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2010-151B
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2010-151B
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Last modified
2/18/2016 11:49:47 AM
Creation date
10/1/2015 4:06:01 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Amendment
Approved Date
06/15/2010
Control Number
2010-151B
Agenda Item Number
12.D.1.B
Entity Name
Blue Cross and Blue Shield of Florida, Inc.
Subject
Confidentiality and Indemnity partially executed copy
Exhibit "D"
Supplemental fields
SmeadsoftID
10933
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A I RITE COPY <br /> CERTIFICATION 014 LAST PAGE <br /> J . K . BARTON , CLERK <br /> Information to defend its work product and to comply with applicable insurance record - <br /> keeping laws and regulations . <br /> 10 . In the event that Stop Loss Carrier and/or Broker performs any of the services on <br /> Administrator ' s premises , Stop Loss Carrier and/or Broker agree not to remove from <br /> Administrator ' s premises any Confidential Information that is provided to or obtained by <br /> the Stop Loss Carrier and/or Broker on such premises , without the prior written consent of <br /> Administrator . <br /> 11 . In any report or transmittal to Employer by Stop Loss Carrier and/or Broker that contains <br /> or pertains to oral or written Confidential Information , no medical information or dates of <br /> service will be identifiably attributed to any particular employee , dependent, or provider . <br /> Furthermore , any such report or transmittal shall not contain any information designated <br /> by Administrator as confidential , trade secret, or proprietary . <br /> 12 . As the administrative simplification provisions of the Health Insurance Portability and <br /> Accountability Act of 1996 ( HIPAA -AS ) and certain of its implementing regulations <br /> (HIPAA -AS Regulations) are now effective , Employer, Stop Loss Carrier, and Broker <br /> agree to institute any additional procedures and/or agreements required to ensure the <br /> parties ' compliance with that law and those regulations . Employer represents and <br /> warrants that Employer (i ) has amended each Plan ' s plan document to permit Employer to <br /> perform plan administration for the Plans ( including the activity( ies) described in the <br /> recital clauses above) in accordance with 45 C . F . R . § 164 . 504 (f) and 45 C . F . R . § <br /> 164 . 314 (b) of the HIPAA -AS Regulations (" HIPAA Amendment" ) ; (ii) has delivered to <br /> each Plan and Administrator a written statement , certifying its amendment of the Plan ' s <br /> plan document as required by the HIPAA -AS Regulations and its agreement to comply <br /> with that amendment ; and (iii ) has obtained each Plan ' s permission to receive individually <br /> identifiable health information from Administrator for the purposes and subject to the <br /> restrictions and protections described in the HIPAA Amendment . Stop Loss Carrier and <br /> Broker each agree to be bound , and to cause any agent or subcontractor to be bound , by <br /> the same restrictions and protections agreed to by Employer in the HIPAA Amendment <br /> with respect to any individually identifiable health information encompassed within the <br /> Confidential Information Stop Loss Carrier and/or Broker receives . <br /> 13 . No health insurance records or information , or claims information , shall be disclosed <br /> without the prior written authorization of the individual whose records or information <br /> would be disclosed ; provided , however, that Stop Loss Carrier and Broker may release <br /> information provided pursuant to this Agreement to subsidiaries of Stop Loss Carrier and <br /> Broker so long as any and all such subsidiaries agree to abide by all terms and conditions <br /> of this Agreement . <br /> 14 . Employer , Stop Loss Carrier and Broker shall comply with all applicable federal , state or <br /> local laws , rules , or regulations or any other order of any authorized court, agency , or <br /> regulatory commission , and all applicable professional standards and practices , concerning <br /> the handling and/or safekeeping of information and/or other records of the nature <br /> disclosed by Administrator hereunder and shall use such information only for proper and <br /> lawful purposes . <br /> 15 . Employer, Stop Loss Carrier and Broker shall comply with all state and federal laws <br /> regulating the disclosure of patient records or private and medically sensitive information <br /> - D4 - <br />
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