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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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request . Administrator will not be in breach of the Agreement or this Addendum for failure to <br /> comply with a restriction request on the use or disclosure of Protected Health Information about a <br /> Covered Person unless GHP or the Covered Person (or the Covered Person ' s Personal <br /> Representative) notifies Administrator in the manner designated by Administrator of the terms of <br /> the restriction and Administrator agrees to the restriction request in writing. <br /> E . Confidential Communications <br /> Administrator will provide a process for a Covered Person to request that Administrator <br /> communicate with the Covered Person about Protected Health Information about the Covered <br /> Person by confidential alternative location, and Covered Person to provide Administrator with the <br /> information that Administrator needs to be able to evaluate that request. Consistent with 45 <br /> C . F . R . § 164 . 522(b) and on behalf of GHP , Administrator will agree to or deny any confidential <br /> communication request. Furthermore, Administrator will develop policies and procedures <br /> consistent with 45 C . F . R . § 164 . 522(b) to fulfill its obligations under this paragraph. <br /> Administrator will provide a process for termination of any requirement to communicate with the <br /> Covered Person about Protected Health Information about the Covered Person by confidential <br /> alternative location . <br /> F. Complaint Process <br /> Administrator will , consistent with 45 C . F . R. § 164 . 530(d) and on behalf of GHP , provide a <br /> process for Covered Persons (or Covered Person ' s Personal Representative) to make complaints <br /> concerning Administrator ' s policies and procedures, which policies and procedures GHP hereby <br /> adopts as its own so that GHP can meet its compliance obligations under 45 C . F . R . Part 164 , <br /> V. GHP ' S PRIVACY PRACTICES NOTICE <br /> A . Preparation of GHP' s Privacy Practices Notices <br /> Administrator will prepare Privacy Practices Notices appropriate for the benefit plans that <br /> Administrator administers for GHP under the Agreement and reflective of the requirements of 45 <br /> C . F . R . Part 164 pertaining to use and disclosure of Protected Health Information and Covered <br /> Person ' s rights with respect to Protected Health Information. The Privacy Practices Notices will <br /> address whether GHP discloses or authorizes Administrator to disclose to Employer enrollment <br /> data, Summary Health Information that may include Covered Persons ' Individually Identifiable <br /> Health Information, or Protected Health Information for plan administration functions . Unless <br /> otherwise agreed upon by the Parties, GHP hereby adopts Administrator' s Privacy Practices <br /> Notice attached as EXHIBIT 1 , and any future revisions thereof, as its own. <br /> Be Distribution of GHP ' s Privacy Practices Notice <br /> Administrator will distribute GHP ' s then effective and appropriate Privacy Practices Notice to <br /> each new Covered Employee upon the Covered Employee ' s enrollment in GHP and to any <br /> Covered Employee upon request. Administrator will distribute any GHP revised Privacy Practices <br /> Notice to each Covered Employee then enrolled in GHP , and may distribute any GHP revised <br /> Privacy Practices Notice to any other Covered Person over the age of 18 then enrolled in GHP , <br /> within sixty (60) days after any material change in GHP ' s Privacy Practices Notice. <br /> 8 <br /> HIPAA\BA Amend to ASO Agmt - fini <br /> August 12, 2004 <br />
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