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VISION STATEMENT
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Our success is accomplished through an organization of
dedicated and knowledgeable employees who strive to achieve
excellence in service, product and community involvement.
MISSION STATEMENT --------------------------------------------------------
Alpine Insurance will
continue to distinguish itself among
insurance agencies as the leader in
obtaining and retaining quality
customers and employees who create
value to their mutual benefit.
PRIVACY STATEMENT
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Alpine Insurance
Privacy Policy Notice
(as of July 1, 2001])
PURPOSE OF THIS NOTICE
Title V
of the Gramm-Leach-Bliley Act (GLBA)
and the laws of the State of Nevada,
generally prohibit us from sharing
nonpublic personal information about
you with a third party unless we
provide you with this notice of our
privacy policies and practices
describing the type of information
that we collect about you and the
categories of persons or entities to
whom that information may be
disclosed. In compliance with the
GLBA and the laws of this State, we
are providing you with this
document, which notifies you of the
privacy policies and practices of
Alpine Insurance.
OUR
PRIVACY POLICIES AND PRACTICES
Information we collect:
A. Categories of
Information Collected and Sources
From Which We Collect It
We collect nonpublic personal
information about you from the
following sources:
·
Information we receive from you on
applications or other forms.
·
Information about your transactions
with us, our affiliates or others.
·
Information we receive from a
consumer reporting agency.
·
Information we receive from medical
records or medical professionals;
Unless
it is specifically stated otherwise
in an amended Privacy Policy Notice,
no additional information will be
collected about you.
B. Persons
From Whom
Information is Collected
We may collect nonpublic personal
information from individuals other
than those proposed for coverage.
2. Information we may
disclose to third parties:
In the course of our general
business practices, we may disclose
the information that we collect (as
described above) about you or others
without your permission to the
following types of institutions for
the reasons:
·
To a third party if the disclosure
will enable that party to perform a
business, professional or insurance
function for us;
·
To an insurance institution, agent,
or credit reporting agency in order
to detect or prevent criminal
activity, fraud or misrepresentation
in connection with an insurance
transaction;
·
To an insurance institution, agent,
or credit reporting agency for
either this agency or the entity to
whom we disclose the information to
perform a function in connection
with an insurance transaction
involving you;
·
To a medical care institution or
medical professional in order to
verify coverage or benefits, inform
you of a medical problem of which
you may not be aware, or conduct an
audit that would enable us to verify
treatment;
·
To an insurance regulatory
authority, law enforcement, or other
governmental authority in order to
protect our interests in preventing
or prosecuting fraud, or if we
believe that you have conducted
illegal activities;
·
To a group policyholder for the
purpose of reporting claims
experience or conducting an audit of
our operations or services;
·
To an actuarial or research
organization for the purpose of
conducting actuarial or research
studies;
In addition to those circumstances
listed above, and unless you tell
us not to, we may disclose
certain information about you to
third parties whose only use of the
information will be for purposes of
marketing a product or service.
Under no circumstances will we
disclose for marketing purposes any
medical information; information
relating to a claim for benefit or,
a civil or criminal proceeding
involving you; or personal
information relating to your
character, personal habits, mode of
living or general reputation.
3. Notification That
Certain Disclosures Require Your
Authorization:
As
we have indicated in this Privacy
Policy Notice, we collect certain
personal information about you, and
we may disclose that information to
certain non-affiliated third
parties. We are permitted by law to
disclose your personal information
in the circumstances described in
paragraph 2 without your
permission. FOR ALL OTHER
DISCLOSURES, WE ARE REQUIRED TO
OBTAIN YOUR AUTHORIZATION. The
disclosures that first require your
authorization are described in more
detail on a separate authorization
form that we will provide to you.
You
have the right to request access to
the personal information that we
record about you. Your right
includes the right to know the
source of the information and the
identity of the persons,
institutions or types of
institutions to whom we have
disclosed such information within 2
years prior to your request. Your
right includes the right to view
such information and copy it in
person, or request that a copy of it
be sent to you by mail (for which we
may charge you a reasonable fee to
cover our costs). Your right also
includes the right to request
corrections, amendments or deletions
of any information in our
possession. The procedures that you
must follow to request access to or
an amendment of your information are
as follows:
To
obtain access to your information:
You should submit a request in
writing to Alpine Insurance. The
request should include your name,
address, social security number,
telephone number, and the recorded
information to which you would like
access. The request should state
whether you would like access in
person or a copy of the information
sent to you by mail. Upon receipt
of your request, we will contact you
within 30 business days to arrange
providing you with access in person
or the copies that you have
requested.
To
correct, amend, or delete any of
your information:
You should submit a request in
writing to Alpine Insurance. The
request should include your name,
address, social security number,
telephone number, the specific
information in dispute, and the
identity of document or record that
contains the disputed information.
Upon receipt of your request, we
will contact you within 30 business
days to notify you either that we
have made the correction, amendment
or deletion, or that we refuse to do
so and the reasons for the refusal,
which you will have an opportunity
to challenge.
5. Our practices
regarding information
confidentiality and security:
We
restrict access to nonpublic
personal information about you to
those employees who need to know
that information in order to provide
products or services to you. We
maintain physical, electronic, and
procedural safeguards that comply
with federal regulations to guard
your nonpublic personal information.
6. Our policy regarding
dispute resolution:
Any
controversy or claim arising out of
or relating to our privacy policy,
or the breach thereof, shall be
settled by arbitration in accordance
with the rules of the American
Arbitration Association, and
judgment upon the award rendered by
the arbitrator(s) may be entered in
any court having jurisdiction
thereof.
7. Reservation of the
right to disclose information in
unforeseen circumstances:
In
connection with the potential sale
or transfer of its interests, Alpine
Insurance reserves the right to sell
or transfer your information
(including but not limited to your
address, name, age, sex, zip code,
state and country of residency and
other information that you provide
through other communications) to a
third party entity that (1)
concentrates its business in a
similar practice or service; (2)
agrees to be Alpine Insurance’s
successor in interest with regard to
the maintenance and protection of
the information collected; and (3)
agrees to the obligations of this
privacy statement.
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