EBIA Weekly Archives - HIPAA - Questions

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Results (71 articles found)


  1. What should we tell health care providers that ask us about the coverage of a qualified beneficiary during the COBRA election or initial premium payment period?
    From the October 06, 2005 EBIA Weekly
    QUESTION: Our company sponsors an insured group health plan subject to COBRA. We frequently receive inquiries from health care providers to determine whether their services will be covered. During the COBRA election period and the 45-day initial COBRA premium ...
  2. Do stand-alone, self-funded, limited-scope dental and vision benefits that cover some medical procedures have to comply with the 2004 final HIPAA portability regulations?
    From the August 18, 2005 EBIA Weekly
    QUESTION: We have stand-alone, self-funded dental and vision plans that cover some medical procedures. In the past it was unclear whether these plans were subject to the HIPAA portability regulations or, instead, qualified for the exception for limited-...
  3. Under the December, 2004 HIPAA portability regulations, do retirees participating in our health plans have special enrollment rights?
    From the June 23, 2005 EBIA Weekly
    QUESTION: We maintain a major medical plan that covers both current employees and retirees. Our plan gives retirees one chance to enroll themselves and their dependents for retiree medical coverage--at retirement. If retirees choose not to enroll themselves or ...
  4. Under the new HIPAA portability regulations, are health plans required to provide special enrollment rights for newly acquired stepchildren?
    From the June 16, 2005 EBIA Weekly
    QUESTION: We sponsor a major medical plan that allows enrollment during an annual open enrollment period. An employee was recently married and wants immediate enrollment for his new wife and her two minor children by a prior marriage. Our plan ...
  5. Can we throw away the paper records for our ERISA plans and retain our records in an electronic format?
    From the March 10, 2005 EBIA Weekly
    Please see the updated Question of the Week....
  6. There's a new HIPAA special enrollment right when a current employee or dependent reaches a lifetime limit on benefits-what does this mean for our company's self-funded group health plan?
    From the February 24, 2005 EBIA Weekly
    QUESTION: Our company has a self-funded group health plan that offers several different benefit packages (PPOs, traditional indemnity options, etc.). Some of the packages have different lifetime limits on benefits. I've heard that the new HIPAA portability regulations ...
  7. What does an employer that sponsors a self-funded health plan have to do in order to have access to electronic PHI under the HIPAA security rule?
    From the January 13, 2005 EBIA Weekly
    QUESTION: Our company sponsors a self-funded group health plan and the plan document has been amended to permit disclosure of electronic PHI to us for the administration functions that we perform for the plan. The plan itself has no ...
  8. What must our self-funded group health plan do in order to comply with the HIPAA security rule? (Part 2)
    From the December 16, 2004 EBIA Weekly
    QUESTION: We provide health coverage to our employees through a self-funded group health plan. What will we have to do to be sure the plan will be ready to comply with the HIPAA security rule? ANSWER: Because this is ...
  9. What must our self-funded group health plan do to comply with the HIPAA security rule? (Part 1)
    From the December 09, 2004 EBIA Weekly
    QUESTION: We provide health coverage to our employees through a self-funded group health plan. What will we have to do to be sure the plan will be ready to comply with the HIPAA security rule? ANSWER: This is a ...
  10. Can an employer avoid liability under HIPAA by outsourcing its HIPAA certificates of creditable coverage to a TPA?
    From the November 24, 2004 EBIA Weekly
    QUESTION: We are an employer that sponsors a self-funded health plan. Although we are the ERISA plan administrator, we outsource to a TPA most of the plan's functions, including the HIPAA certificates of creditable coverage. We have heard ...

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