2025

Company: EZEL LEGACY GROUP, INC.

Location: 191 Peachtree St, Atlanta, GA 30303

Phone: 404-490-0181

Email: info@ezellegacygroup.com

This Notice of Privacy Practices (“Notice”) describes how medical and health information about you may be used and disclosed, and how you can get access to this information.

1. Our Responsibilities

We are required by law to maintain the privacy and security of your Protected Health Information (PHI).

We must notify you promptly if a breach occurs that may have compromised the privacy or security of your PHI.

We must follow the duties and privacy practices described in this Notice.

2. How We May Use and Share Your PHI

We may use and disclose your PHI in the following ways:

For Treatment: To provide or coordinate health care services.

For Payment: To process applications, obtain premium payments, and coordinate benefits.

For Health Care Operations: To conduct audits, compliance reviews, and customer service activities.

As Required by Law: We may disclose PHI when required by state or federal law, regulation, or court order.

For Public Health and Safety: To prevent or lessen a serious threat to health or safety.

3. Other Uses and Disclosures Requiring Authorization

We will not use or disclose your PHI for the following without your written authorization:

Marketing communications unrelated to your coverage.

Sale of your PHI to third parties.

Any disclosure not otherwise permitted by HIPAA or Georgia law.

You may revoke any authorization at any time in writing.

4. Your Rights Regarding Your PHI

You have the right to:

Access and Copy: Request a copy of your PHI.

Amend: Request corrections if your information is inaccurate.

Restrict Use/Disclosure: Request restrictions on certain disclosures.

Confidential Communications: Request specific ways we contact you.

Accounting of Disclosures: Request a list of certain disclosures of your PHI.

Receive a Paper Copy: Request a paper copy of this Notice at any time.

5. Data Security

We use administrative, technical, and physical safeguards to protect your PHI against unauthorized access, use, or disclosure.

6. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

EZEL LEGACY GROUP, INC.

191 Peachtree St, Atlanta, GA 30303

Phone: 404-490-0181

Email: info@ezellegacygroup.com

You may also file a complaint with the:

U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR)

Website: https://www.hhs.gov/ocr/privacy/

You will not be retaliated against for filing a complaint.

7. Changes to This Notice

We may change the terms of this Notice at any time. Updates will be posted on our website with a revised effective date.