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2003-03-26 CC Packet
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2003-03-26 CC Packet
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<br />, <br /> <br />substantially similar restrictions with respect to Protected Health Information that <br />apply to CIGNA Behavioral pursuant to this Addendum. <br /> <br />(c) It is acknowledged and agreed that the Privacy Rules require the Group Health Plan to <br />maintain policies and procedures to ensure that any pm that ; it uses, requests or <br />discloses be no more than the minimum necessary to accomplish the intended <br />purpose. The Group Health Plan hereby warrants and represents that any requests <br />that it makes for pm to be disclosed to it or to any third parties will be for no more <br />than the minimum amount necessary for the intended purpose. <br /> <br />Section 7. Access to InformAtion. <br /> <br />(a) Request made to the Plan. When an individual requests access to pm contained in a <br />designated record set and such request is made directly to the Plan or Employer, the <br />Plan shall so notify CIGNA Behavioral'within two (2) business days of receipt of <br />such request. CIGNA Behavioral shall make such pm available directly to the <br />Participant within the time required in 4S C.F.R. Section 164.524. <br /> <br />(b) Request made to CIGNA Behavioral. Ifa Participant directs a request for access to <br />pm contained in such desigru:ated record set to CIGNA Behavioral, CIGNA <br />Behavioral will provide the pm to the individual within the time required in 45 <br />C.F.R. Section 164.524. <br /> <br />(c) RespoD.SlDility for..denials and responding to requests. In the case of either subsection <br />(a) or (b) above, the Plan delegates to CIGNA Behavioral the duty to determine, on <br />behalf of the Plan, whether to deny access to pm requested and the duty to provide <br />any required notices and review. <br /> <br />(d) Agent for the Plan. It is understood and agreed that in all activities performed <br />pursuant to this section, CIGNA Behavioral acts as agent of and on behalf of the <br />Plan and/or Employer. When responding to an individual's request for access, it may <br />inform such individual of that fact and that there may be other pm about that <br />individual created or maintained by the Plan and/or its other busine8$ associates and <br />not included in CIGNA Behavioral's response. CIGNA BeIuivioral shall not be <br />responsible for performing any of the duties described herein with respect to any <br />such other pm. <br /> <br />,Section 8. AvailabDitv of Protected Health Information for Amendment. <br /> <br />(a) Handling of Requests by CIGNA Behavioral. When an individUal requests <br />amendment of pm contained in a designated record set and ~ or received by <br />CIGNA Behavioral or its subcontractors, and such request is made directly to the <br />Plan or Employer, within two (2) working days of its request, the Plan shall forward <br />such request to CIGNA Behavioral for handling except that the.Plan shall retain and <br />handle all requests to the extent that they pertain to individually identifiable health <br />information (i.e. enrollment information}originated by the Plan, Plan Sponsor, or its <br />other business associates. CIGNA Behavioral shall respond to such forwarded <br />requests as well as to any such requests that it receives directly as required by <br /> <br />3 <br />
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