HealthCare Cash Plan

Data Privacy Consent Form

Paramount Life & General Insurance Corporation (PLGIC) (“the Company”) upholds the data privacy rights of its data subjects and ensures that all personal data collected or to be collected, are processed in compliance with the Data Privacy Act of 2012 and its Implementing Rules and Regulations (IRR).

By availing of PLGIC’s insurance products and services or by transacting with the Company, the latter may collect personal information or sensitive personal information (collectively “personal data”). Accordingly, I, the undersigned, hereby give my consent to the following:

Your rights

You have the right to ascertain the Company's policies and practices in relation to personal data, and to obtain access to and to request correction of your personal data held by the Company. If we propose to expand the amount of personal information collected, the purposes for collection or the types of parties to whom we may share the information, you have the right to the further processing of your personal information. You also have the right to withdraw your consent to the processing of your personal information. Exercising your right to object or withdrawing your consent may prevent the Company from rendering insurance services to you. You have the right to complain to the National Privacy Commission (NPC) as the mandated government agency to administer and implement the provisions of the Data Privacy Act of 2012.

Your right to access your personal information may be subject to payment of an administrative fee. Request/s for such access or correction, to withdraw consent for direct marketing, or for further information about our data privacy policies and practices can be made in writing to the Data Protection Officer (DPO), Paramount Life & General Insurance Corporation, 14th and 15th Floor, Sage House, 110 V. A. Rufino St., Legaspi Village, Makati City, Philippines or email us at dataprotectionofficer@paramount.com.ph or call us at telephone number 632-87729200.

This authorization and consent are as valid as a signed document and will continue to have effect throughout the duration of your coverage under your policy and/or until expiration of the retention limit set by laws and regulations from account disclosure, and the period set until destruction or disposal of records, unless withdrawn in writing or withheld due to changes in the information supplied by the Company.

Attestation

I declare that I have read this form, understood its contents, and attest that I have been made aware of and understood my rights as data subject and how these can be exercised, and that I was informed of the nature, extent and processing of the personal data I provided. I understand and agree that the consent hereby given may be revoked or withdrawn through formal written notice to PLGIC.