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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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• The individual agrees with the disclosure ; or <br /> • The disclosure is expressly authorized by statute or regulation and the disclosure <br /> prevents harm to the individual (or other victim) or the individual is . incapacitated <br /> and unable to agree and information will not be used against the individual and is <br /> necessary for an imminent enforcement activity. In this case, the individual must <br /> be promptly informed of the disclosure unless this would place the individual at <br /> risk or if informing would involve a personal representative who is believed to be <br /> responsible for the abuse, neglect or violence . <br /> B . For Judicial and Administrative Proceedings, in response to : <br /> • An order of a court or administrative tribunal (disclosure must be limited to PHI <br /> expressly authorized by the order) : and <br /> • A subpoena, discovery request or other lawful process , not accompanied by a court <br /> order ' or administrative tribunal , upon receipt of assurances that the individual has <br /> been given notice of the request , or that the party seeking the information. has <br /> made reasonable efforts to receive a qualified protective order. <br /> C . To a Law Enforcement Official for Law Enforcement Purposes, under the <br /> following conditions: <br /> • Pursuant to a process and as otherwise required by law , but only if the information <br /> sought is relevant and material, the request is specific and limited to amounts <br /> reasonably necessary, and it is not possible to use de-identified information. <br /> • Information requested is limited information to identify or locate a suspect, <br /> fugitive, material witness or missing person. <br /> • Information about a suspected victim of a crime ( 1 ) if the individual agrees to <br /> disclosure; or (2) without agreement from the individual, if the information is not <br /> to be used against the victim, if need for information is urgent, and if disclosure is <br /> in the best interest of the individual . <br /> • Information about a deceased individual upon suspicion that the individual' s death <br /> resulted from criminal conduct. <br /> • Information that constitutes evidence of criminal conduct that occurred on the <br /> County' s premises . <br /> D . To Appropriate Public Health Authorities for Public Health Activities . <br /> E . To a Health Oversight Agency for Health Oversight Activities, as authorized by <br /> law . <br /> F . To a Coroner or Medical Examine About Decedents, for the purpose of identifying <br /> a deceased person, determining the cause of death or other duties as authorized by law . <br /> 19 <br />
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