MEMBER’S DATA PRIVACY CONSENT
For purposes of this Section, “Pru Life UK” shall refer to Pru Life Insurance Corporation of U.K., its directors, officers, employees, other agents and representatives,
contractors, and legal advisers.
Purpose Statement:
The information provided by you in this Health Maintenance Organization (HMO) Enrollment Form and other data that you will submit upon enrollment
(including sensitive personal information such as health information and government records) will be used for (i) general data processing in connection with your enrollment by
Pru Life UK to its accredited HMO provider and (ii) the processing of any HMO claims and benefits.
During processing, we may share the information you provided to our authorized data processors to whom we outsource the processing of your information for your
HMO enrolment, including couriers and contractors for encoding, photocopying, filing, scanning, indexing and printing services, and value-added services. In particular,
we will be sharing the information you provided to Pru Life UK’s accredited health maintenance organization (HMO) provider, with whom we have contracted to provide
health maintenance benefits to the Pru Life UK agency force. We may also share your information with governmental and other regulatory authorities, or self-regulatory
bodies in various jurisdictions as required or allowed by applicable laws and regulations.
Our collection and processing of your personal data, including any sensitive personal information, are based on your application for health maintenance benefits and
other related services, any contract we may enter into with you, our legitimate interests, or a requirement under applicable law. Any information collected may be retained
by Pru Life UK, and our authorized data processors until ten (10) years from the date of termination of the HMO coverage or date of denial of this application, whichever
comes earlier.
To know about your rights as a data subject and how we protect your information, you may access our privacy policy through our website at
(https://www.prulifeuk.com.ph/en/footer/privacy-policy/). Should you have any questions or requests in relation to the processing of your personal or sensitive personal
information, or your rights as a data subject you may get in touch with our Data Protection Officer through the following:
Postal address: 9F Uptown Place Tower 1, 1 East 11th Drive, Uptown Bonifacio, 1634 Taguig City, Metro Manila
Telephone: (632) 8887 5433 for Metro Manila, 1 800 10 7785465 via PLDT landline for domestic toll-free
Email: dpo@prulifeuk.com.ph
By clicking the "Proceed:
• You allow Pru Life UK to use, collect and process your personal information and sensitive personal information as specified in the Purpose Statement above in accordance with applicable data privacy regulations.
• You warrant that the consent of the Dependents, Beneficial Owner (if any) and/or Beneficiary/ies, and all other data subjects have been obtained for the use, storage and processing of their personal information for purposes of compliance with regulatory requirements, the processing of this application, and administration of the HMO coverage.
• You also undertake to provide Pru Life UK with proof of your authority to give the required consents of the other data subjects with respect to the disclosure and processing of their personal information and/or sensitive personal information for the legitimate purposes set out in this Application and administration of the HMO coverage.
• You agree to indemnify Pru Life UK and hold it free and harmless from any damages incurred by Pru Life UK as a result of any claim filed by any of the data subjects in relation to a breach of any of the warranties above, or from any damages arising from any misrepresentation made in this form or any material breach of its provisions.
