Employee Health Management Disclaimer
Provant Health Solutions, LLC. (Provant Health) offers a collection of health promotion services to various industry types in an effort to assist in improving the health and productivity of various populations. Provant Health is not an insurance company, but a stand alone corporate wellness company. Programs and services are provided by certified professionals employed by Provant Health. Health care professional availability for certain services requests may be dependant on licensure, scope of practice restrictions and other state or federal requirements. Provant Health programs and services are available in alternative languages upon client request. Provant Health does not guarantee individual health outcomes. Program and service components are subject to change without notice.

Notice of Privacy Practices

Protection of Personal Health Information
Provant Health Solutions collects and maintains oral, written and electronic information to administer and provide certain client purchased programs and services. Established physical, electronic and procedural security safeguards to properly handle Provant Health participant information and to protect against risks such as loss, destruction or misuse in compliance with all applicable regulations and laws are in practice by Provant Health.

Notice of Privacy Practices
Effective: June 2004 Revised: October 2008
This notice describes how your information may be used and/or disclosed. Please review this notice carefully.

Provant Health Solutions is required, by law, to protect the privacy of your health information. This notice explains how information collected from you may be used and when Provant Health may "disclose" that information to others. Your rights regarding your health information are described in this notice. Provant Health is required, by law, to abide by the terms of this notice. The terms "information" or "health information" in this notice include any personal information that is created or received by Provant Health service providers as it relates to your participation in health promotion services provided to you.

How Provant Health Uses or Discloses Information
Provant Health will not distribute or disseminate your personal health information to your employer and will only release personal information to a third party, such as a health plan sponsor, with your express written permission and only for the purpose of: administering additional wellness programming; additional health plan services; conducting other health plan activities as permitted by law; compliance with applicable law or response to a valid legal process. Provant Health reserves the right to share de-identified aggregate health information to an employer or plan sponsor when appropriate release of information is executed by you. Provant Health must obtain your written authorization to use or disclose your health information. If a use or disclosure of health information is prohibited or materially limited by other applicable law, it is Provant Health's intention to meet the requirements of the more stringent law. In some states, your authorization may also be required for disclosure of your health information.

Your Rights
• You have the right to file a complaint or inquiry to Provant Health. Provant Health may be contacted via telephone, fax or electronically.
• You have the right to receive information in a language that is acceptable to you.
• You have the right to refuse services.
Provant Health maintains the right to change privacy practices at any time. Revised notices will be posted with date of revision on this website: www.provanthealth.com.