Privacy Rights Request

Privacy Rights Request Form

Certain state laws provide individuals with additional privacy-related rights. Additional information regarding the rights available to you are included in our Privacy Policy. To exercise your privacy rights under the laws of your residence, please complete the form below or call us toll-free at (888)-666-1495. 

 

When making a privacy rights request, you will need to provide certain identifying information to allow us to verify the request and locate your information. We will evaluate and process your request subject to exceptions as outlined by applicable law. Luminare Health will not discriminate or retaliate against you for exercising your privacy rights.

Format of Requested Information

Luminare Health may deliver the requested information by mail or electronically. If provided electronically, the information will be in a portable and, to the extent technically feasible, readily useable format that allows you to easily transmit this information to another entity.

Fees

We do not charge a fee to process or respond to your verifiable consumer request unless it is excessive or repetitive. If we determine that the request warrants a fee, we will tell you why we made that decision and provide you with a cost estimate before completing your request. 

Reconsideration

If you are concerned that we might have violated your privacy rights, or you disagree with a decision we made about your individual rights, you may use the contact information listed at the end of this notice to ask us to reconsider your request.  We will evaluate and process your reconsideration request in accordance with applicable law.

Please note:  We utilize third parties in providing services to you. We do not sell your personal information to third parties, and we do not allow third parties to use the personal information we provide to them to market their products or services to you.

Unfortunately, the state you selected does not allow for privacy rights requests at this time. If you are a member of a health plan administered by Luminare Health and want to exercise one of your rights under HIPAA, please contact our Privacy Office at HBPrivacyStaff@hlthben.com.
The following fields will be not be used to perform the search. It is being collected only for the purpose of fulfilling this request.
The following information will be used to perform the search for the Individual's personal information.
Used for fulfilling this request.
Note: There may be circumstances when the results cannot be returned in the requested format.
Please provide the mailing address to which you would like correspondence sent.

The CCPA contains several exemptions and exceptions that apply to our Company that may prevent us from honoring your request. Completion and submission of this form does not guarantee that you are entitled to exercise any rights under the CCPA.