b'General InformationHIPAA Authorized Representative Health Information Privacy Policy If you want a family member to assist you with healthHealth Insurance Portability and Accountability Act of 1996 insurance issues, you can submit a HIPAA Authorized(HIPAA). PHI is health information that can be associated Representative Designation form, available at www.ctpf.orgwith a member using personal identifiers such as or from Member Services. Your Authorized Representativename or Social Security number.may discuss your health insurance options, but cannotIn the course of providing health insurance benefits to our make care or treatment decisions. members and administering CTPFs health insurance plans, CTPF may receive and create PHI. Disclosure of PHI isPower of Attorneygenerally limited to activities associated with If you would like a family member or other representativeadministration of health care benefits including plan to act on your behalf, you must submit a completedenrollment, premium payments, and facilitation of plan power of attorney form to CTPF and to each of your healthcoverage.insurance carriers. Power of Attorney ends upon the deathCTPF makes every effort to disclose only minimum PHI of the member. when necessary, in compliance with federal and state law and CTPFs privacy policy. A copy of CTPFs Privacy Notice Fraud is available upon request by contacting the Health Benefits Falsifying information and/or documentation to obtainDepartment.health insurance coverage through CTPF will result in a loss of health insurance. DisclaimerIf this summary description differs from the plan text or any plan term or condition, the official contract document governs. This handbook contains information regarding benefits voluntarily provided by CTPF. Plan provisions may change without prior notice. All plans are subject to and must comply with any applicable state or federal law. To the extent this summary description differs from current or future applicable state or federal law, the applicable state or federal law governs.HEALTH INSURANCE CHECKUPCTPF health insurance plans do not include dental coverage. CTPF annuitants Dentalmay enroll in dental insurance offered through private insurers or a group plan Plans through the Retired Teachers Association of Chicago. See the Contact section for information. 10 CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK'