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For Health Care Operations : For example : we may use or disclose PHI to conduct quality assessment and improvement activities , to conduct fraud and abuse investigations , to engage in care coordination or case management or to communicate with you about health related benefits and services or about treatment alternatives that may be of interest to you . We may also disclose PHI to another health plan or a health care provider subject to federal privacy laws , as long as the plan provider has or had a relationship with you and the PHI is disclosed only for certain health care operations of that plan or provider. For Public Health and Safety : We may use or disclose PHI to the extent necessary to avert a serious and imminent threat to the health or safety of you or others . We may also disclose PHI for public health and government health care oversight activities and to report suspected abuse , neglect or domestic violence to government authorities . As Required by Law : We may use or disclose PHI when we are required to do so by law. For Process and Proceedings : We may disclose PHI in response to a court or administrative order, subpoena , discovery request , or other lawful process . For Law Enforcement : We may disclose PHI to a law enforcement official with regard to crime victims and criminal activities . Special Government Functions : We may disclose the PHI of military personnel or inmates or other persons in lawful custody under certain circumstances . We may disclose PHI to authorized federal officials for lawful national security activities . To Plan Sponsors ( including employers who act as Plan Sponsors ) : We may disclose certain PHI to the Sponsor of your group health plan to perform plan administration functions . We may also disclose enrollment and disenrollment information , or summary health information to the Plan Sponsor so that the Plan Sponsor may : • Obtain premium bids • Decide whether to amend , modify or terminate your group health plan For Research , Death , and Organ Donation : We may use or disclose PHI in certain circumstances related to research , death or organ donation . For Workers Compensation : We may disclose PHI as permitted by workers ' compensation and similar laws . Uses and Disclosures of PHI permitted only after Authorization received Authorization : You may give us written authorization to use your PHI or to disclose it to anyone for any purpose not otherwise permitted or required by law. If you give us an authorization , you may revoke it in writing at any time . Your revocation will not affect any use or disclosure permitted by your authorization while it was in effect . To Family and Friends : While the law permits us in certain circumstances to disclose your PHI to family , friends and others , we will do so only with your authorization . In the event you are unable to authorize such disclosure , but emergency or similar circumstances indicate that disclosure would be in your best interest , we may disclose your PHI to family , friends or others to the extent necessary to help with your health care coverage arrangements . 13 HIPAMBA Amend to ASO Agmt - fini August 12, 2004