Privacy Notice Statement

This notice explains how Group Plans Inc. may collect, use and share your information. Please read it over carefully and contact your agent if you have any questions:
Why did I receive this notice?

Group Plans Inc. is 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 understand how we may use and share this information

What information will you ask for?

We must collect certain information about you, called Personally Identifiable Information(“PII”) in order to help you complete your application for health insurance. This information can be used to identify you or trace your identity. A few examples (not a complete list) of PII include:

  • Name, address, date of birth, telephone number
  • Social security number
  • Household income, marital status
  • Race or ethnicity
  • Credit or debit card numbers

Additional details about the meaning of PII are contained in the government’s guidance, OMB Memoranda M-07-16 (issued May 22, 2007)

How will you use my information?

We will only use the information provided to help you obtain insurance through the
Federally-Facilitated Marketplace (“FFM”) and to provide Authorized Functions approved
by the FFM, or other service as permitted under applicable state law. A few examples (not a complete list) of authorized functions we may conduct include:

  • Helping with your application for insurance
  • Answering questions about your eligibility
  • Helping enroll you into a qualified health plan
  • Helping with filing appeals of eligibility determinations
  • Correcting errors in your application
Will you share my information with anyone?

Group Plans Inc 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 may help us provide services to you. We must get your permission to share your information for any other purpose not described in this notice.

What happens if I don’t share my information with you?

To successfully enroll in a Qualified Health Plan (QHP) or otherwise facilitate your receipt of Advance Premium Tax Credits (APTC’s) or Cost Sharing Reductions (CSR’s), certain PII may be required. This is voluntary and not mandatory under applicable law; however, if you do not share this information with us, you may not be able to enroll in a QHP through the FFM. If an individual chooses not to provide certain PII in the course of enrolling or receiving assistance in enrolling in a QHP on the FFM, the accuracy of an individual’s enrollment in a QHP, or receipt of APTC’s or CSR’s may be compromised and/or invalidated.

Will you keep my information safe?

Yes. Group Plans Inc is required to keep your information safe. We have privacy and security policies that must be followed to make sure your PII is protected.

Legal Authority for Collection of PII – Agents, Brokers, and other Entities (ABE’s) have been granted the legal authority to collect this information by Section 1312(e) of the Affordable Care Act (ACA), which required that the Secretary of the U.S. Department of Health and Human Services establish procedures under which ABE’s may participate in the Federally-facilitated Marketplace (or Exchange). ABE’s are further permitted by federal regulation (45 C.F.R. 155.220) to enroll individual in a Qualified Health Plan offered on the Federally-facilitated Marketplace (or Exchange) and to assist individuals in applying for Enrollment, Advance Payments of the Premium Tax Credits (APTC’s) and Cost-Sharing Reductions (CSR’s) to the extent permitted to do so under State law and regulation.