PRIVACY NOTICE STATEMENT
This notice explains how Meekins Insurance Services may collect, use and share your information. Please read it carefully and contact Andy Meekins if you have any questions. Contact information is as follows: Andy Meekins, PO Box 1363, Manteo, NC 27954, via email firstname.lastname@example.org, or call 252-473-3811.
Personally Identifiable Information or PII means that information which can be used to distinguish or trace an individual’s identity, such as their name, social security number, among others, alone or when combined with other personal or identifying information that is linked or linkable to a specific individual, such as date and place of birth, mother’s maiden name, etc. Additional details about the meaning of PII is contained in the government’s guidance, OMB Memoranda M-07-16 (issued May 22, 2007).
WHY DID YOU RECEIVE THIS NOTICE?
We are legally required to give you this notice by applicable law and our agreement with the federal government. We respect your personal information and want you to fully understand how we may use and share your information.
WHAT INFORMATION WILL YOU ASK ME TO GIVE YOU?
We must collect certain information about you, called Personally Identifiable Information (“PII”) in order to help you complete your application for health insurance. PII is information that can be used to identify you or trace your identity. These are a few examples of PII. This is not a complete list: name, address, zip code and county of residence, date of birth, telephone number, social security number, household income, number of individuals residing in your household, marital status, race or ethnicity, credit or debit card numbers, checking account numbers and/or any information necessary to assist you with your request for assistance with your healthcare coverage.
HOW WILL YOU USE MY INFORMATION?
We will use only the information that we need to help you obtain health insurance through the Federally Facilitated Exchange (”FFE”) and to provide Authorized Functions approved by the FFE, or other service as permitted under applicable law. These are a few of the authorized functions that we may conduct. This is not a complete list: helping with your application for insurance, answering questions about your eligibility, helping to enroll you in a qualified health plan, helping with filing appeals of eligibility determinations, correcting errors in your application.
WILL YOU SHARE MY INFORMATION WITH ANYONE?
WHAT HAPPENS IF I DON’T SHARE MY INFORMATION WITH YOU?
If you do not want to share your information, we would not be able to assist you in enrolling in a health insurance plan through our agency.
WILL YOU KEEP MY INFORMATION SAFE?
Yes. We are required to keep your information safe. We have developed privacy and security policies/practices that we must follow to make sure that we protect your PII.