Title: RE: Plan Sponsor Certification


For fully-insured group health plans, the current plan is to require a copy of the plan sponsor certification if the group elects to receive PHI other than enrollment and summary health information. 
 
Cindy Eoriatti
Wellmark Blue Cross & Blue Shield of Iowa
(515) 245-4851
 
-----Original Message-----
From: Deborah Campbell [mailto:[EMAIL PROTECTED]]
Sent: Friday, September 20, 2002 10:25 AM
To: Eoriatti, Cindy M.; [EMAIL PROTECTED]
Subject: RE: Plan Sponsor Certification

Can I expand that question to include all group health plans? Not just the self-funded ones?
I'm interested in knowing the answer. There isn't a requirement that the group provide us (insurers administering their plan) with certification, but if they don't supply the certification, it limits the information we can share with the plan sponsor.

Thanks,
Deborah

-----Original Message-----
From: Eoriatti, Cindy M. [mailto:[EMAIL PROTECTED]]
Sent: Friday, September 20, 2002 10:54 AM
To: [EMAIL PROTECTED]
Subject: Plan Sponsor Certification

For those TPA's and insurers who administer a health plan for a self-funded group, are you requiring that the group provide you with a copy of their plan sponsor certification?

There has been considerable debate on this issue.  There is no requirement in the Privacy Rules that a health plan provide a copy of their certification to their business associates, however, others feel it may be considered due diligence to require proof of compliance.

I'd appreciate hearing your thoughts.  Thanks!

Cindy Eoriatti
Wellmark Blue Cross & Blue Shield of Iowa
(515) 245-4851


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