We have analyzed it the way Beth has.

Regarding the perspective of agent trade organizations, I have a paper from
the Council of Independent Agents and Brokers that is of the opinion that
agents/brokers/producers are actually covered entities (health plans).  If
anyone on the list is interested, I will summarize their argument.  I do not
agree with their analysis.  I have not yet found out what position NAHU
takes.


Judith A. Langer, Attorney
HIPAA Project Director
Cobalt Corporation (Blue Cross & Blue Shield United of Wisconsin)



-----Original Message-----
From: Beth Kranda [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, March 27, 2002 8:16 AM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: Agent's Rights to PHI


There is a position paper present in the Privacy Policies & Procedures
whitepaper on Brokers and Agents.
I agree with Bill - that Agent is either
1 - a Business Associate of the Health Plan subject to the rights and
restrictions in his BA contract with me
2 - a Business Associate of the Employer/ERISA Plan subject to the same
restrictions as that Employer
3 - none of the above and has no rights unless I have an Authorization or
Personal Representative Form on file from the member.

-Beth Kranda

Bill Bernath wrote:

> Cathy, we've be wrestling with this for a bit.  I wish it was as simple as
it sounds, but we see the agent falling into a couple of categories - one
that works directly for us, that is,  a paid employee of BCBSNC.  We'll
assume that this agent is representing our interests.  The other category is
agents that are not employees, but instead are representing either the
member or the group health plan.   For either category, but especially for
the non-employees, we are leaning towards absolutely no disclosure of PHI
(without proper signed authorization on file, of course).  So far, we have
not been able to come up with instances where an agent would 'need' PHI.  If
someone in the group can make a case for it, I'd be glad to put it in our
mix for further consideration - thx- b
>
> Bill Bernath
> Blue Cross Blue Shield of North Carolina
> Privacy Office
> (919) 765-7006
> [EMAIL PROTECTED]
>
> >>> <[EMAIL PROTECTED]> 03/26/02 08:05PM >>>
> Does anyone in the WEDI SNIP Privacy Workgroup know the
> industry's perspective and the Agents perspective on whether
> Agents should have rights to PHI.  I would really appreciate
> your input on this.
>
> Thank you.
>
> Cathy Kiaha
> Manager, Education and Communications
> HIPAA PMO
>
> PHONE:   (818) 234-3154
> FAX:     (818) 234-3841
> E-MAIL:  [EMAIL PROTECTED]
>
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