HomeMy WebLinkAboutAddenda - RFP - P902 BENEFITSAdministrative Services
Human Resources Department
City of Fort Collins
April 10, 2003
Ms. Betty Weaver
Vision Service Plan
1050171h Street, Suite 1885
Denver, CO 80265
RE: HIPAA Compliance Documents
Dear Betty:
Enclosed are the following HIPAA compliance documents:
• Verification of Plan Amendment — one copy
• Business Associate Agreement — two copies
Please sign both copies of the Business Associate Agreement, and -return one to me for our files.
Thank you for your assistance.
Very truly yours,
Vincent H. Pascale, Jr.
Benefits Administrator
215 North Mason - PCI. Bo)c 580 •Tort = o] in;, C' s 8053 % ,;58U • !97 , � -6535 TDD N70122 h004 a w w f ,-ov -om
Verification of
Adoption of Plan Document Regarding HIPAA Privacy Compliance
for the City of Fort Collins Group Vision Plan
The Plan Sponsor of the above referenced Plan hereby verifies to Vision Service Plan, that the
Plan Sponsor has adopted a plan document or amended its plan document to incorporate the
provisions of 45 CFR §164.504(f)(2) and that the Plan Sponsor has agreed to be bound by such
adopted or amended plan document and the provisions of 45 CFR §164.504(02) and other
applicable parts of the privacy regulation.
The Plan Sponsor acknowledges that by signing this verification, the Plan Sponsor is
representing and warranting that the Plan Sponsor has taken action that is reasonably necessary
to establish and maintain the Plan Sponsor's compliance with the adopted or amended plan
document and with the applicable provisions of the HIPAA privacy regulation.
B SE C) 7
N e: ames B. O'Neill II, CPPO
D r or of Purchasing and Risk Management
April 10, 2003
City of Fort Collins Group Health Plan
Business Associate Agreement with
Vision Service Plan
The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and its implementing
regulations prohibit The City of Fort Collins Group Health Plan ("Covered Entity") from disclosing
Protected Health Information ("PHI") to a business associate ('Business Associate") without adequate
satisfactory assurance that the information will be appropriately safeguarded. Since, under 45 CFR
§164.504(3)(1), the Vision Service Plan ("VSP") is a Business Associate that may receive PHI, as that
phrase is defined in the regulations, it is mandatory that VSP fully comply with the terms and conditions
set forth below. The parties agree that this Agreement shall be incorporated into any existing or future
contracts and shall be construed as a material requirement of any business association or action whether
by written contract or otherwise. In the event of any conflict between this Agreement and any written
terms and conditions of any other agreement, this Business Associate Agreement shall govern with
regard to HIPAA issues only.
The parties agree, subject to subparagraph VIII (c) to modify this Agreement upon the issuance of or
change in applicable local, state, or federal statutes, rules and regulations or orders of the courts ("law")
affecting the confidentiality and/or privacy of patient Records.
Definitions. Capitalized terms in this Agreement are defined in the text or as follows:
a) "Agreement' means this Agreement, as well as the underlying agreement that this agreement
is a part of, and to which this agreement may be incorporated by reference.
b) "Covered Entity' means (1) a health plan (as defined in 45 CFR §160.103), (2) a health care
clearing house (as defined in 45 CFR §160.103), or a health care provider who transmits any
health information in electronic form in connection with a transaction covered by the
regulations issued under the administrative simplification provisions of vered (45 CFR
Subtitle A, Subchapter C). HIPAA
c) "Designated Record Set' means PHI maintained by or for Covered Entity including but not
necessarily limited to the enrollment, payment, claims, adjudication, case or medical
management records, and any other record used, in whole or in part, to make decisions
about Individuals.
d) 'Individual' means a person who is the subject of PHI and shall include a person who
qualifies as a personal representative in accordance with 45 CFR §164.502(g).
e) 'Protected Health Information" or "PHI' means individually identifiable health information that
is or has been electronically maintained or electronically transmitted by a covered entity, as
well as such information when it takes on other form that is (1) Created or received by a
health care provider, health plan, employer, or health care clearinghouse; and (2) Relates to
the past, present or future physical or mental health or condition of an individual, the
provision of health care to an individual, or the past, present, or future payment of health care
to an individual. (3) PHI excludes individually identifiable health information in (i) Education
records covered by the Family Educational Right and Privacy Act, as amended, 20 USC
1232g; (ii) Records described at 20 USC 1232g(a)(40)(iv); and (iii) Employment records
held by a covered entity in its role as employer.
if. Obligations and Activities of VSP
The parties agree and acknowledge that VSP, in performing its services hereunder, may receive
from Covered Entity PHI. VSP agrees that it will:
a) Not use or further disclose the information other than as permitted or required by the
Agreement or required by law;
b) Use appropriate safeguards to prevent use or disclosure of the information other than as
provided for by this Agreement;
c) Agree to mitigate, to the extent practicable, any harmful effect that is known to VSP of a use
or disclosure of PHI by VSP in violation of the requirements of this Agreement;
d) Agree to immediately report to Covered Entity any use or disclosure of the PHI not provided
for by this Agreement of which it becomes aware;
e) Agree to ensure that any subcontractors or agents to whom VSP provides PHI received from
Covered Entity, or created or received by VSP on behalf of Covered Entity, agree to the
same restrictions and conditions that apply to VSP with respect to such information;
i Agree to provide access, at the request of Covered Entity, within 30 calendar days, to PHI in
a Designated Record Set, to Covered Entity or, as directed by Covered Entity to an Individual
in order to meet the requirements under 45 CFR §164.524;
g) Agree to make any amendment(s) to PHI in a Designated Record Set that Covered Entity
directs or agrees to pursuant to 45 CFR §164.526 at the request of Covered Entity or an
Individual, and to do so within 30 calendar days;
h) Make its internal practices, books, and records relating to the use and disclosure of PHI
including policies and procedures and PHI received from, or created by VSP on behalf of the
Covered Entity, available to the Secretary of Health and Human Services (or any officer or
employee to whom authority has been delegated) and to the Covered Entity or purposes of
determining compliance with applicable federal law;
i) Agree to document such disclosures of PHI and information related to such disclosures as
would be required for the Covered Entity to respond to a request by an Individual for an
accounting of disclosures of PHI in accordance with 45 CFR §164.528;
j) VSP agrees to provide to the Covered Entity or an Individual, within 30 calendar days,
information regarding the receipt of PHI by VSP from the Covered Entity on the Individual in
order to permit the Covered Entity to respond to a request by an Individual for an accounting
of disclosures of PHI in accordance with 45 CFR §164.528.
Permitted Uses and Disclosures by VSP
a) Except as otherwise limited in this Agreement, VSP may use or disclose PHI to perform
functions, activities or services for, or on behalf of, the Covered Entity, pursuant to the
Agreement between the Covered Entity and VSP, provided that such use or disclosure would
not violate the Privacy rule if done by the Covered Entity or the minimum necessary policies
and procedures of the Covered Entity;
b) Except as otherwise limited in this Agreement, VSP may use PHI to provide Data
Aggregation services to the Covered Entity as permitted by 42 CFR §164.504(3)(2)(i)(B);
c) VSP may use PHI to report violations of law to appropriate Federal and State authorities,
consistent with §164.5020)(1).
IV Obligations of Covered Entity
a) Covered Entity shall notify VSP of any limitation(s) in its Notice of Privacy Practices of Covered
Entity in accordance with 45 CFR §164.520, to the extent that such limitation may affect VSP's
use or disclosure of PHI;
b) Covered Entity shall notify VSP of any changes in, or revocation of, permission by Individual to
use or disclose PHI, to the extent that such changes may affect VSP's use or disclosure of PHI;
c) Covered Entity shall notify VSP of any restriction to the use or disclosure of PHI that Covered
Entity has agreed to in accordance with 45 CFR §164.522, to the extent that such restriction may
affect VSP's use or disclosure of PHI.
V. Permissible Requests by Covered Entity
a) Covered Entity shall not request VSP to use or disclose PHI in any manner that would not be
permissible under the Privacy Rule if done by Covered Entity.
VI. Term and Termination
a) At termination of the contract or business arrangement, VSP will, if feasible, return or destroy
all PHI received from, or created or received by VSP on behalf of Covered Entity that VSP
still maintains in any form. VSP agrees it will retain no copies of such PHI or, if such return or
destruction is not feasible, extend the protections of its contract to the information and limit
further uses and disclosures to those purposes that make the return or destruction of the
information infeasible.
b) Term. The Term of this Agreement shall be effective as of April 14, 2003, and shall
terminate when all of the PHI provided by Covered Entity to VSP, or created or received by
VSP on behalf of Covered Entity, is destroyed or returned to Covered Entity, or, if it is
infeasible to return or destroy PHI, protections are extended to such information, in
accordance with the termination provisions in this section.
c) Termination for Cause. Covered Entity may terminate its contract(s) or business association
with VSP if Covered Entity determines that VSP has violated a material term of the contract,
to include this Agreement.
Vill Miscellaneous
a) Indemnification. VSP agrees to and shall indemnify and hold harmless Covered Entity, its Board
of Trustees, officers, agents, employees and personnel against any and all claims, demands,
suits, losses, causes of action, or liability which Covered Entity may sustain as a result of VSP's
material breach of its duties within the terms of this Agreement, or liability of Covered Entity for
any act or conduct of VSP adjudged to constitute fraud, misrepresentation, or violation of any law,
including violation of any statute or regulation.
b) Policies and Procedures. The parties acknowledge that the contract or business association is
subject to all applicable bylaws, rules and regulations, and written or published policies and
procedures of Covered Entity regarding privacy and information handling. VSP agrees to be
bound by such policies as may be in effect and changed from time to time as though they were a
part of any contract and after the date hereof.
c) Legal Requirements. The parties recognize that this Agreement is subject to and agree to
comply with applicable local, state and federal statutes and rules and regulations, and orders of
the courts. Any provision of applicable statutes, rules and regulations, or court orders, whether
now existing or enacted or promulgated after the effective date of this Agreement, that invalidate
any term of this Agreement, that are inconsistent with any term of it, or that would cause
performance hereof by one or both of the parties hereto to be in violation of law shall be deemed
to have superseded the terms of this Agreement and this Agreement shall be automatically
amended to achieve compliance with applicable law; provide, however, that if such amendment
does not preserve in all material respects the underlying economic and financial arrangements
between the parties, the contract may be terminated by written notice by either party.
d) Audit of Records. Covered Entity's audit of VSP's records, or any waiver of its right to do so,
does not relieve VSP of its responsibilities under this Agreement and any liability for violations of
law or regulations.
e) Amendment. The parties agree to take such action as is necessary to amend this Agreement
from time to time as is necessary for Covered Entity to comply with the requirements of the
Privacy Rule and HIPAA.
f) Survival. The respective rights and obligations of VSP under Section (II) of this Agreement shall
survive the termination of this Agreement.
g) Interpretation. Any ambiguity in this Agreement shall be resolved to permit Covered Entity to
comply with the Privacy Rule.
In witness whereof, the undersigned acknowledge that they have read this Agreement and commit to be
bound by its terms and conditions.
COVERED ENTITY
City of Fort Collins Group Health Plan
C)k9-,e
Si ure of Covered Entity Representative
James B. O'Neill II, CPPO
Director of Purchasing and Risk Management
Printed Name of Covered Entity Representative
Signatur Date
BUSINESS ASSOCIATE
Vision Service Plan
1
Signature of Business Associate Representative
Gary Brooks,
Senior Vice President VSP Operations
Printed Name of Business Associate Representative
Signature Date