HIPAA Privacy Notices:
American Heritage Life Insurance Company Health Insurance Portability and Accountability Act (HIPAA) Notice
National Health Insurance Company, Integon National Insurance Company, and Integon Indemnity Corporation (HIPAA) Notice
Consumer Insurance Privacy Notices:
American Heritage Life Insurance Company
National Health Insurance Company, Integon National Insurance Company, and Integon Indemnity Corporation
Important notice for Victims of Domestic Violence
New York Insurance Law §2612 and Illinois Insurance Code §355b provide important protections for victims of domestic violence. These protections include prohibiting insurers from taking certain actions against individuals based solely on their status as a current or former victim of domestic violence. The law also establishes processes an insurer must follow to protect the confidentiality of a person covered under a policy of insurance when that person properly presents the insurer with a valid order of protection obtained against the policyholder as further explained below.
If a person covered by an insurance policy issued to another person as the policyholder delivers to the insurer a valid order of protection against the policyholder, the insurer is prohibited for the duration of the order from disclosing to the policyholder the address and telephone number of the insured, or of any person or entity providing covered services to the insured. If a child is the covered person under the policy, this right extends to the child's parent or guardian.
If you are an Allstate Benefits customer and wish to initiate a request for confidentiality in connection with a valid order of protection, or if disclosure of information about your claim to the policyholder or another insured person covered under the same policy would endanger you, please contact us by phone or send a copy of the valid order of protection and a completed Confidentiality Request form to:
Allstate Benefits
Attn: Privacy Office
1776 American Heritage Life Drive
Jacksonville, FL 32224
Inquiries related to Voluntary Benefits through American Heritage Life Insurance Company: 1-800-521-3535.
Confidentiality Request Form
Confidentiality Request Form – WA (If you are a resident of the state of Washington, you may utilize the form available here or on the office of the insurance commissioner’s website here: https://www.insurance.wa.gov/health-information-and-your-privacy)
Confidentiality Request Form – RI
Inquiries related to Voluntary Benefits through Wilton Reassurance Life Company of New York: 1-866-541-5794
Confidentiality Request Form - NY
You may revoke your request at any time by sending a letter to the address above.
We will implement your request within three (3) business days of our receipt. Once implemented we will not share your name, address, social security number or any other information from which there is a reasonable basis to believe the foregoing could be obtained, to the policyholder or other insured covered under the same policy against whom you have a valid order of protection or to whom disclosure of the information would endanger you, without your express consent.
NYS Domestic and Sexual Violence Hotline:
English: 1-800-942-6906
Spanish: 1-800-942-6908
In NYC: 1-800-621-HOPE (4673) or dial 311
TTY: 1-866-604-5350
Illinois State Domestic Violence Help Line
Illinois Domestic Violence Help Line:
1-877-863-6338
National Domestic Violence Hotline
National Domestic Violence Hotline:
1-800-799-7233/ TTY 1-800-787-3224
