HomeMy WebLinkAboutAddenda - RFP - P751 BENEFITS CONSULTANTMERCER
Human Resource Consulting
April 30, 2003
Mr. Vincent Pascale, Jr.
Benefits Administrator
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0580
Subject:
HIPAA Business Associate Agreement
Dear Vincent:
370 17th Street, Suite 4000
Denver, CO 80202-5619
303 376 0800 Fax 303 376 0087
wvvw.m6rcerHR.com
Enclosed, for the City of Fort Collins' files, is a fully executed original of the HIPAA Business
Associate Agreement between the City of Fort Collins, acting on behalf of the City of Fort
Collins Group Health Plan and the City of Fort Collins Flexible Benefits Plan and Mercer
Human Resource Consulting, Inc.
Thank you for your assistance and for sending me replacements when the documents originally
sent were "lost".
Sincerely,
r
Linda L. Miller
LLM:RCS:maf
Enclosure
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Marsh & McLennan Companies
Business Associate Agreement
Health Insurance Portability and Accountability Act (HIPAA)
This Business Associate Agreement (the "Agreement") is made and entered into by and between The City
of Fort Collins, acting on behalf to the City of Fort Collins Group Health Plan and the City of Fort Collins
Flexible Benefits Plan (hereinafter "Covered Entity") and Mercer Human Resource Consulting, Inc.
(hereinafter "Business Associate").
Recitals
WHEREAS, the Department of Health and Human Services ("HHS") has promulgated regulations at 45
C.F.R. Parts 160-164, implementing the privacy requirements set forth in the Administrative
Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, Public Law
104-191 (the "Privacy Rules");
WHEREAS, the Privacy Rules provide, among other things, that a covered entity is permitted to disclose
Protected Health Information (as defined below) to a business associate and allow the business associate
to obtain and receive Protected Health Information, if the covered entity obtains satisfactory assurances in
the form of a written contract that the business associate will appropriately safeguard the Protected Health
Information;
WHEREAS, Business Associate will have access to, create and/or receive certain Protected Health
Information in conjunction with the services being provided by Business Associate to Covered Entity,
thus necessitating a written agreement that meets the applicable requirements of the Privacy Rules. Both
parties have mutually agreed to satisfy the foregoing regulatory requirements through this Agreement.
NOW THEREFORE, Covered Entity and Business Associate agree as follows:
Definitions. The following terns shall have the meaning set forth below:
(a) C.F.R. "C.F.R." means the Code of Federal Regulations.
(b) Designated Record Set. "Designated Record Set" has the meaning assigned to such term in 45
C.F.R. 164.501.
(c) Individual. "Individual" shall have the same meaning as the term "individual" in 45 C.F.R.
164.501 and shall include a person who qualifies as the Individual's personal representative
in accordance with 45 C.F.R. 164.502 (g).
(d) Protected Health Information "Protected Health Information" shall have the same meaning
as the term "Protected Health Information", as defined by 45 C.F.R. 164.501, limited to the
information created or received by Business Associate from or on behalf of Covered Entity.
(e) Required By Law. "Required By Law" shall have the same meaning as the term "required by
law" in 45 C.F.R. 164.501
(f) Secretarv. "Secretary" shall mean the Secretary of HHS or his designee.
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2. Obligations and Activities of Business Associate
(a) Business Associate agrees to not use or further disclose Protected Health Information other
than as permitted or required by this Agreement or as Required By Law.
(b) Business associate agrees to use appropriate safeguards to prevent use or disclosure of the
Protected Health Information other than as provided for by this Agreement.
(c) Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is
known to Business Associate of a use or disclosure of Protected Health Information by Business
Associate in violation of the requirements of this Agreement.
(d) Business Associate agrees to report to Covered Entity any use or disclosure of the Protected
Health Information not provided for by this Agreement of which it becomes aware.
(e) Business Associate agrees to ensure that any agent, including a subcontractor, to
whom it provides Protected Health Information received from, or created or received by Business
Associate on behalf of Covered Entity, agrees to the same restrictions and conditions that apply through
this Agreement to Business Associate with respect to such information.
(f) Business Associate agrees to provide access to Protected Health Information in a Designated
Record Set, in the time and manner Required by Law, to Covered Entity or, as directed by Covered
Entity, to an Individual, in order to meet the requirements under 45 C.F.R. 164.524.
(g) Business Associate agrees to make any amendment(s) to Protected Health Information in a
Designated Record Set pursuant to 45 C.F.R. 164.526 at the request of Covered Entity or an Individual,
and in the time and manner Required by Law.
(h) Business Associate agrees to make internal practices, books, and records relating to the use
and disclosure of Protected Health Information received from, or created or received by Business
Associate, on behalf of Covered Entity, available to the Secretary, for purposes of the Secretary
determining Covered Entity's compliance with the Privacy Rule.
(i) Business Associate agrees to document such disclosures of Protected Health Information and
information related to such disclosures as would be required for Covered Entity to respond to a request by
an Individual for an accounting of disclosures of Protected Health Information in accordance with 45
C.F.R. 164.528.
0) Business Associate agrees to provide to Covered Entity, upon request and in the time and
manner Required by Law, an accounting of disclosures of an individual's Protected Health Information,
collected in accordance with Section 2(i) of this Agreement, to permit Covered Entity to respond to a
request by an Individual for an accounting of disclosures of Protected Health Information in accordance
with 45 C.F.R. 164.528. If Covered Entity requests an accounting of an Individual's Protected Health
Information more than once in any twelve (12) month period, Business Associate will impose a
reasonable fee for such accounting in accordance with 45 C.F.R. 164.528(c).
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(k) Business Associate acknowledges that it shall request from the Covered Entity and so disclose
to its affiliates, subsidiaries, agents and subcontractors or other third parties, only the minimum Protected
Health Information necessary to perform or fulfill a specific function required or permitted hereunder.
(1) Business Associate shall use commercially reasonable efforts to maintain the security of the
Protected Health Information and to prevent unauthorized uses or disclosures of such Protected Health
Information.
(m) If Business Associate conducts any Standard Transactions on behalf of Covered Entity,
Business Associate shall comply with the applicable requirements of 45 C.F.R. Part 162.
3. Permitted Uses and Disclosures by Business Associate
3.1 General Use and Disclosure
Except as otherwise limited in this Agreement, Business Associate may use or disclose Protected
Health Information to perform its obligations and services to Covered Entity, provided that such use or
disclosure would not violate the Privacy Rule if done by Covered Entity.
3.2 Specific Use and Disclosure Provisions
(a) Except as otherwise limited in this Agreement, Business Associate may use Protected Health
Information for the proper management and administration of the Business Associate or to carry out the
legal responsibilities of the Business Associate.
(b) Except as otherwise limited in this Agreement, Business Associate may disclose Protected
Health Information for the proper management and administration of the Business Associate, provided
that disclosures are required by law, or Business Associate obtains reasonable assurances from the person
to whom the information is disclosed that it will be held confidential and used or further disclosed only as
Required by Law or for the purpose for which it was disclosed to the person, and the person notifies the
Business Associate of any instances of which it is aware in which the confidentiality of the information
has been breached.
(c) Business Associate may use Protected Health Information to provide data aggregation services
to Covered Entity.
4. Obligations of Covered Entity.
4.1 Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions
(a) Covered Entity shall provide Business Associate with the notice of privacy practices that
Covered Entity produces in accordance with 45 C.F.R. § 164.520, as well as any changes to that notice.
(b) Covered Entity shall provide Business Associate with any changes in, or revocation of,
permission by Individual to use or disclose Protected Health Information, if such changes affect Business
Associate's permitted or required uses and disclosures.
(c) Covered Entity shall notify Business Associate, in writing, of any restriction to the use or
disclosure of Protected Health Information that Covered Entity has agreed to in accordance with 45
C.F.R. § 164.522.
(d) Covered Entity acknowledges that it shall provide to, or request from, the Business Associate
only the minimum Protected Health Information necessary for Business Associate to perform or fulfill a
specific function required or permitted hereunder.
4.2 Permissible Requests by Covered Entity
Covered Entity represents and warrants that it has the right and authority to disclose Protected
Health Information to Business Associate for Business Associate to perform its obligations and provide
services to Covered Entity, and Business Associate's use of the Protected Health Information to perform
its obligations and provide services to Covered Entity requested by Covered Entity does not violate the
Privacy Rules, Covered Entity's privacy notice or any applicable law. Covered Entity shall not request
Business Associate to use or disclose Protected Health Information in any manner that would not be
permissible under the Privacy Rule if done by Covered Entity.
5. Term and Termination
(a) Term. The provisions of this Agreement shall take effect April 14, 2003, and shall terminate
when all of the Protected Health Information provided by Covered Entity to Business Associate, or
created or received by Business Associate on behalf of Covered Entity, is destroyed or returned to
Covered Entity, or, if it is infeasible to return or destroy Protected Health Information, protections are
extended to such information, in accordance with the provisions in this Section.
(b) Termination for Cause. Upon the parties mutual agreement that there has been a material
breach by Business Associate which does not arise from any breach by Covered Entity, Covered Entity
shall provide an opportunity for Business Associate to cure the breach or end the violation and terminate
this Agreement if Business Associate does not cure the breach or end the violation within a mutually
agreeable time, or immediately terminate this Agreement if cure of such breach is not possible.
(c) Effect of Termination.
(1) Except as provided in paragraph (2) of this section, upon termination of this Agreement, for
any reason, Business Associate shall return or destroy all Protected Health Information received from
Covered Entity, or created or received by Business Associate on behalf of Covered Entity. Business
Associate shall request, in writing, Protected Health Information that is in the possession of
subcontractors or agents of Business Associate.
(2) In the event the Business Associate determines that returning or destroying the Protected
Health Information is infeasible, Business Associate shall extend the protection of this Agreement to such
Protected Health Information, limited to those purposes that make the return or destruction infeasible, for
so long as Business Associate maintains such Protected Health Information.
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6. Miscellaneous
(a) Reeulatory References. A reference in this Agreement to a section in the Privacy Rule means
the section as in effect or as amended, and for which compliance is required.
(b) Amendment. Upon the enactment of any law or regulation affecting the use or disclosure of
Protected Health Information, or the publication of any decision of a court of the United States or any
state relating to any such law or the publication of any interpretive policy or opinion of any governmental
agency charged with the enforcement of any such law or regulation, either party may, by written notice to
the other party, and by mutual agreement, amend the Agreement in such manner as such party determines
necessary to comply with such law or regulation. If the other party disagrees with such amendment, it
shall so notify the first party in writing within thirty (30) days of the notice. If the parties are unable to
agree on an amendment within thirty (30) days thereafter, then either of the parties may terminate the
Agreement on thirty (30) days written notice to the other party.
(c) Survival. The obligations of Business Associate under section 5(c)(2) of this Agreement shall
survive the termination of this Agreement.
(d) Interpretation. Any ambiguity in this Agreement shall be resolved in favor of a meaning that
permits both parties to comply with the Privacy Rule. In the event of any inconsistency or conflict
between this Agreement and any other agreement between the parties, the terns, provisions and
conditions of this Agreement shall govern and control.
(e) No third pgty beneficiary. Nothing express or implied in this Agreement is intended to
confer, nor shall anything herein confer, upon any person other than the parties and the respective
successors or assigns of the parties, any rights, remedies, obligations, or liabilities whatsoever.
(f) Governing Law. This Agreement shall be governed by and construed in accordance with the
laws of the State of Colorado.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement.
The City of Fort Collins, acting on behalf to the
City of Fort Collins Group Health Plan and the City of Fort Collins Flexible Benefits Plan
By.
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