HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7054 BENEFITS DENTALJul-21-2009 04:35 PM UnitedHealth Group 7637972407
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Request for Proposal Number 7054 Benefits -Dental.
To participate in the RFP process vendors need to sign and return this Business
Associate Agreement.
BUSINESS ASSOCIATE AGREEMENT - SECURITY STANDARDS
This agreement is entered into between Dental. Zsenefit Providers,, Inc. (Business
Associate) and the City of Fort Collins,
Business Associate agrees that it will implement policies and procedures to ensure that
its creation, receipt, maintenance, or transmission of electronic protected health
information ("ePHI") on behalf of the City of Fort Collins complies with the applicable
administrative, physical, and technical safeguards required to protect the confidentiality
and integrity of ePHI under the Security Standards 45 CFR Part 164,
Business Associate agrees that it will ensure that agents or subcontractors agree to
implement the applicable administrative, physical, and technical safeguards required to
protect the confidentiality and integrity of ePHI under the Security Standards 45 CFR
Part 164.
Business Associate agrees that it will report security incidents to the City of Fort Collins,
Security Manager.
r
By: -Date: 7-20-2009
Patrick Sir
PRINT NAME
_.,Authorized RcYrespntative
TITLE
Please return to:
City of Fort Collins
Attn: Purchasing
P.O. Box 580
Ft, Collins, CO 80522-0580
Or fax back to: (970) 221-6707
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