WHAT WE DO

Why We Collect and How We Use Information – We collect and use information for business purposes with respect to our insurance and other business relationships with you. These business purposes include, without limitation, evaluating requests for insurance or other products or services, evaluating benefit claims, administering our products or services, and processing transactions requested by you. We also may use information to offer you other products or services, to enhance and improve existing products or services, or to design new ones.

How We Collect Information – We get most information directly from you. The information you provide us voluntarily when applying for our products or services or submitting a claim for benefits generally provides the information we need. If we need to verify information or need additional information, we may obtain information from third parties such as adult family members, employers, other insurers, physicians, hospitals and other medical personnel.

What Information We Collect – The information we collect may relate to your finances, employment, health, avocations or other personal characteristics. Information we collect also may relate to transactions with us or with others, including our affiliates (i.e., companies related to us by common ownership or control). For example, we may collect the following types of “nonpublic personal information” about you:

Information about your identity, such as your name, date of birth, address, phone number, e-mail address, and Social Security number;

Information about your transactions with us, our affiliates or others, such as policy coverage, premiums and payment history; and

Information we receive from you on applications or other insurance forms, including your medical information.

How We Protect Information – We treat information about you in a confidential manner. Our employees and other authorized personnel are required to protect the confidentiality of your information. We restrict access to nonpublic personal information about you to only those individuals who have a business reason to know the information, such as in order to provide services for you. We also maintain physical, electronic and procedural safeguards to protect information. All employees and other authorized personnel are required to comply with our established policies, including this privacy policy.

Information Disclosure – Information may be disclosed to nonaffiliated third parties, such as insurance companies and companies that process data or provide general administrative services for us. For example, information may be disclosed to nonaffiliates to enable them to provide business services for us, such as helping us to evaluate your request for insurance or benefits and assisting us in processing a transaction requested by you. Information may be shared with nonaffiliates to assist us in offering our products and services to you, or to nonaffiliated financial institutions with which we have joint marketing agreements. We may disclose any information we collect as described above, other than health information, for the purposes described in this paragraph, or where disclosure is otherwise permitted or required by law. When we disclose information to nonaffiliates, we require the company to maintain the confidentiality of the information.

Control of Information – Generally, upon your written request, we will make your information available for review (except information collected in connection with, or in anticipation of, any legal claim or proceeding). If you notify us that the information is incorrect, we will review it, and if we agree, we will correct our records accordingly. If we do not agree, you may submit a short statement of dispute, which we will include in any future disclosure of the disputed information. To gain access to or to correct information, submit a request in writing to the address set forth above. The request should include your name, address, telephone number and a description of the information you would like to access or correct. We will either mail a copy of the information to you or make the information available to you in person at our offices.

Further Information – In addition to any other privacy notice we may provide, federal and statelaws and regulations have established privacy standards and require us to provide this summary of our Privacy Policy. You may have additional rights under applicable privacy laws. This notice does not apply to your relationship with other financial service providers, such as nonaffiliated insurance companies. We may amend this notice at any time, and we will provide a revised privacy policy as required by law.

Website – Our website privacy notice, located at www.healthsourcenw.com, contains additional information including that particular to website use. Please pay careful attention to the notice especially if you transmit nonpublic personal information to us over the Internet.

Your Choice – You may prohibit or “opt-out” of certain of the sharing of your nonpublic personal information described above. In particular, you may opt-out of our sharing of certain nonpublic personal information concerning you for affiliate and nonaffiliated marketing purposes. To do so, you may contact us by e-mail at info@healthsourcenw.com, by phone at 503-650-2199 or by mail at Health Source NW 16850 SW Upper Boones Ferry Rd. Suite F Tigard, OR 97224