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2021-074B
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2021-074B
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Entry Properties
Last modified
6/22/2021 12:13:29 PM
Creation date
6/11/2021 3:23:37 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/11/2021
Control Number
2021-074B
Agenda Item Number
12.D.1.
Entity Name
Employer Direct Healthcare, LLC
Subject
Surgeryplus Services Agreement
Addition of SurgeryPlus Benefit as Optional Benefit
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DocuSign Envelope ID: 29EAB906-1936-4BAB-83BE-97C974F00293 <br />PONESS ASSOCIATE AGREEMENT <br />This Business Associate Agreement (this "BA Agreement") is made effective as of July 1, 2021 (the "Effective <br />Date") by and between Indian River County, Florida, a political subdivision of the State of Florida with Its principal <br />place of business located at 1801 V4 Street, Vero Beach, FL 32960 (Covered Entity') and Employer Direct <br />Healthcare, LLC, a Delaware limited liability company with Its principal place of business located at 2100 Ross <br />Avenue, Suite 550, Dallas, Texas 75201("Business Associate"). Covered Entity and Business Associate are referred <br />to collectively as the "Parties" and individually as a "Party' <br />RECITALS <br />I. Business Associate has a contracted network of physicians, hospitals, and other healthcare providers and <br />facilities which provide non -emergent, planned surgical and medical procedures according to rates and <br />terms negotiated by Business Associate. <br />if. Business Associate's contracted network of providers is made available to individuals through -self-funded <br />health benefit plans that incorporate Business Associate's network offering. <br />ill. Covered Entity has established a self-funded health benefit plan for the benefit of Covered Entity's <br />employees, employees' dependents, and retirees. <br />IV. Business Associate and Covered Entity are exploring a service agreement (the "Service Agreement") <br />pursuant to which Business Associate would agree to coordinate and deriver its network offering to and on <br />behalf of Covered Entity. <br />V. The Parties desire to enter into this BA Agreement because, as part of the negotiation and performance of <br />the Service Agreement, Covered Entity must disclose Protected Health Information to Business Associate <br />or Business Associate must otherwise access, create, or use Protected Health Information. <br />Accordingly, in consideration of the promises and mutual covenants contained herein and other good and <br />valuable consideration, the Parties agree as follows: <br />1. Definitions. Capitalized terms used but not otherwise defined In this BA Agreement shall have the <br />same meaning ascribed to such terms in the Health Insurance Portability and Accountability Act of 1996 ("H1PAW), <br />any and all regulations promulgated thereunder including the standards for privacy of individually identifiable health <br />Information at 45 G.F.R. Parts 160 and -164 ("Privacy Rule) and the standards for the security of electronic protected <br />health information at 45 C.F.R. 160, 162, and 164 ("Security Rule") (the Privacy Rule and the Security Rule are <br />collectively referred to herein as the "HIPAA Rules'), and the Health information Technology for Economic and <br />Clinical Health Act (" HITECH") provisions of the American Recovery and Reinvestment Act of 2009 ("ARRA"). <br />2. use and Disclosure of Protected Health Information. Business Associate may use and disclose <br />Protected Health Information as permitted or required under this BA Agreement, the Service Agreement, and as <br />Required by Law, but Business Associate shall not otherwise use or disclose any Protected Health Information. <br />Business Associate shall not use or disclose Protech Health Information received from. Covered Entity In any <br />manner that would constitute a violation of the HIPAA Rules if so used or disclosed by Covered Entity. To the extent <br />Business Associate carries out any of Covered Entity's obligations under HIPAA, Business Associate shall comply with <br />the requirements of HIPAA that apply to Covered Entity in the performance of such obligations. Without limiting <br />the generality of the foregoing, Business Associate Is permitted to use or disclose Protected Health Information as <br />set forth below: <br />(a) Business Associate may use Protected Health Information internally for Business <br />Associate's proper management and administrative services or to carry out Its legal responsibilities. <br />(b) Business Associate may disclose Protected Health Information to a third -party for <br />Business Associate's proper management and administration, provided that: <br />-1- <br />01 <br />
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