Sentences with phrase «protected by your health plan»

Although copays, coinsurance, and especially deductibles can be quite expensive, you're protected by your health plan's out - of - pocket maximum.

Not exact matches

These risks and uncertainties include food safety and food - borne illness concerns; litigation; unfavorable publicity; federal, state and local regulation of our business including health care reform, labor and insurance costs; technology failures; failure to execute a business continuity plan following a disaster; health concerns including virus outbreaks; the intensely competitive nature of the restaurant industry; factors impacting our ability to drive sales growth; the impact of indebtedness we incurred in the RARE acquisition; our plans to expand our newer brands like Bahama Breeze and Seasons 52; our ability to successfully integrate Eddie V's restaurant operations; a lack of suitable new restaurant locations; higher - than - anticipated costs to open, close or remodel restaurants; increased advertising and marketing costs; a failure to develop and recruit effective leaders; the price and availability of key food products and utilities; shortages or interruptions in the delivery of food and other products; volatility in the market value of derivatives; general macroeconomic factors, including unemployment and interest rates; disruptions in the financial markets; risk of doing business with franchisees and vendors in foreign markets; failure to protect our service marks or other intellectual property; a possible impairment in the carrying value of our goodwill or other intangible assets; a failure of our internal controls over financial reporting or changes in accounting standards; and other factors and uncertainties discussed from time to time in reports filed by Darden with the Securities and Exchange Commission.

The planning was set in motion by President Jimmy Carter's directive to Congress on February 12, 1980, wherein he said, «My paramount objective in managing nuclear wastes is to protect the health and safety of all Americans, both now and in the future.»

While not mandated by law, best youth sports health and safety practices require that school, independent and community - based youth sports organizations develop, implement, and practice an emergency action plan (EAP) to protect the safety of athletes, spectators, coaches, and officials in case of a medical emergency.

Mass Audubon supports the passage of An Act establishing a comprehensive adaptation management plan in response to climate change, which prepares Massachusetts for the impacts of climate change by identifying where we are most vulnerable and taking measures to protect public health, public safety and the economy.

An initial strong Resolution proposed by Swaziland and Uganda to protect infant health, prompted several days of behind the scenes wrangling, where Canada and the US called for the deletion of everything except a single line adopting the Implementation Plan.

Recognizing the key role in protecting and promoting breastfeeding played by health workers, particularly nurses, midwives and those in child health / family planning programmes, and the significance of the counselling and support provided by mothers groups;

The government's plans to protect health and aid budgets have been attacked as unjustified by the British Chambers of Commerce (BCC).

«These women are leading the fight to protect middle class families by raising the minimum wage, ensuring equal pay for equal work, protecting funding for Planned Parenthood, women's health care access, and reproductive rights,» Matthews said of the endorsements in a statement.

Also, a great book for understanding brain health is «Power Foods For the Brain — an effective 3 step plan to protect your mind and strengthen your memory» By Dr. Neal Barnard.

Direct Equity Exposure — 2.5 Lakhs (Shares of Asian Paints) Life Insurance Term Plan HDFC Life Click 2 Protect — 1 crore (Insured value) Other Insurance plans LIC — 2000 / Month (all plans put together) PPF — 20000 / Year Health Insurance — Provided by Employer MF — SIP's ICICI Direct Focused Blue chip — 1000 / month (10 year horizon) Franklin India Smaller Companies Fund GROWTH — 2000 / month (10 year horizon)

In the midst of change, like retirement or a career switch, it's important that you continue to protect your finances against health - related expenses not covered by your provincial health insurance plan.

Instead they are wasting taxpayer money and protecting their big polluter allies by trying again to block the enormous health and safety protections that will be delivered by the Clean Power Plan, and keep our country from acting on climate change.

Among the accomplishments cited by the task force in safeguarding natural resources was the release on Friday of a National Action Plan: Priorities for Managing Freshwater Resources [PDF] to «help freshwater resource managers assure adequate water supplies, safeguard water quality, and protect human life, health, and property.»

Decision - makers, by contrast, need to understand how climate change may interfere with their plans and compromise their objectives, so they can adapt existing policies and adopt new strategies to stay on track — whether to protect life, health, and well - being, sustain economic growth, preserve natural resources, ensure continued performance of critical infrastructure, or maintain national security.

Protected health information is any information created or received by care providers, health plans, life insurance companies, public health authority, employer, educational institution or healthcare clearinghouse in any form including oral or electronic.

Valerie Scott said sex workers should be able to work with the Canada Revenue Agency, be protected by occupational health and safety rules and workers» compensation and «pension plans!

Response: As long as the employees have been identified by the group health plan in plan documents as performing functions related to the group health plan (consistent with the requirements of § 164.504 (f)-RRB-, those employees may have access to protected health information.

In addition, the final rule allows a covered health care provider or health plan to use or disclose protected health information pursuant to an authorization that was approved by a single IRB or privacy board, provided the authorization met the requirements of § 164.508.

We recognize plan sponsors» legitimate need for health information in certain situations while, at the same time, protecting health information from being used for employment - related functions or for other functions related to other employee benefit plans or other benefits provided by the plan sponsor.

To avoid this unintended result, the final rule permits covered health care providers and health plans to use or disclose protected health information for research if the covered entity obtains from the researcher representations that: (1) Use or disclosure is sought solely to review protected health information as necessary to prepare a research protocol or for similar purposes preparatory to research; (2) no protected health information is to be removed from the covered entity by the researcher in the course of the review; and (3) the protected health information for which use or access is sought is necessary for the research purposes.

In the final regulation we allow group health plans to disclose protected health information to plan sponsors if the plan sponsor voluntarily agrees to use the information only in accordance with the purposes stated in the plan documents and as permitted by the regulation.

We believe that this additional waiver criteria provides additional assurance that protected health information will not be misused by researchers, while not imposing the additional burdens of a contractual requirement on covered health care providers and health plans.

If a group health plan provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and the group health plan creates or receives protected health information in addition to summary information (as defined in § 164.504 (a)-RRB- and information about individuals» enrollment in or disenrollment from a health insurance issuer or HMO offered by the group health plan, the group health plan must maintain a notice that meets the requirements of this section and must provide the notice upon request of any person.

Plan sponsors have access to protected health information only to the extent group health plans have access to protected health information and plan sponsors are permitted to use or disclose protected health information only as would be permitted by group health plPlan sponsors have access to protected health information only to the extent group health plans have access to protected health information and plan sponsors are permitted to use or disclose protected health information only as would be permitted by group health plplan sponsors are permitted to use or disclose protected health information only as would be permitted by group health plans.

For example, when the U.S. Department of Labor's Pension and Welfare Benefits Administration (PWBA) needs to analyze protected health information about health plan enrollees in order to conduct an audit or investigation of the health plan (i.e., the enrollees are not subjects of the investigation) to investigate potential fraud by the plan, the health plan may disclose protected health information to the PWBA under the health oversight rules.

The final rule permits individuals to receive communications of protected health information from a covered health care provider or a health plan by an alternative means or at an alternative address.

For example, when the U.S. Department of Labor's Pension and Welfare Benefits Administration (PWBA) needs to analyze protected health information about health plan enrollees in order to conduct an audit or investigation of the health plan (i.e., the enrollees are not subjects of the investigation) to investigate potential fraud by the health plan, the health plan may disclose protected health information to the PWBA under the health oversight rules.

However, even when an health insurance issuer or HMO acts as a business associate of a group health plan, the group health plan has no right of access to the other protected health information maintained by the health insurance issuer or HMO.

The rule permits protected health information to be used or disclosed by a health plan to determine or fulfill its responsibility for provision of benefits under the health plan.

To provide access to protected health information by the group health plan, a plan sponsor will have to assess the current flow of protected health information from their issuer and determine what information is necessary and appropriate.

In addition, group health plans that provide health benefits only through an insurance contract and do not create, maintain, or receive protected health information (except for summary information described below or information that merely states whether an individual is enrolled in or has been disenrolled from the plan) do not have to meet the notice requirements of § 164.520 or the administrative requirements of § 164.530, except for the documentation requirement in § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plan.

In the final rule, we eliminate this proposed section of the notice, and we state that health plans and covered health care providers may use and disclose protected health information of Armed Forces personnel for activities considered necessary by appropriate military command authorities to assure the proper execution of a military mission, where the appropriate military authority has published a Federal Register notice identifying: (1) The appropriate military command authorities; and (2) the purposes for Start Printed Page 82705which protected health information may be used or disclosed.

A health plan must accommodate reasonable requests by individuals that protected health information about them be sent directly to them and not to a policyholder or subscriber, if the Start Printed Page 82731individual states that he or she may be in danger from disclosure of such information.

Comment: A few commenters asserted that the requirement to include a statement in which the patient acknowledged that information used or disclosed to any entity other than a health plan or health care provider may no longer be protected by federal privacy law would be inconsistent with existing protections implemented by IRBs under the Common Rule.

They must also describe each of the purposes for which the covered entity is permitted or required by this subpart to use or disclose protected health information without the individual's written consent or authorization (even if they do not plan to make a permissive use or disclosure).

We limit the employees of the plan sponsor who may receive protected health information to those employees performing plan administration functions, as that term is understood with respect to ERISA compliance, and as limited by this rule's definitions of payment and health care operation.

We proposed to permit a covered health care provider or health plan to deny a request for amendment if it determined that the protected health information that was the subject of the request was not created by the covered provider or health plan, would not be available for inspection and copying under proposed § 164.514, or was accurate and complete.

In the NPRM we proposed to permit covered entities to disclose protected health information to a government agency, or to a private entity acting on behalf of a government agency, for inclusion in a government health data system collecting health data for analysis in support of policy, planning, regulatory, or management functions authorized by law.

We resolve this inconsistency by clarifying in § 164.508 (b)(4) that, with certain exceptions, a covered entity may not condition the provision of treatment, payment, enrollment in a health plan, or eligibility for benefits on an authorization for the use or disclosure of any protected health information, including psychotherapy notes.

Specifically, in order for a plan sponsor to obtain without authorization protected health information from a group health plan, health insurance issuer, or HMO, the documents under which the group health plan was established and is maintained must be amended to: (1) Describe the permitted uses and disclosures of protected health information by the plan sponsor (see above for further explanation); (2) specify that disclosure is permitted only upon receipt of a written certification that the plan documents have been amended; and (3) provide adequate firewalls.

In the final rule, we recognize plan sponsors» legitimate need for health information in certain situations while, at the same time, protecting health information from being used for employment - related functions or for other functions related to other employee benefit plans or other benefits provided by the plan sponsor.

The final rule permits group health plans, and allows them to authorize health insurance issuers or HMOs with respect to the group health plan, to disclose protected health information to plan sponsors if the plan sponsors voluntarily agree to use and disclose the information only as permitted or required by the regulation.

Where a health plan that is a government program provides public benefits, such as SCHIP and Medicaid, and where eligibility for, or enrollment in, the health plan is determined by an agency other than the agency administering the health plan, or where the protected health information used to determine enrollment or eligibility in the health plan is collected by an agency other than the agency administering the health plan, and the joint activities are authorized by law, no business associate contract is required with respect to the collection and sharing of individually identifiable health information for the performance of the authorized functions by the health plan and the agency other than the agency administering the health plan.

Comment: Many commenters, representing health care providers, argued that if the request was being made by a health plan, the health plan should be required to request only the minimum protected health information necessary.

If a health plan receives protected heath information for the purpose of underwriting, premium rating, or other activities relating to the creation, renewal, or replacement of a contract of health insurance or health benefits, and if such health insurance or health benefits are not placed with the health plan, such health plan may not use or disclose such protected health information for any other purpose, except as may be required by law.

Any employee of the plan sponsor who receives protected health information for payment, health care operations or other matters related to the group health plan must be identified in the plan documents either by name or function.

In the final rule, we do not change the general approach of defining health care operations: health care operations are the listed activities undertaken by the covered entity that maintains the protected health information (i.e., one covered entity may not disclose protected health information for the operations of a second covered entity); a covered entity may use any protected health information it maintains for its operations (e.g., a plan may use protected health information about former enrollees as well as current enrollees); we expand the proposed list to reflect many changes requested by commenters.

(iii) Not disclose and may not permit a health insurance issuer or HMO to disclose protected health information to a plan sponsor as otherwise permitted by this paragraph unless a statement required by § 164.520 (b)(1)(iii)(C) is included in the appropriate notice; and (iv) Not disclose protected health information to the plan sponsor for the purpose of employment - related actions or decisions or in connection with any other benefit or employee benefit plan of the plan sponsor.

(ii) A group health plan that provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and that creates or receives protected health information in addition to summary health information as defined in § 164.504 (a) or information on whether the individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan, must: