Provider terms
Draft for legal review. Items in [BRACKETS] must be completed by counsel before publishing.
Effective date: [EFFECTIVE DATE]. [LEGAL ENTITY NAME] operates Mollie Health. Contact: contact@molliehealth.com, [POSTAL ADDRESS].
Who we are
Mollie Health helps adults in the US find health programs available through an employer or health plan. It is not a medical provider or insurer and does not give medical advice. [LEGAL DISCLAIMER TO BE CONFIRMED]
What we collect
With permission, information may include your name, email, phone number, country, ZIP code, employer and insurers, the kinds of support you choose, and information you provide in a message.
This frontend demonstration does not collect, send or store form submissions. A HIPAA-eligible backend must replace the mock forms before real data is collected.
How information is used
Information is used to check available programs, explain options and help with access, within the scope of the person's permission. [LEGAL BASIS AND PURPOSES TO BE CONFIRMED]
Who receives information
Only with permission, relevant details may be shared with the employer, health insurer, disability insurer and program providers to ask what programs and services can be accessed. [LEGAL: recipients and scope to be confirmed]
When a person chooses employer-and-insurer-first checking, no information is shared with a program provider until separate permission is given by email.
How we make money
People pay us nothing. Program providers may pay Mollie Health for the reasonable cost of advertising and checking work. Mollie Health does not sell personal information [CONFIRM WITH COUNSEL BEFORE PUBLISHING].
Fees and confirmed eligibility
One fixed fee per condition applies for each person confirmed eligible. The fee is the same for every provider and does not depend on enrollment or provider choice. [FEE BASIS TO BE REVIEWED BY COUNSEL] [FEE SCHEDULE AND PAYMENT TERMS]
No steering
All available programs are shown at the same time. No provider can pay for position, preferential presentation or enrollment. The person decides.
Provider data-use limits
Providers may use shared data only for eligibility checking and helping the person access the authorized program. No sale, unrelated use or onward sharing without valid permission. [DATA USE AND PROCESSING TERMS TO BE CONFIRMED]
Contact rules
Contact must stay within the person's permission and respect withdrawals and contact preferences. [TCPA AND STATE RULES]
Your choices and rights
You can withdraw permission, request deletion or a copy, correct information, or stop emails, calls and texts. Manage my information or email contact@molliehealth.com. [APPLICABLE STATE RIGHTS AND RESPONSE TIMEFRAMES]
Retention
Information is retained for [RETENTION PERIOD]. [DELETION PROCESS AND LEGAL EXCEPTIONS]
Security
Appropriate safeguards must be confirmed before launch. [CONFIRM]
Children
The service is intended for adults aged 18 and older. [AGE VERIFICATION AND CHILDREN'S DATA PROCESS TO BE CONFIRMED]
Changes and contact
[NOTICE OF MATERIAL CHANGES]. For questions, contact contact@molliehealth.com at [POSTAL ADDRESS].