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2005-030
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2005-030
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Last modified
7/5/2016 2:27:35 PM
Creation date
9/30/2015 7:40:02 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
01/18/2005
Control Number
2005-030
Agenda Item Number
11.D.1
Entity Name
Blue Cross and Blue Shield of Florida
Symetra :Life Insurance Co.
Subject
HIPAA-AS Addendum to Agreement
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3862
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ill from which have been removed all of the direct identifiers, as specified in <br /> 45 C . F . R . § 164 . 514(e) (2 ) , of the Individuals whose Protected Health <br /> Information is included in the Limited Data Set and of the relatives , <br /> household members and employers of those Individuals . <br /> b . Administrator' s Permitted Uses and Disclosures. Administrator may use and <br /> disclose the Limited Data Set for only Health Care Operations permitted by this <br /> Addendum. <br /> c. Prohibition on Unauthorized Use or Disclosure. <br /> i . Administrator will neither use nor disclose the Limited Data Set for any <br /> purpose other than as permitted by Paragraph b of this Section III . C . 6 , as <br /> otherwise permitted in writing by GHP , or as Required by Law . <br /> ii . Administrator is not authorized to use or disclose the Limited Data Set in a <br /> manner that would violate the Privacy Rule, 45 C . F . R . Part 164 , Subpart E , <br /> if done by GHP . <br /> iii . Administrator will not attempt to identify the information contained in the <br /> Limited Data Set or contact any Individual who may be the subject of <br /> information contained in the Limited Data Set . <br /> d. Information Safeguards. Administrator will adopt and use appropriate <br /> administrative, physical, and technical safeguards to preserve the integrity and <br /> confidentiality of the Limited Data Set and to prevent its use or disclosure other <br /> than as permitted by this Section III . C . 6 . <br /> e. Permitted Subcontractors, and Agents . Administrator will require any agent or <br /> subcontractor to which it discloses the Limited Data Set, to agree to comply with <br /> the same restrictions and conditions that apply to Administrator' s use and <br /> disclosure of the Limited Data Set pursuant to this Section III . C . 6 . <br /> f. Breach of Privacy Obligations . Administrator will report to GHP any use or <br /> disclosure of the Limited Data Set that is not permitted by this Section III . C . 6 of <br /> which Administrator becomes aware. <br /> D . Minimum Necessary <br /> Administrator will , in the performance of its functions and activities on GHP ' s behalf under the <br /> Agreement and this Addendum, make reasonable efforts to use, to disclose, or to request of a <br /> Covered Entity only the minimum necessary amount of Protected Health Information to <br /> accomplish the intended purpose of the use, the disclosure, or the request, except that <br /> Administrator will not be obligated to comply with this minimum necessary limitation with <br /> respect to : <br /> 1 . Disclosures to GHP , as distinguished from disclosures to Employer; <br /> 2 . Disclosure to or request by a health care provider for Treatment; <br /> 4 <br /> HIPAA\BA Amend to ASO Agmt - tini <br /> August 12, 2004 <br />
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