The Board provides coverage to eligible employees under fully insured group health plans. The Board has established the following fully insured group health plans:
|A.||Group Health Plan
|B.||Prescription Drug Plan
|E.||Employee Assistance Plan
|F.||Long-Term Care Plan
The Board acknowledges that these group health plans are required to comply with the HIPAA Privacy Rule. Fully insured group health plans generally are exempt from many of the requirements imposed upon self-funded group health plans.
The fully insured group health plans established by the Board shall
from taking any retaliatory action against any individual for
exercising any right under the plan, filing a complaint with Health and
Human Services, participating in any proceeding under Part C of Title XI
of the Social Security Act, or opposing any act or practice made
unlawful by the Privacy Rule provided that the individual has a good
faith belief that the practice opposed is unlawful.
impose a requirement that participants waive their rights under the
Privacy Rule as a condition of the provision of payment, enrollment in a
health plan, or eligibility of benefits.
accordance with the Privacy Rule, retain a copy of the plan document if
amended for six years from the date of its amendment or the date when
it last was in effect, whichever is later.
Fully insured group health plans established by the Board shall not create or receive protected health information, except for
|A.||summary health information.
health information is de-identified information that summarized claims
history, claims expenses, or type of claims experienced by health plan
|B.||information identifying a participant's enrollment in or disenrollment from a group or individual health plan.
20 U.S.C. 1232g
42 U.S.C. 1320d-2
Health Insurance Portability and Accountability Act (HIPAA)