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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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Administrator will distribute GHP ' s Privacy Practices Notice to any Covered Person requesting it . <br /> Additionally, every three (3 ) years after April 14, 2003 , Administrator will notify each Covered <br /> Employee then enrolled in GHP , and may notify any other Covered Person over the age of 18 then <br /> enrolled in GHP , of the availability of GHP ' s Privacy Practices Notice upon request. <br /> C . Administrator to ComDly with Notices <br /> Administrator will neither use nor disclose Protected Health Information in any manner <br /> inconsistent with the content of GHP ' s then current Privacy Practices Notice applicable to the <br /> benefit plans that Administrator administers for GHP under the Agreement . <br /> VI. ISSUANCE OF CERTIFICATE OF CREDITABLE COVERAGE <br /> At the written or electronic direction of Employer or GHP , Administrator may use and disclose Protected <br /> Health Information to issue to each Covered Person, whose coverage under a benefits plan administered <br /> pursuant to the Agreement terminates during the term of the Agreement, a Certificate of Creditable <br /> Coverage. The Certificate of Creditable Coverage will be based upon the coverage that the Covered <br /> Person had under the benefits plan administered pursuant to the Agreement and the information that <br /> Employer or GHP provides to Administrator regarding the Covered Person ' s coverage eligibility and <br /> coverage termination under that benefits plan. <br /> VII. SAFEGUARDING PROTECTED HEALTH INFORMATION <br /> A . Privacy of Protected Health Information <br /> Administrator will maintain reasonable and appropriate administrative, physical , and technical <br /> safeguards, consistent with 45 C . F . R. § 164 . 530(c) and any other implementing regulations issued <br /> by DHHS that are applicable to Administrator as GHP ' s Business Associate, to protect against <br /> reasonably anticipated threats or hazards to and to ensure the security and integrity of Protected <br /> Health Information, to protect against reasonably anticipated unauthorized use or disclosure of <br /> Protected Health Information, and to reasonably safeguard Protected Health Information from any <br /> intentional or unintentional use or disclosure in violation of this Addendum . <br /> Be Security of Electronic Protected Health Information <br /> Administrator will develop, implement, maintain, and use administrative, technical , and physical <br /> safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability <br /> of Electronic Protected Health Information that Administrator creates, receives , maintains , or <br /> transmits on behalf of GHP consistent with the Security Rule, 45 C . F . R. Part 164 , Subpart C . <br /> VIII. INSPECTION OF INTERNAL PRACTICES BOOKS AND RECORDS <br /> Administrator will make its internal practices, books, and records relating to its use and disclosure of <br /> Protected Health Information available to GHP and to DHHS to determine GHP ' s compliance with 45 <br /> C . F . R . Part 164, Subpart E "Privacy of Individually Identifiable Health Information . " <br /> 9 <br /> HIPAMBA Amend to ASO Agmt - fini <br /> August 12, 2004 <br />
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