Book - Softcover

Quick Reference to HIPAA Compliance, 2016-2017 Edition

Quick Reference to HIPAA Compliance, 2016-2017 Edition

Quick Reference to HIPAA Compliance, 2016-2017 Edition

Contributor(s)
By Pamela Sande, Joan Vigliotta
Publish Date
08/10/2016
Product Line
Wolters Kluwer Legal & Regulatory U.S.
Available formats

Details

Quick Reference to HIPAA Compliance is a guide for human resources managers and employee benefits professionals who administer employer-sponsored health plans, health care providers, and anyone who needs to understand and comply with all the regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Quick Reference to HIPAA Compliance provides essential information in an easy-to-use format, and includes practical tools such as:

  • Charts
  • Checklists
  • Sample notices
  • Worksheets
  • Flowcharts
  • And more!
SKU: 10045000-7777

CHAPTER 1. OVERVIEW

  • § 1.01 HIPAA
  • § 1.02 Purpose of This Guide

CHAPTER 2. COVERED PLANS

  • § 2.01 In General
  • § 2.02 Group Health Plans
  • § 2.03 Exempt Plans
  • § 2.04 Excepted Benefits

CHAPTER 3. SPECIAL ENROLLMENT RIGHTS FOR INDIVIDUALS WHO LOSE COVERAGE

  • § 3.01 In General
  • § 3.02 Special Enrollment Rights for Individuals Who Lose Other Coverage
  • § 3.03 Special Enrollment Periods for Dependents
  • Exhibit 3-1 Job Aid for Notice of Enrollment Rights; Model Description
  • Exhibit 3-2 Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)

CHAPTER 4. NONDISCRIMINATION RULES

  • § 4.01 In General
  • § 4.02 Nondiscrimination in Eligibility
  • § 4.03 Nondiscrimination in Benefits
  • § 4.04 Nondiscrimination in Premiums or Contributions
  • § 4.05 Special Rules and Exceptions
  • § 4.06 Multiemployer and Multiple-Employer Plans

CHAPTER 5. REPORTING AND DISCLOSURE REQUIREMENTS

  • § 5.01 In General
  • § 5.02 Notice to Employees
  • § 5.03 SPD Requirements

CHAPTER 6. RULES FOR GROUP HEALTH INSURERS

  • § 6.01 Guaranteed Renewability Requirements
  • § 6.02 Guaranteed Availability Requirements
  • § 6.03 Disclosure Requirements

CHAPTER 7. HIPAA PRIVACY AND SECURITY REQUIREMENTS

  • § 7.01 Overview and Compliance Dates
  • § 7.02 Covered Entities
  • § 7.03 Effect of HIPAA on Fully Insured Plans
  • § 7.04 Business Associates
  • § 7.05 Protected Health Information
  • § 7.06 Disclosure of PHI
  • § 7.07 Plan Document Requirements
  • § 7.08 Privacy Notice
  • § 7.09 Individual’s Rights to PHI
  • § 7.10 Administrative Requirements for Covered Entities to Ensure Privacy
  • § 7.11 Enforcement and Penalties
  • § 7.12 The Security Rule
  • § 7.13 How Does the Plan Sponsor Comply—A Practical Roadmap
  • Exhibit 7-1 Checklist to Determine Compliance with HIPAA Privacy Rule
  • Exhibit 7-2 Checklist to Determine Compliance with HIPAA Security Rule

CHAPTER 8. PENALTIES FOR NONCOMPLIANCE

  • § 8.01 General Information
  • § 8.02 IRS Penalties; Corrections and Waivers
  • § 8.03 IRS Penalties; Minimum and Maximum Amounts

CHAPTER 9. HIPAA AND OTHER LAWS

  • § 9.01 In General
  • § 9.02 State Insurance Laws and ERISA Preemption
  • § 9.03 Consolidated Omnibus Budget Reconciliation Act
  • Exhibit 9-1 Job Aid: Life Events Compliance Checklist
  • § 9.04 Health Flexible Spending Accounts

CHAPTER 10. FREQUENTLY ASKED QUESTIONS

  • § 10.01 Special Enrollment Requirements
  • § 10.02 Nondiscrimination Requirements
  • § 10.03 Privacy Rules

CHAPTER 11. REGULATIONS, NOTICES, AND OTHER GOVERNMENT PUBLICATIONS

  • § 11.01 Notice of Changes Under HIPAA to COBRA
  • § 11.02 HIPAA Final Rules, Privacy Standards
  • § 11.03 HIPAA Final Rules, Portability
  • § 11.04 HIPAA Final Rules, Administrative Simplification Enforcement
  • § 11.05 HIPAA Final Rules, Nondiscrimination and Wellness Benefits
  • § 11.06 American Recovery and Reinvestment Act of 2009, Privacy
  • § 11.07 Health Breach Notification, Prop
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