Our Privacy PolicyGeorge
Ayers Insurance Agency, Inc. PURPOSE
OF THIS NOTICE Title V of the Gramm-Leach-Bliley
Act (GLBA) generally prohibits any financial institution, directly or through
its affiliates, from sharing nonpublic personal information about you with a
non-affiliated third party unless the institution provides you with a notice of
its privacy policies and practices, such as the type of information that it
collects about you and the categories of persons or entities to whom it may be
disclosed. In compliance with the GLBA, we are providing you with this
document, which notifies you of the privacy policies and practices of the
George Ayers Insurance Agency, Inc. OUR
PRIVACY POLICIES AND PRACTICES Information we collect: We collect nonpublic personal information about you from
the following sources; information we receive from you on applications or other
forms; information about your transactions with us, our affiliates or others;
information we receive from a consumer reporting agency; and information we
receive from a medical information bureau. Information we may disclose to third
parties: We may disclose all of the
information we collect, as described above, about our customers or former
customers, to companies that perform marketing services on our behalf or to
other financial institutions with whom we have joint marketing agreements. We
also may disclose information about our customers or former customers as
permitted by law Non-affiliated Third Parties To Whom
Disclosures May Be Made: We may
disclose nonpublic personal information about you, such as we have described
above, to the following types of third parties that perform marketing services
on our behalf or with whom we have joint marketing agreements; fulfillment
service providers, such as envelope stuffing services, billing and enrollment
services. Other insurance agencies or companies that perform services for us in
connection with carrying out an insurance transaction involving you or your
policy; Financial institutions with whom we have joint marketing agreements,
such as insurance providers; other types of financial institutions such as
premium finance companies. We may also disclose nonpublic personal information
about you to non-affiliated third parties as permitted by law. Our practices regarding information
confidentiality and security: We
restrict access to nonpublic personal information about you to those employees
who need to know that information in order to provide products or services to
you. We maintain physical, electronic, and organizational safeguards to protect
information about you. George
Ayers Insurance Agency, Inc. Please read the text below and decide whether
you wish to exercise your right to opt out of the information sharing
described. If you choose to exercise your right to opt out, you must return
this form to us at ______ I wish to exercise my right under the Gramm-Leach-Bliley Act to opt out of George Ayers Insurance
Agency, Inc., sharing nonpublic personal information about me to non-affiliated
third parties for purposes other than those that are permitted by law.
© 2005
George Ayers Insurance Agency, Inc. All Rights Reserved |