Self-Funded Plans, Inc. respects the
privacy of its clients and their membership. Self-Funded Plans,
Inc. will not alter, disclose, or monitor any personal data regarding
members or the member's usage of Self-Funded Plans, Inc. services
without the member's prior permission unless Self-Funded Plans,
Inc. has reason to believe, under good faith, that the action is
necessary to:
· Conform and/or comply to legal requirements and/or legal
processes
· Protect the interest of clients and their membership
· Enforce the terms and conditions of the SFPI OnLine service
· Protect and/or defend the rights and property of Self-Funded
Plans, Inc.
Further, Self-Funded Plans, Inc. will make all good faith efforts
to adhere to the following areas of the Health Insurance Portability
and Accountability Act (HIPAA) of 1996 Rules:
a. Report to the designated Privacy Officer in writing, any use
and/or disclosure of the Protected Health Information that is
not permitted or required within fifteen (15) days of the discovery
of such unauthorized use and/or disclosure.
b. Establish procedures for mitigating, to the greatest extent
possible, any deleterious effect from any improper use and/or
disclosure of Protected Health Information that is reported.
c. Use commercially reasonable efforts to maintain the security
of the Protected Health Information and to prevent unauthorized
use and/or disclosure of such Protected Health Information.
d. Require all of its subcontractors and agents that receive or
use, or have access to, Protected Health Information to adhere
to the same restrictions and conditions on the use and/or disclosure
of Protected Health Information that apply to the terms and conditions
of the SFPI OnLine service
e. Make available all records, book, agreements, policies and
procedures relating to the use and/or disclosure of Protected
Health Information for purposes of determining the compliance
with the Privacy Regulation, subject to attorney-client and other
applicable legal privileges.
f. Upon prior written request, make available during normal business
hours all records, books, agreements, policies and procedures
relating to the use and/or disclosure of Protected Health Information
to the Covered Entity within thirty (30) days for purposes of
determining compliance with the terms and conditions of the SFPI
OnLine service.
g. Within 45 days of receiving a written request, provide such
information as is requested to permit response to a request by
an individual for an accounting of the disclosures of the Individual's
Protected Health Information in accordance with 45 C.F.R. §
164.528.
h. Disclose to its subcontractors, agents or other third parties,
and request from the Covered Entity, only the minimum Protected
Health Information necessary to perform or fulfill a specific
function required or permitted hereunder.