On your unrelated matter, I, too, don't see where there is a business
associate relationship between a dental insurer and the law firm, or even
between the dental insurer and the law firm's "group health plan."  

The U.S. Department of Health and Human Services Office of Civil Rights, the
agency charged with enforcement of the HIPAA Privacy Rules, recently issued
guidance that specifically addresses this point.  The guidance (which can be
found at http://www.hhs.gov/ocr/hipaa/privacy.html) states the following at
p. 52:

"Q:  Is a health insurance issuer or HMO who provides health insurance or
health coverage to a group health plan a business associate of the group
health plan?

A:  A health insurance issuer or HMO does not become a business associate
simply by providing health insurance or health coverage to a group health
plan.  The relationship between the group health plan and the health
insurance issuer or HMO is defined by the Privacy Rules as an organized
health care arrangement (OHCA), with respect to the individuals they jointly
serve or have served.  Thus, these covered entities are permitted to share
protected health information that relates to the joint health care
activities of the OHCA. . . . "
 

The guidance also states, at pp. 47-48:

"Q:  Are covered entities that engage in joint activities under an organized
health care arrangement (HCA) required to have business associate contracts
with each other?

A:  No.  Covered entities that participate in an OHCA are permitted to share
protected health information for the joint health care activities of the
OHCA without entering into business associate contracts with each other. . .
. "

I hope this is helpful.  Judi


Judith A. Langer, Attorney
Privacy Official
Cobalt Corporation

The opinions expressed in this e-mail are my own and not necessarily those
of Cobalt Corporation.


-----Original Message-----
From: Jason Cantos [mailto:[EMAIL PROTECTED]
Sent: Tuesday, April 01, 2003 12:24 PM
To: WEDI SNIP Privacy Workgroup List
Subject: business associate questions


I work in a small law firm.  A couple of our clients asked us to sign 
business associate agreements.  These business associate agreements require 
the law firm to adopt HIPAA specific policies and procedures.  Are there any

business associates (law firms specifically) that are doing this?

On an unrelated matter, the provider of our dental insurance asked us to 
sign a business associate agreement, with us as the business associate--I 
just don't see how we are a business associate in this situation.

Thanks so much for your help.





_________________________________________________________________



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