What level of detail does my insurance broker see in my medical records?

I am applying for insurance and my broker is a related party. I went to get tested for stds and I DO NOT want him to see that. What level of detail does he see when I provide him with Doctor contact information? What type of information does a Doctor provide?

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4 Comments for “What level of detail does my insurance broker see in my medical records?”

  1. Kim Y

    I recently applied and received Term Life Insurance. The Broker called and got info from my primary and secondary doctors. The Broker was able to either read the doctor’s notes, or he was reading what was typed up from whoever received the doctor’s notes. I do believe that the Broker was looking at a faxed copy of the doctor’s notes because he was asking me for details and what the doctor meant by some of the statements written.
    When the tech came to take my stats, blood and urine samples, the Broker saw the “final” summary of results. The tests performed probably differ from Lab to Lab – or even from Insurance company to another, but this is what my summary read:
    Appearance of the Serum (don’t know what that means)
    Chemistries (glucose, nitrogen, uric acid, protein)
    Cardiac Risk (cholesterol, triglycerides, LDL/HDL)
    Urinanalysis (gravity, creatinine, glucose, protein, red & white blood count, hyaline casts, granular casts, nicotine metabolites). Nothing about std’s.

    You may ask your Insurance Broker the phone number to the Lab that they are going to use and ask to speak to a technician and find out what DOES show up on the results. As far as when it comes to the doctor’s communications….you have to make that call.

    Sorry I can’t be much further help to you!

    092507 6:35

  2. mbrcatz17

    The broker won’t see the medical records directly – what they will see, are underwriting notes if your policy is “uprated” or declined – the reason for the uprating or declination.

  3. LF

    Goodness!

    I see HIPAA violations all over the place in some people’s responses!!!

    If you ever want to read up on what your medical privacy rights are, here is the national website:
    http://www.hhs.gov/ocr/hipaa/

    You are suppose to sign a release form for any type of medical information to be released to anyone from anyone. There are specific reasons why a doctor or insurance company has to release medical information to law enforcement.
    However, insurance companies should NOT be supplying specific medical reasons for rate increases to brokers. They can only say general terms like, high claims… but cannot state”jane doe has HIV” That is so in violation of the Federal law!

  4. Mary B

    NONE. Those reviews are done by the people underwriting the policy, and NOT by the salesperson.

    All they are going to check for, is to see if you have any CURRENT conditions that have been diagnosed within the last 12 months and they will restrict you as a pre-existing condition.

    They are not entitled to your full medical record.

    PS: A perspective health insurance company IS ENTITLED to review your medical record and is NOT a violation of HIPAA. I guarantee you signed something electronically or in person, giving them permission.

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