or Toll Free 1(800)572-6578
Why did you provide me 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, date of birth, telephone number
• social security number
• household income, marital status
• race or ethnicity
• credit or debit card numbers
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 question 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?
We may only share your information as described in this notice.
We may share your information with certain Federal or State agencies, the health insurance issuer that you select or subcontractors that help us to provide services to you.
Can I indicate my preference for receiving communication?
If you want to opt-out of receiving certain communications from us, please contact us at email@example.com
Although parents are free to use this Web site on behalf of their children, we do not direct this site to children or knowingly collect personal information from children. We would be pleased to work with parents and guardians to delete from our records personal information that a child may have disclosed improperly on this site.
What happens if I do not 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. For your protection, please do not send e-mails to us that contain your personal health information. We cannot guarantee the security of these e-mails before they reach us, in contrast to the security precautions in place when you send us personal information via an online form on this Web site.
We are sincerely committed to protecting your personal privacy. While information is important for our ability to provide superior service, our most important asset is our customer’s trust. Keeping information secure and using it in a responsible manner is our top priority.
How will you inform me about changes to this privacy notice?
Privacy Notice Statement
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).
This notice dated February 1, 2014 explains how Byrd Insurance Services may collect, use and share your information. Please read carefully and contact Charlie Byrd if you have any questions or would like to file a complaint. Contact information is as follows: Charlie Byrd of Byrd Insurance Services, 215 W. Main St. Mt. Olive, NC 28365 call 919-658-3254 or email at firstname.lastname@example.org
HOW TO FILE COMPLAINTS WITH 'Centers for Medicare & Medicaid Services' (CMS)
To file a complaint with the Centers for Medicare & Medicaid Services (CMS) follow this link.
Blue Cross Blue Shield of North Carolina Agents, Byrd Insurance Services is an independent authorized producer/agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Byrd Insurance Services. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered mark of the Blue Cross and Blue Shield Association. SMService mark of the Blue Cross and Blue Shield Association.