Brenda, the 834 issue was discussed in detail from the provider's point
of view (as an employer) this week in the thread entitled "Covered
Entity as an Employer," in the archives at
http://www.mail-archive.com/wedi-transactions%40lists.wedi.org/. On
Thursday, in the same thread, Kathleen Connor included a detailed
exposition of the 834 and 820 requirements with respect to
employer-sponsored ERISA health plans; this background is applicable to
your situation.

Your analysis of the 834 and 820 usage seems reasonable (i.e., that the
834 would not be used for the census, nor would the 820 be used for
employee deductions for health care costs). But the reasoning has
nothing to do with the administrator not being a health plan. The Third
Party Administrator (often an insurance company in its own right) is the
business associate of your self-administered health plan, and must
support the 820 and 834 when applicable; see Kathleen's variation (3).

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: <[EMAIL PROTECTED]>
To: "WEDI SNIP Transactions Workgroup List"
<[EMAIL PROTECTED]>
Sent: Friday, 21 March, 2003 11:12 AM
Subject: Group Health Plan - 820 and 834 transactions



My legal department has determined that we are a 'group health plan' for
both the medical and dental coverage we provide to our employees and
therefore must abide by the regulations for the 834 and 820 transaction.
Based on that, we have come to several conclusions that I would like to
get confirmation on, and also have an outstanding question.

1. We have 2 types of Flexible Spending Accounts, a Personal Spending
Account for Medical expenses and a Personal Spending Account for
Dependent Care expenses. We utilize a vendor to administer the benefit
and send them a census file in addition to a wire transfer for the
employee deductions.

For the 834 transaction, the regulation clearly states that it is for
the subscriber enrollment information to a health plan to establish or
terminate insurance coverage. We feel that the census file to the
administrator doesn't meet the criteria since it is not for the
enrollment or disenrollment into a health plan for insurance coverage,
and because the administrator is not a health plan.

For the 820 transaction, the regulation states that it is the
transmission of certain data from the entity that is arranging for the
provision of health care or is providing health care coverage payments
for an individual to a health plan. We have determined that we don't
need to use the standard since the funds are employee deductions for
health care costs and not premium payments, and also because the
administrator is not a health plan.

2. We utilize a software package provided by our bank to transfer funds
from our bank account to a health plans account for premium payments.
Does this transaction require the use of the standard 820 format or is
the financial institution excluded from being compliant?

Appreciate any input.

Brenda Joubert
Project Leader
Harvard Vanguard Medical Associates
[EMAIL PROTECTED]


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