HIPAA Policy Templates for Group Health Plans of Self-Insured Employers
For employers whose self-insured group health plans are administered by a TPA. Covers the obligations of the plan and of the plan sponsor.
Clear separation between the plan and the plan sponsor.
These policies are designed for employers whose group health plans are outsourced to TPAs, and whose role involves enrollment, termination, and open enrollment activities, occasional advocacy for employees regarding coverage decisions, and review and approval of claim payments.
They address both the policy requirements for the covered entity (the employee benefit plan) and the procedures required of the plan sponsor.
Employers with more extensive involvement in claims adjudication, stop-loss coverage decisions, or other plan operations may need additions to these policies. Eagle can help.
What you get.
Bring your plan into compliance with HIPAA rules for self-insured plans.
Saves thousands of dollars in consulting fees.
Edit in Microsoft Word to fit your organization.
Satisfaction guaranteed by Eagle, a leading consultant for IT security policies in healthcare.
What’s included.
Every policy is delivered in Microsoft Word, organized by audience so staff read only what applies to them.
HIPAA policies and procedures
- 1000HIPAA Policy Definitions
- 1010HIPAA: General Rules
- 1020Minimum Necessary Policy and Separation of Plan from Plan Sponsor
- 1030Confidentiality Safeguards (Oral and Written)
- 1050Plan Sponsor Communications with Members regarding the Plan
- 1300Contracting with Third Parties
- 1320Non-intimidation and Non-retaliation
- 1330HIPAA Assignments and Documentation
- 1350Policy Updating and Staff Training
HIPAA security policies
- 2000HIPAA Security Officer and Security Management Process
- 2030Breach Reporting
- 2040Technical Safeguards and Facility Security
- 2050Reporting of Privacy/Security Violations, Plan Sponsor Employee Sanctions, and Mitigation
Appendices
- Appendix A: Required Designations
- Appendix B: Certification Statement
- Appendix C: Minimum Necessary and Separation Provisions
- Appendix D: Release Form for Plan Sponsor Advocacy
- Appendix E: Sample Business Associate Agreement
Gary Pritts, Founder and President
Gary Pritts is Founder and President of Eagle Consulting Partners. He began his HIPAA work providing technical input during the federal government's original drafting of the HIPAA regulations, and has since served more than 1,000 organizations as a consultant, as well as serving as a hospital trustee and as CSO for a cloud healthcare messaging company. Gary studied computer science at Purdue University and holds an MBA from Harvard Business School.
His work with medium and large organizations that sponsor self-insured group health plans, and his time as an executive in a health claims clearinghouse, led to policies that address both the plan sponsor’s obligations and the plan’s own.
HIPAA Policy Templates for Group Health Plans of Self-Insured Employers
Instant download in Microsoft Word. Perpetual license for a single organization. Satisfaction guaranteed.
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Need policies built around your organization?
Eagle can tailor any template to your risk assessment, or write custom policies from the ground up. Call us, or send a note and we will follow up.
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