This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

AIM Program Privacy Notification

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

When you apply for the AIM Program, the information you provide in the application is reviewed by a private contractor. The private contractor is hired by the State of California to assist in the administration of the AIM Program. The contractor uses your information to determine whether you are eligible for AIM. The contractor and the State will use your information for administration and evaluation of the program and for necessary purposes authorized by law.

If you are determined eligible for AIM, the contractor will then send your information to the health insurance plan and provider that you select, so you can begin to receive health insurance coverage under that plan.

Once your baby is born, your health plan and provider may send to the State information regarding your baby and the health care you and your baby received. This information will include what is required under State law for your baby’s birth certificate, such as your baby’s name, sex, date of birth, weight, and your pregnancy history. In addition, the State will also receive summary information on treatment you and your baby received while being covered by AIM. This information includes the number of doctor visits you received before and after delivery, and the number of immunizations provided to your baby.

Uses and disclosures that are not part of the operations of the Program will only be made with your written authorization. This authorization may later be revoked at your written request.

Your rights regarding how your personal information is used
You have the right to request the AIM Program to restrict the use of your personal information. The Program may not agree to restrictions if it would interfere with its normal operations and administration. You also have the right to obtain a copy, or request to change the personal information you provided to the AIM Program as long as the Program retains such information. You have the right to obtain an explanation of how your personal information was disclosed, other than the use of your information by the AIM Program to carry out the operations of the Program.

AIM may revise the privacy practices described here. The Program will notify its subscribers in updated Program handbooks or through direct mailed notices prior to such revisions becoming effective. You may contact the AIM Program if you believe your privacy rights have been violated by contacting:

Privacy Officer AIM Program
Managed Risk Medical Insurance Board
P.O. Box 2769
Sacramento, CA 95812-2769
(916) 324-4695

New subscribers will receive a copy of the Notice of Privacy Practices with their enrollment confirmation.