Illinois Domestic Violence Confidentiality

State Farm Insurance affiliates will accommodate a request made by a person covered by insurance to receive communications of claim-related information from State Farm at an alternative address or by an alternative means if such person clearly states that the disclosure of information could endanger himself or herself. If the covered person is a child, then the child's parent or legal guardian may make the request to State Farm. Except with the express consent of the person making the request, State Farm will not disclose to the policyholder or other person the:

• address, telephone number, or any other personally identifying information of the covered person and any child residing with the covered person;
• nature of the health care services provided to the covered person; or
• name or address of the provider of the covered services to the covered person.

To initiate a request, as described above, please send us a letter including the following information:

• name, current address, date of birth, and policy number
• a statement that disclosure of all or part of the claim-related information to which the request pertains could endanger the insured or child; and
• specify an alternative address, telephone number or other method of contact
• signature and date

Send your written request to:

State Farm Attention: Enterprise Compliance & Ethics - Office of Privacy, C-2
PO Box 2322
Bloomington, IL 61704-2322

To revoke your request, send a written request to the above address.

Illinois Domestic Violence Help Line: 877-863-6338 877-863-6338
National Domestic Violence Hotline: 800-799-7233 800-799-7233/ TTY 800-787-3224 800-787-3224

Last Reviewed 06/2020
Last Updated 10/15/2018