2003-03-26 CC Packet - Laserfiche WebLink

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;, information that includes Protected Health Information and is maintained, collected, used, or dissem;nsttM by or for the Group Health Plan. "Group Health Plan" shall mean the Group Health Plan (as defined in the Btnployee Retirement Income Security Act of 1974, as amended, (ERISA) at 29 U.S.C. ~iI91b(a)) maintained by the Plan Sponsor that is identified in tbis Agreement as the health Plan for or on behalf of which CIGNA Behavioral is obligated to perform any function or activity involving the use or disclosure of Protected Health Information pursuant to this Agreement. "Individually Identifiable Health Information" shall mean information that is a subset of health information, including demographic informatiQn collected from an individual, and: (i) is created or received by a health care provider, Health Plan; health care clearinghouse (as those terms are defined in the Privacy Standards), or employer; and (ii) relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present or future payment for the provision of health care to an individual; and (a) identifies the individual, or (b) with respect to which ~ere is a re.asonable basis to believe the information can be used to identify the individual. "Privacy Standards" shall mean the Standards for Privacy of Individually Identifiable Health Information, 4S C.F.R. Parts 160 and 164. "Protected Health Information" shall mean. Individually Identifiable Health Information transmitted or maintained in any form or medium that CIGNA Behavioral creates or receives from or on behalf of the Group Health Plan in the course of 1111ti11ing its obligations under this Agreement. "Protected Health Information" shall not include (i) education records covered by the Family Educational Rights and Privacy Act, as amended, 20 U.S.C. ~1232g, and (ii) records described in 20 U.S.C. ~1232g(aX4)(BXiv). "Secretary" shall mean the Secretary of the United States Department of Health and Human Services. "SummAry Health Wormation" shall mean information, that may be Individually Identifiable Intbrmation, and (i) that summarizes the claims history, claims expenses, or type of claims experienced by individuals covered by the Group Health Plan; and Cn) from which the information descn"bed at 4S C.F.R. ~164.S14(bX2Xi) has been deleted, except that the geographic information described in 4S C.F.R. ~164.S14(b)(2Xi)(B) need only be aggregated to the level of a five-digit zip code. 6