PROFESSIONAL INSURANCE SERVICES, INC.

NOTICE OF PRIVACY POLICY FOR CONSUMER NON-PUBLIC PERSONAL INFORMATION


Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about you with non-affiliated third parties unless the institution provides you with a notice of its privacy policies and practices, such as the type of information that it collects about you and the categories of persons or entities to whom it may be disclosed. In compliance with GLBA, we are providing you with this document, which notifies you of the privacy policies and practices of Professional Insurance Services, Inc.


Professional Insurance Services, Inc. is the administrator of the Dental and Vision plans endorsed by your association. You may be enrolled in only one of these plans or in both of them. Because your premium checks are made payable to Professional Insurance Services, Inc. (PISI), and processed through our office, we are required by law to send you a privacy statement. There is no action required on your behalf.
At Professional Insurance Services, Inc. we are committed to protecting your privacy rights. We acknowledge your right to keep your own financial information confidential and, because of this, we have created this document to explain our privacy policy to you. In addition, we are complying with both state and federal laws, which require insurance agencies (as well as all financial institutions) to notify you, our valued customers, about how we intend to treat your nonpublic personal financial information that you have entrusted us with.


We pledge to you, our valued customer, that the information you have provided us to obtain appropriate insurance coverage will be used for just that purpose and that purpose only. We will not share such information with non-affiliated third parties, such as banks, securities firms or other institutions.
However, in order to better serve you, your trusted information may be shared with third parties for the purpose of insurance underwriting.

We collect nonpublic personal financial information about you from the following sources:

•    Information from applications. This is information you give us on applications and other forms, by phone or online (if applicable). This information may include your name, address, telephone number, Social Security number, date of birth, gender, marital status, employ-ment information and prior insurance information.
•    Information about transactions. This is information about your trusted transactions with us and our affiliates. It includes your insurance coverage premiums and selections, your payment and claims history and information necessary for billing and payment. Other information used to investigate and settle insurance claims may be included.
•    Information we receive from a consumer-reporting agency. This information is generally used to confirm or supplement application information. We disclose consumer report information only as necessary to quote or service your insurance policy and as permitted by law. By obtaining a quote, you consent to our sharing of this information with companies and their affiliates for underwriting purposes.

We restrict access to nonpublic personal financial information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal financial information.


At Professional Insurance Services, Inc. we are committed to providing you the best service while earning your trust and protecting the privacy of your information. We understand and respect the fact that you may wish to keep your personal information confidential.
Our policy is a pledge - we pledge to protect your information.


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Please call 1-800-382-1352 if you have any questions, because your privacy, our professional ethics, and the ability to provide you with quality financial services are very important to us.