Online Terms and Conditions

IMPORTANT! PLEASE READ CAREFULLY. BY CREATING AN ACCOUNT, YOU ACCEPT ALL TERMS AND CONDITIONS OF THIS AGREEMENT.

By accepting the terms and conditions, you acknowledge that the account you created is for yourself under your own Sanford Health Plan Member ID and you agree to keep the information in your account confidential and maintain the security of your user ID and password.

GENERAL PROVISIONS: Sanford Health Plan hereby grants to you the right to use and view your Sanford Health Plan account subject to the terms and conditions of this Agreement. Sanford reserves the right to modify the terms and conditions of this Agreement at any time, and such modifications shall be effective immediately upon posting the modified Agreement.

SCOPE: mySanfordHealthPlan is available for you to view your benefits, check your claim status, view your personal information and, in some cases, make updates to that information.

SITUATIONS THAT AFFECT YOUR ACCOUNT: You must notify Sanford Health Plan in any change in status due to qualifying events (for example divorce or separation). If your coverage terminates, you will have access to your account for one year after the termination effective date. If you are entitled to continuation of coverage (COBRA), you may receive a new Member ID number and will be able to open a new account.

You will not need to enroll your under-age dependent(s) if you have one family or two-person contract. The health plan contract holder (subscriber) will be able to view account information for his/her self and also any under-age dependents (17 years old and younger). Sanford Health Plan uses one registration for each adult-age member (18 years and older). If your family has multiple adult-age dependents (including children and spouses), then each adult-age dependent will need to enroll in order to obtain access to their own insurance information.

NOTICE: The information contained in your Sanford Health Plan account and the information you have provided is for your personal use. You are responsible for the accuracy of any information you enter into your account and you represent that the information entered is accurate and complete.

DISCLAIMER OF WARRANTY: Sanford Health Plan makes reasonable efforts to maintain the accuracy of the information contained in your account. However, the information sources are not always subject to immediate verification and Sanford Health Plan does not guarantee benefits through your account. You account information is an estimate of your benefits based on the enrollment and eligibility information Sanford Health Plan has on file as of today's date. You assume the risk of (and Sanford cannot and does not guarantee or warrant that use of your Sanford Health Plan account and your input or retrieval of information will be free from) infection or viruses, worms, or other code that manifests contaminating or destructive properties to the information provided.

LIMITATION OF LIABILITY: In no event shall Sanford be held responsible or liable in any way for any indirect, direct, incidental, special, punitive, or consequential damages or costs whatsoever resulting from or related to the information you supplied in your Sanford Health Plan account. No guarantee of system availability is provided under this arrangement and Sanford Health Plan shall not be responsible for any periods of system down time which Sanford Health Plan or any entity acting on Sanford Health Plan's behalf for web hosting purposes or other maintenance services determines in its sole judgment may require for system maintenance or which occur for any reasons beyond their control.

PRIVACY & CONFIDENTIALITY: Sanford Health Plan will keep any information that we collect via your account confidential. The data you provide us is used to process the services in which you have requested and is only accessed by authorized personnel. All information to which a Member has access by utilizing your Username and Security Password shall be deemed confidential information. All Users agree to maintain the confidentiality of such information in accordance with Federal and state laws.

SECURITY: Each User shall comply with the following rules:

  1. User IDs and passwords shall not be shared with any other individual or Users. Passwords shall not be posted or exposed to the view of others and should be constructed in a manner so as to maintain the confidentiality of each authorized individual.
  2. Automatic log on processes, such as PF KEYS or BAT FILES are not to be used unless they require manual input of the User ID or password.
  3. Passwords should not be saved in the system.
  4. User shall ensure at all times that no visual display of any confidential information shall be visible to the general public or unauthorized personnel.
  5. Access to a sanfordhealthplan.com interactive web application as described in these terms and conditions shall only be available and utilized by authorized individuals which Sanford Health Plan's Security Administrator has been notified of in writing, as changes occur and also from time to time.

We will notify you of whether the information you are providing is being submitted through a secure or unsecured site. (When you come across a web page that is secured, your browser will likely display a "closed lock" or other symbol to inform you that SSL has been enabled. The web address should also now start with "https://" rather than "http://". In a nutshell, SSL allows a secure connection between your web browser and a web server. This secure information "tunnel" is being widely adopted by numerous companies for client services.)

Sending an email directly to an email address that is found on our web site is not considered secure. We have identified areas of the web site that are secure and encourage you to only submit highly sensitive and/or personal information through those sites.

The information that is gathered through our web site is not shared with any entities outside of Sanford Health Plan, unless you have specifically authorized us to share that information or if law requires it.

AUDIT RIGHTS: Sanford Health Plan may decide to review certain of its Users regarding the use of the sanfordhealthplan.com interactive web applications by Users and to examine supporting documentation, records and associated information regarding same. Users shall cooperate with any such audits.

TERM AND TERMINATION : These terms and conditions shall be effective upon acceptance and shall continue in force and effect unless the account is terminated or shall terminate immediately upon User's violation(s) of these terms and conditions or any other Security Administration policies communicated to User in writing or electronically.

MISCELLANEOUS:

  1. Eligibility and benefit information do not constitute authorization of claim payment. These terms and conditions are not intended to supersede any other contract between Sanford Health Plan and another party. All other member and provider contractual limitations, including but not limited to, prior approvals, precertification and referrals must be handled separately as defined in the Member and Provider Information offered by Sanford Health Plan. Appropriate penalties as defined in those contracts shall apply for failure to meet these obligations.
  2. Any computer hardware and/or software purchased by User to obtain access to sanfordhealthplan.com or to a sanfordhealthplan.com interactive web application shall be the sole financial responsibility of User or the entity to which they are affiliated. Sanford Health Plan shall not be responsible in any way for any of the software or hardware equipment in the event that this agreement is terminated or the access provided hereunder is otherwise removed or restricted in any way. In addition, User is responsible for ensuring that the hardware and software they have purchased is compatible with any sanfordhealthplan.com interactive web application. Any costs associated with providing this access, including but not limited to the charges for the ongoing use of telecommunications lines, internet service providers, or the like shall be borne by the User. In addition, Sanford Health Plan shall not have any liability whatsoever for any incidental or consequential damages related to providing the access or the use of information under the terms of this agreement.
  3. User represents and warrants that he/she has the authority to access this information on behalf of his/herself and the authority to agree to these Terms and Conditions. User shall indemnify and hold Sanford Health Plan harmless for any loss, cost, or expense, including but not limited to reasonable attorney's fees directly related to the User's improper use of a sanfordhealthplan.com interactive web application, access to confidential information contained therein, User's release of confidential information to any unauthorized individuals or entities or User's breach.
  4. To the extent that User is authorized to enter or correct information in one of Sanford Health Plan's computer systems via a sanfordhealthplan.com interactive web application, User agrees that he/she is responsible for the accuracy of any information submitted. User understands that Sanford Health Plan or one of its accounts shall rely upon such information in making decisions related to the administration of health benefit plans such as eligibility determinations and, thus, will use commercially reasonable efforts to ensure the accuracy of the information provided. User further understands that changes made to membership information such as date of birth corrections or address changes may cause Sanford Health Plan to make changes to premium rates at the next billing cycle or renewal date.
  5. If any provision of this agreement should become prohibited by or irrelevant by applicable state or Federal law or determined invalid or unenforceable by a court of competent jurisdiction or any other governmental or regulatory authority with jurisdiction over the parties hereto such provisions shall be ineffective to the extent of such prohibition, without invalidating the remainder of the provision or remaining provisions of this agreement.
  6. The confidentiality obligations and the indemnification obligations shall survive the termination of this agreement.

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