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%u2022 Workers%u2019 Compensation. TRS may disclose your protected health information to comply with workers%u2019 compensation laws and other similar programs that provide benefits for work related injuries or illnesses. %u2022 To your personal representative. TRS may provide your protected health information to a person representing or authorized by you, or any person that you tell TRS in writing is acting on your behalf. %u2022 To an entity assisting in disaster relief. TRS may also disclose your protected health information to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status, and location. If you are not present or able to agree to these disclosures of your protected health information, then TRS may, using our professional judgment, determine whether the disclosure is in your best interest. TRS will attempt to gain your personal authorization when possible before making such disclosures. Certain Uses and Disclosures Requiring an Opportunity to Agree or to Object Under the following circumstances, TRS may use or disclose protected health information, provided that TRS informs you in advance of the use or disclosure and you have an opportunity to agree to or prohibit or restrict the use or disclosure of your protected health information. TRS may inform you orally or in writing of and obtain your oral or written agreement or objection to the use or disclosure of your protected health information. TRS will follow your instructions. %u2022 TRS may disclose to a family member, other relative, or a close personal friend, or any other person you identify, your protected health information that (i) is directly relevant to such person%u2019s involvement with your health care or payment related to your health care, or (ii) serves to notify or assist in the notification of your location, general condition, or death. %u2022 TRS may use or disclose your protected health information to a public or private entity authorized by law or by its charter to assist in disaster relief efforts, for the purpose of notifying or assisting in the notification of your location, general condition, or death. If you are not able to communicate your preference to TRS, for example because you are unconscious, TRS may share your protected health information if TRS believes it is in your best interest to do so.Certain Disclosures that TRS is Required to Make The following is a description of disclosures that TRS is required by law to make: %u2022 Disclosures to the Secretary of the U.S. Department of Health and Human Services. TRS is required to disclose your protected health information to the Secretary of the U.S. Department of Health and Human Services when the Secretary is investigating or determining our compliance with the HIPAA Privacy Regulations. %u2022 Disclosures to you. TRS is required to disclose to you most of your protected health information in a %u201cdesignated record set%u201d when you request access to this information, including information maintained electronically. Generally, a %u201cdesignated record set%u201d contains medical and billing records, as well as other records that are used to make decisions about your health care benefits. TRS is also required to provide, upon your request, an accounting of the disclosures of your protected health information. In many cases, your protected health information will be in the possession of a plan administrator or pharmacy benefits manager. If you request protected health information, TRS will work with the administrator or pharmacy benefits manager to provide your protected health information to you. Certain Uses and Disclosures of Genetic Information that Cannot Be Made TRS and Medical Board members, auditors, actuarial consultants, lawyers, health plan administrators or pharmacy benefit managers acting on behalf of TRS, TRS-Care or TRS-ActiveCare are prohibited from using or disclosing genetic information for underwriting purposes. www.bcbstx.com/trsactivecare 37