Notice of Privacy Practices

BEN-E-LECT HIPAA Privacy Notice

As you may know the Federal Government, through the HIPAA laws, requires employers to establish a privacy policy/notice. This is a form you must give to your employees stating your company's guidelines for protecting the employee's privacy.

BEN-E-LECT is providing you the "template" for this in an attempt to make the process easier for you.

Please review the attached Privacy Notice. If the notice is acceptable to you, please complete (fill in the blanks) where indicated. Once this has been completed, please print the notice and provide a copy to each employee covered by your health plan.

Please complete the highlighted fields, print and keep for your records.

If you have any questions or need further information about this form please contact our office and ask for our Administration Manager.