2005-030 - Laserfiche WebLink

Home Browse Search

PART 3—EMPLOYER ' S RESPONSIBILITIES IX. DATA EXCHANGE BETWEEN EMPLOYER AND ADMINISTRATOR A. Enrollment Data Administrator may disclose to Employer the minimum necessary information regarding whether an individual is a Covered Person participating in GHP or enrolled or disenrolled from coverage under the GHP . Employer may electronically exchange data with Administrator regarding the enrollment and disenrollment of Covered Persons as participants in GHP using the Enrollment and Disenrollment in Health Plan Standard Transaction (ASC X12N 834- Benefit Enrollment and Maintenance) as specified in 45 C . F . R. Part 162 , Subpart O . B. Other Data Exchanges and Notifications Employer will exchange with Administrator all data not otherwise addressed in this Section IX and any notification by using such forms , tape formats, or electronic formats as Administrator may approve. Employer will furnish all information reasonably required by Administrator to effect such data exchanges or notifications . X. SUMMARY HEALTH INFORMATION Upon Employer ' s written request for the purpose either (A) to obtain premium bids for providing health insurance coverage under GHP , or (B) to modify, amend, or terminate GHP , Administrator will provide Summary Health Information regarding the Covered Persons participating in GHP to Employer. XI. EMPLOYER ' S CERTIFICATION Employer hereby makes the certification specified in EXHIBIT 2 so that Employer may request and receive the minimum necessary Protected Health Information from Administrator for those plan administration functions that Employer will perform for GHP . GHP therefore authorizes Administrator to disclose the minimum necessary Protected Health Information to those authorized representatives of Employer as specified in EXHIBIT 3 for the plan administration functions that Employer will perform for GHP as specified in GHP ' s Plan Document as amended and in EXHIBIT 3 . Administrator may rely on Employer ' s certification and GHP ' s authorization that Employer has provided the requisite certification and will have no obligation to verify ( 1 ) that GHP ' s Plan Document has been amended to comply with the requirements of 45 C . F . R. § 164 . 504(f)(2 ), 45 C . F . R . § 164 . 314(b)(2 ) , or this Section XI, or (2) that Employer is complying with GHP ' s Plan Document as amended . PART 4—MISCELLANEOUS XII. AUTOMATIC AMENDMENT TO CONFORM TO APPLICABLE LAW Upon the compliance date of any final regulation or amendment to final regulation with respect to Protected Health Information, Standard Transactions , the security of Health Information, or other aspects of HIPAA -AS applicable to this Addendum or to the Agreement, this Addendum will automatically amend such that the obligations imposed on Employer, GHP , and Administrator remain in compliance with such regulations, unless Administrator elects to terminate the Agreement by providing Employer and GHP notice of termination in accordance with the Agreement at least 90 days before the compliance date of such final regulation or amendment to final regulation . 10 HIPAA\BA Amend to ASO Agmt - fini August 12, 2004