Right To Receive And Release Necessary Information

All medical and claims information is confidential. However, to correctly process claims, it may be necessary for the plan to share information with or obtain information from others who are authorized to share such information. As a condition of receiving benefits under this plan, the individual agrees to the following:

• The individual authorizes any physician, hospital, or other provider of services or party having knowledge to disclose to the plan any medical information it requests.
• The individual authorizes the plan to examine any medical records of the individual at the offices of any physician, hospital or other provider of services for the purpose of verifying services or supplies.
• The individual authorizes the plan, in the exercise of its right to reimbursement described on pages 103-104, and individuals acting on behalf of the plan to release any information about the individual’s illness or injury and the benefits and medical services received by the individual to any individual who may be liable to the individual or to the plan, and to such individual’s insurer.
• The individual waives any claim of privilege or confidentiality that might be asserted in any action by or against the plan or the party furnishing such information.