These Terms of Service ("Terms") govern your access to and use of the websites, software, applications, artificial intelligence features, and related services provided by KindHealth Insurance Services, LLC ("KindHealth," "we," "us," or "our"), including kindhealth.ai, the KindHealth platform, Kio, and any other KindHealth product or service that links to these Terms (collectively, the "Services").
Please read these Terms carefully. By accessing or using the Services, creating an account, or otherwise indicating your acceptance of these Terms, you agree to be bound by them.
If you do not agree to these Terms, do not access or use the Services.
KindHealth provides technology designed to help employers, employee benefit plans, benefits advisors, consultants, brokers, and other organizations understand and manage healthcare spending, benefits information, plan performance, vendor relationships, and health-plan governance.
The Services may include functionality that:
Certain Services or functionality may be made available through your employer, employee benefit plan, benefits advisor, or another organization that has contracted with KindHealth (a "Customer").
An individual permitted to use the Services through a Customer is an "Authorized User."
A Customer's purchase and use of the Services may be governed by a separate master services agreement, order form, business associate agreement, data processing agreement, statement of work, or other written agreement with KindHealth (collectively, a "Customer Agreement").
These Terms do not replace a Customer Agreement.
If there is a conflict between these Terms and an applicable Customer Agreement:
If you use the Services through a Customer, your right to use the Services is also subject to the Customer's authorization and applicable policies.
You may use the Services only if you are legally capable of entering into these Terms and are authorized to use the applicable Services.
If you access or use the Services on behalf of a company, employer, employee benefit plan, or other organization, you represent that you have authority to act on behalf of that organization with respect to your use of the Services.
Unless KindHealth and the applicable Customer expressly authorize otherwise, you must be at least 18 years old to create an account or independently use the Services.
Information concerning minor dependents may nevertheless be processed through the Services where permitted by the applicable Customer Agreement, benefit plan, authorization, and applicable law.
Certain Services require an account.
You agree to:
You may not share authentication credentials except through functionality expressly authorized by KindHealth.
Where your account is provided through a Customer, the Customer may provision, modify, restrict, suspend, or terminate your access according to the Customer's relationship with KindHealth and its own policies.
You are responsible for activity performed through your account to the extent resulting from your acts or omissions.
KindHealth is a technology and decision-support platform.
Except where expressly agreed otherwise in a separate written agreement, KindHealth does not exercise final authority over:
KindHealth and Kio may explain or summarize benefit information obtained from plan documents, claims feeds, eligibility systems, provider information, formularies, Customer records, and other sources.
Those sources can be incomplete, delayed, inconsistent, or inaccurate.
If information provided through the Services conflicts with an official plan document, insurance policy, Summary Plan Description, Summary of Benefits and Coverage, formulary, eligibility record, claims determination, provider contract, or other controlling record, the applicable official record and determination of the responsible plan or administrator will control.
You should verify important coverage, provider, claims, cost, enrollment, and eligibility information with the responsible plan, administrator, carrier, TPA, PBM, provider, or other appropriate source before taking action where verification is material to your decision.
KindHealth and Kio do not provide medical advice, diagnosis, or treatment.
Information concerning healthcare utilization, benefits, claims, medications, providers, care opportunities, or health-related topics is provided for benefits-navigation, informational, analytical, or administrative purposes and is not a substitute for advice from a qualified healthcare professional.
Do not use the Services for medical emergencies. If you believe you are experiencing a medical emergency, contact appropriate emergency medical services.
Unless expressly stated in a separate written agreement, the Services do not provide legal, tax, accounting, investment, or actuarial advice.
Customers and users should consult appropriately qualified professionals regarding those matters.
KindHealth may provide information, analytics, recommendations, workflows, and documentation tools intended to assist employers, plan fiduciaries, advisors, and other responsible parties in managing and documenting health-plan decisions.
The Services may assist users in documenting:
However, KindHealth does not guarantee that use of the Services will satisfy any fiduciary, statutory, regulatory, contractual, audit, or evidentiary obligation.
Except to the extent expressly agreed in a separate written agreement and as determined under applicable law, KindHealth does not undertake discretionary authority or control over the management or administration of an employee benefit plan or disposition of plan assets and does not undertake to serve as a named fiduciary, plan administrator, trustee, claims fiduciary, or other plan fiduciary merely by providing the Services.
Customers, plan fiduciaries, administrators, advisors, and other responsible parties remain responsible for their own decisions and legal obligations.
Nothing in these Terms is intended to determine fiduciary status where applicable law determines such status based on the functions actually performed.
Kio and other portions of the Services may use artificial intelligence, machine learning, retrieval systems, automation, and similar technologies ("AI Features").
AI Features may generate answers, summaries, analyses, recommendations, explanations, alerts, or other materials ("Outputs") based on information available to the Services.
AI-generated Outputs may sometimes be incomplete, inaccurate, ambiguous, or outdated.
You are responsible for using appropriate judgment when relying on Outputs and for verifying material information where appropriate.
KindHealth does not warrant that any Output will:
Where authorized by the applicable Customer, Kio may use information concerning a Member's benefits, eligibility, claims, deductibles, pharmacy benefits, providers, networks, utilization, or other plan information to provide personalized benefits guidance.
Personalization does not convert Kio into a healthcare provider, insurer, plan administrator, claims fiduciary, or medical professional.
KindHealth may use authorized technology providers to process information as necessary to operate AI Features.
KindHealth's handling of Personal Information, PHI, Customer Data, and Kio conversations is governed by the applicable Customer Agreement, BAA, and Privacy Policy.
KindHealth does not grant third-party general-purpose AI model providers the right to use PHI, identifiable Customer Data, or identifiable Kio conversations processed on KindHealth's behalf to train their general-purpose models.
KindHealth Insurance Services, LLC may separately provide or facilitate insurance-related services where authorized and appropriately licensed.
Unless expressly stated otherwise:
Nothing in these Terms modifies the terms of an insurance policy or employee benefit plan.
The Services may allow you to submit prompts, questions, documents, files, comments, feedback, or other materials ("User Content").
As between you and KindHealth, you retain any ownership rights you have in your User Content.
You grant KindHealth a non-exclusive, worldwide, royalty-free license to host, copy, transmit, display, transform, analyze, and otherwise process User Content only to the extent reasonably necessary to:
This license lasts only for as long as reasonably necessary for those purposes and applicable legal, contractual, security, and retention requirements.
This provision does not grant KindHealth an exclusive ownership interest in your Kio conversations or other User Content.
Data supplied by or on behalf of a Customer, including plan, employee, eligibility, claims, pharmacy, HRIS, and benefits information ("Customer Data"), is governed by the applicable Customer Agreement and, where applicable, BAA.
Nothing in these Terms gives an individual Authorized User ownership rights in Customer Data that the user does not otherwise possess.
You represent that you have the rights, permissions, and authority necessary to submit User Content and other information you provide through the Services.
If you are an employer, advisor, administrator, or other business user, you may submit information concerning other individuals only when you are authorized to do so.
Do not submit PHI or other sensitive Customer information through public website forms, public support channels, or other features not designated by KindHealth for that information.
KindHealth and its licensors own all right, title, and interest in and to the Services and their underlying technology, including:
These Terms do not transfer ownership of KindHealth intellectual property to you.
Subject to these Terms and any applicable Customer Agreement, KindHealth grants you a limited, non-exclusive, non-transferable, non-sublicensable, revocable right to access and use the Services solely for the purposes for which your access has been authorized.
Subject to these Terms, the applicable Customer Agreement, and any rights in underlying third-party or Customer content, you may use Outputs generated for you for your authorized personal or internal business purposes.
KindHealth retains all rights in its underlying technology, methodologies, templates, software, and proprietary content regardless of whether those materials are used in generating an Output.
Because AI systems may generate similar or identical content for different users, KindHealth does not represent that Outputs are unique to you or eligible for intellectual-property protection.
If you voluntarily provide KindHealth with ideas, recommendations, suggestions, or other feedback specifically concerning the functionality or improvement of the Services ("Feedback"), KindHealth may use that Feedback without restriction or compensation to you.
Feedback does not include PHI, Customer Data, Kio conversation content, or other Personal Information merely because those materials are transmitted through the Services.
Your use of the Services is subject to the KindHealth Privacy Policy available at kindhealth.ai/privacy.
Where KindHealth processes PHI as a business associate, that processing is also governed by the applicable BAA.
If there is a conflict concerning the permitted use or disclosure of PHI, the applicable BAA controls.
KindHealth may use subcontractors and service providers in providing the Services. Where a subcontractor creates, receives, maintains, or transmits PHI and HIPAA requires a BAA, KindHealth will require appropriate contractual protections.
You may use the Services only for lawful and authorized purposes.
You may not:
Reasonable use of authorized export, reporting, integration, and API functionality is not prohibited by this section.
The Services may interact with or incorporate information from third parties, including:
KindHealth does not control all third-party information and cannot guarantee its accuracy, completeness, timeliness, or continued availability.
The Services may also contain links to third-party websites or services. Your use of an independent third-party service may be governed by that party's own terms and privacy practices.
KindHealth is not responsible for third-party services except to the extent expressly provided in an applicable Customer Agreement.
You may receive access to nonpublic information concerning KindHealth or a Customer through your use of the Services.
You agree not to use or disclose confidential or security-sensitive information obtained through unauthorized means.
You may not publicly disclose nonpublic vulnerability, penetration-test, authentication, security, architectural, or Customer information obtained through misuse of the Services.
Nothing in these Terms prohibits good-faith activity protected by applicable whistleblower, labor, consumer-protection, security-research, or other law.
KindHealth may improve, modify, add, remove, or replace features of the Services over time.
We may temporarily suspend access where reasonably necessary for:
KindHealth does not guarantee that every feature will be continuously available.
Any service-level commitments contained in an applicable Customer Agreement control over this section.
We will not use this section to avoid express contractual commitments made to a Customer in a Customer Agreement.
KindHealth may suspend or terminate your individual access to the Services if:
Where circumstances reasonably permit, KindHealth may provide notice and an opportunity to address a violation before terminating access.
KindHealth may act immediately where necessary to address security, fraud, legal, privacy, or patient/member safety concerns.
Upon termination, your right to access the Services ends.
Handling of Customer Data, User Content, PHI, and other information following termination is governed by the applicable Customer Agreement, BAA, Privacy Policy, and law.
Sections that by their nature should survive termination will survive, including provisions concerning intellectual property, disclaimers, limitations of liability, dispute resolution, and accrued obligations.
TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, AND EXCEPT FOR ANY EXPRESS WARRANTIES PROVIDED IN AN APPLICABLE CUSTOMER AGREEMENT, THE SERVICES ARE PROVIDED "AS IS" AND "AS AVAILABLE."
KINDHEALTH DISCLAIMS IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT TO THE EXTENT PERMITTED BY LAW.
WITHOUT LIMITING THE FOREGOING, KINDHEALTH DOES NOT WARRANT THAT:
SOME JURISDICTIONS DO NOT ALLOW CERTAIN WARRANTY DISCLAIMERS, SO SOME OF THESE LIMITATIONS MAY NOT APPLY TO YOU.
If you are using the Services under a Customer Agreement, the limitations of liability in that Customer Agreement govern claims within its scope.
For an individual user whose claim is not governed by a Customer Agreement, to the fullest extent permitted by applicable law:
KINDHEALTH AND ITS AFFILIATES, OFFICERS, DIRECTORS, EMPLOYEES, AND AGENTS WILL NOT BE LIABLE FOR INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, PUNITIVE, OR CONSEQUENTIAL DAMAGES, OR FOR LOSS OF PROFITS, REVENUE, GOODWILL, OR BUSINESS OPPORTUNITY, ARISING FROM OR RELATING TO THE SERVICES, EVEN IF ADVISED THAT SUCH DAMAGES WERE POSSIBLE.
KINDHEALTH'S AGGREGATE LIABILITY TO YOU FOR CLAIMS ARISING FROM OR RELATING TO THE SERVICES WILL NOT EXCEED THE GREATER OF:
(A) $100; OR
(B) THE AMOUNT YOU PERSONALLY PAID DIRECTLY TO KINDHEALTH FOR THE SERVICES DURING THE 12 MONTHS PRECEDING THE EVENT GIVING RISE TO THE CLAIM.
These limitations do not apply to liability that cannot lawfully be excluded or limited.
Nothing in these Terms limits rights or remedies that applicable law does not permit you to waive.
To the extent permitted by applicable law, you agree to indemnify and hold harmless KindHealth and its affiliates, officers, directors, employees, and agents from third-party claims, damages, liabilities, costs, and reasonable attorneys' fees arising from:
This section does not require an individual Authorized User to indemnify KindHealth for claims caused by KindHealth's own breach, negligence, misconduct, or violation of law.
Any indemnification obligations between KindHealth and a Customer are governed by the applicable Customer Agreement.
If your dispute is governed by a Customer Agreement containing its own governing-law, venue, arbitration, or dispute-resolution provision, that provision controls.
For disputes governed solely by these Terms, these Terms are governed by the laws of the State of Delaware, without regard to conflict-of-laws principles, except to the extent federal law applies.
Subject to any rights that cannot lawfully be waived, you and KindHealth agree that any judicial proceeding arising out of or relating to these Terms or the Services will be brought exclusively in the state or federal courts located in Delaware, and each party consents to personal jurisdiction and venue in those courts.
Nothing in this section prevents either party from seeking emergency or temporary injunctive relief in a court of competent jurisdiction where necessary to protect confidential information, intellectual-property rights, security, or prevent imminent harm.
Nothing in these Terms limits any non-waivable right you may have under applicable consumer-protection or other law.
Exceptions to arbitration
If any part of this provision is found to be illegal or unenforceable, that part will be severed and the rest of the provision will remain in effect. Any Dispute falling within the severed part of this provision will be decided by a court of competent jurisdiction within the courts listed for jurisdiction above, and the Parties agree to submit to the personal jurisdiction of that court.
By using the Services, you agree that KindHealth may provide legally permissible notices and communications electronically, including through:
Electronic communications satisfy any legal requirement that a communication be in writing to the extent permitted by applicable law.
This section does not constitute consent to receive marketing communications where separate consent is required.
If you are a California consumer and have a complaint concerning an electronic commercial service that has not been satisfactorily resolved, you may contact:
California Department of Consumer Affairs
Consumer Information Center
1625 North Market Blvd., Suite N-112
Sacramento, CA 95834
Telephone: 800-952-5210
You may first contact KindHealth using the information in Section 27 below so that we can attempt to resolve your concern.
KindHealth may update these Terms to reflect changes in:
The updated Terms will state the date of the most recent revision.
Where a change materially affects your legal rights or obligations, we will provide reasonable notice as required by applicable law.
Changes to these Terms do not amend an executed Customer Agreement except in accordance with the amendment provisions of that Customer Agreement.
Your continued use of the Services following the effective date of revised Terms constitutes acceptance to the extent permitted by law.
If you believe material available through the Services infringes intellectual-property rights you own or are authorized to enforce, contact KindHealth at the address or email listed below with sufficient information for us to investigate the claim.
KindHealth may remove or restrict access to allegedly infringing material where appropriate.
These Terms, together with any documents expressly incorporated by reference, constitute the agreement between you and KindHealth concerning your individual use of the Services except to the extent an applicable Customer Agreement controls.
If any provision of these Terms is held unenforceable, the remaining provisions will remain in effect to the fullest extent permitted by law.
KindHealth's failure to enforce a provision does not waive its right to do so later.
You may not assign your individual rights under these Terms without KindHealth's consent.
KindHealth may assign these Terms in connection with a merger, acquisition, corporate reorganization, sale of assets, or operation of law.
Nothing in these Terms creates a partnership, joint venture, employment, agency, physician-patient, attorney-client, or fiduciary relationship between you and KindHealth except where such a relationship is expressly created by a separate written agreement or imposed by applicable law based on the functions actually performed.
Headings are for convenience only and do not affect interpretation.
Questions regarding these Terms may be directed to:
KindHealth Insurance Services, LLC
301 S Heatherwilde Blvd #2857
Pflugerville, TX 78691
Email: hello@heykind.com
Website: kindhealth.ai