Important Notice About Our Information Practices And The Protection Of Your Privacy
DMIS-US and Desert Mountain Insurance Services, Inc values your business and the trust you have placed with us. That is why we want to assure you that we are serious about keeping your personal information private. This notice describes our policy regarding the collection and disclosure of non-public personal information.
Information We Collect. We obtain most of our information directly from you. Depending on the nature of your insurance transaction, we may need additional information about you or other individuals proposed for insurance. We collect non-public personal information about you from the following sources:
Information we collect:
Name, address & phone number
Social Security Number
Motor Vehicle & Medical Records
Claim & Payment History
We collect information from:
Completed applications & Forms
Consumer Reporting Agencies
Other vendors (e.g., Dept. of Motor Vehicles)
Other insurance companies
We may disclose the information we collect about you or others to third parties, such as insurance companies and other insurance businesses. We may make these disclosures to:
Information We May Disclose To Affiliates And Third Parties. We do not disclose any non-public personal information about our customers to anyone, except as permitted by law. We may disclose non-public personal information about you to the following affiliates and non-affiliated third parties to effect, administer, or service your insurance transaction:
Your Right To Opt Out. If you do not want us to disclose personal information about you to non-affiliated third parties, you may tell us so. This is known as "opting out". You may opt-out at any time. If you wish to opt out, complete and return the form that appears below. Even if you opt-out, we may still disclose information as allowed by law. This includes disclosing information to our affiliates to market other products or services to you.
Our Practices Regarding Information Confidentiality And Security. We restrict access to non-public personal 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 regulations to guard your non-public personal information.
Access To And Correction of Your Information. You may write to us if you have any questions about the information we may have in our records about you. You may inspect this information in person or receive a copy at a reasonable charge by sending us a written request. You can notify us in writing if you believe any information should be corrected, amended, or deleted and we will review your request. We will either make the requested change or explain why we cannot do so. You may send your written request to us at the Scottsdale, AZ office address listed below. All written requests must include your name, address, telephone number, and policy number. We are also available by phone or email to address all questions, please see the contact information below.
We reserve the right to change this policy and apply changes retroactively, as permitted by law. We will inform you of these changes, as required by law. If you cease to be our customer, this Privacy Policy will continue to apply to the extent we retain your information collected while you were a customer.
IMPORTANT PRIVACY CHOICES
OPT-OUTFORM
Date:
□ Please do not share my “non-public personal financial information” with another insurer in an effort to obtain a renewal policy or more favorable terms than my existing policy.
□ Please do not share my “non-public personal financial information” with joint marketing partners in order to offer me other products or services I might need or want.
Name:
Address:
Phone:
Signature:
Copyright © 2009 by the Independent Insurance Agents and Brokers of Arizona, Inc. Permission granted for use and reproduction only to members of that Association who are in good standing.