PMTo: WEDI SNIP Privacy Workgroup ListSubject: RE:
Disclosing Claims Info to Fully-Insured Group Moving to Self- Fund
ed
I
agree. Any plan has the right to amend their plan documents to obtain this
information. I was only trying to answer the question, how can we give the
GHPthis
Title: Disclosing Claims Info to Fully-Insured Group Moving to Self-Funded
According to what I know about this, you would only be able to provide
this type of information to the GHP if they certified to you that they amended
their plan documents. But, I might be missing something.
Deborah
There's a complete discussion of this issue in the WEDI SNIP Privacy
Policies and Procedures Ver. 2.0 (fully updated for the 8/14
modifications to the Privacy Rule.) Look at the Group Health Plans
chapter in the General section. For a copy head to snip.wedi.org and
click on work products --
