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2021-089C
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2021-089C
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Entry Properties
Last modified
10/5/2021 10:46:36 AM
Creation date
10/5/2021 10:43:50 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/22/2021
Control Number
2021-089C
Agenda Item Number
8.D.
Entity Name
P&A Administrative Services, Inc
Area
Cobra Services Agreement
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DocuSign Envelope ID: FAA4141C-02DF-41B5-A6D3-14CDB4ABD65B <br />(A) Identify the nature of the Breach, which will include a brief description of what happened, <br />including the date of any Breach and the date of the discovery of any Breach; <br />(B) Identify the types of Protected Health Information that were involved in the Breach (such <br />as whether full name, Social Security number, date of birth, home address, account number, <br />diagnosis, or other information were involved); <br />(C) Identify who made the non -permitted use or disclosure and who received the non- permitted <br />disclosure; <br />(D) Identify what corrective or investigational action Business Associate took or will take to <br />prevent further non -permitted uses or disclosures, to mitigate harmful effects, and to protect <br />against any further Breaches; <br />(E) Identify what steps the individuals who were subject to a Breach should take to protect <br />themselves; <br />(F) Provide such other information, including a written report and risk assessment under 45 <br />CFR § 164.402, as Covered Entity may reasonably request. <br />(iii) Security Incidents. Business Associate will report to Covered Entity any Security Incident <br />of which Business Associate becomes aware. Business Associate will make this report once <br />per month, except if any such Security Incident resulted in a disclosure not permitted by this Agreement <br />or Breach of Unsecured Protected Health Information, Business Associate will make the report in <br />accordance with the provisions set forth above. <br />b. Mitigation. Business Associate shall mitigate, to the extent practicable, any harmful effect known <br />to the Business Associate resulting from a use or disclosure in violation of this Agreement. <br />6. Term and Termination. <br />a. Term. This Agreement shall be effective as the Effective Date, and shall remain in effect until the <br />Service Agreement terminates. <br />b. Right to Terminate for Cause. Notwithstanding "a" above, Covered Entity may terminate this <br />Agreement if it determines, in its sole discretion, that Business Associate has breached any provision of this <br />Agreement, and after written notice to Business Associate of the breach, Business Associate has failed to <br />cure the breach within thirty calendar days after receipt of the notice. Any such termination will be effective <br />immediately or at such other date specified in Covered Entity's notice of termination. <br />c. Treatment of Protected Health Information on Termination. <br />(i) Return or Destruction of Covered Entity's Protected Health Information Is Feasible. Upon <br />termination of this Agreement, Business Associate will, if feasible, return to Covered Entity or destroy <br />
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