As We Get Started Working Together, Lets Make Sure We Stay Compliant

Between the employers who contract direct with us at Self Insured Reporting, and the various different types of partners we work with, things can get tricky.  To help we have worked with our attorney who is an expert in HIPAA and are providing the guidelines and information below.  This section is for informational purposes only, and should not be considered legal advice.

Select Your Company Type Below

Select Your Company Type Below For Compliance Information

Employer Client

If you are an employer directly contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your group medical plan.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Business Associate Agreement (BAA) between:
    • Your Company / Employer, as you are the plan sponsor of your group medical plan (The covered entity) 
    • Self Insured Reporting as a Business Associate
  • Data use release agreement:
    • This is an agreement signed by you as the Employer and Plan Sponsor which will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list these other entities such as your Broker, TPA, Pharmacy Benefit Manager, Reinsurance General Agent, On or Near-Site Clinic, Population Health Management Company or any other relevant vendor.

Benefit Broker

If you are an Employee Benefit Broker contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your client.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Subcontractor Business Associate Agreement (S-BAA) between:
    • Benefit Broker (Business Associate to the Employer and Plan)
    • Self Insured Reporting as your Subcontractor
  • Data use release agreement:
    • This is an agreement signed by your company as a Business Associate to the Employer and Plan and will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list the Employer as the Plan Sponsor, their Plan and any other vendors. 

General Agents

If you are a General Agent contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your client.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Subcontractor Business Associate Agreement (S-BAA) between:
    • General Agent (Business Associate to the Employer and Plan)
    • Self Insured Reporting as your Subcontractor
  • Data use release agreement:
    • This is an agreement signed by your company as a Business Associate to the Employer and Plan and will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list the Employer as the Plan Sponsor, their Plan, Broker, TPA and any other vendors. 

TPAs

If you are a TPA contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your client.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Subcontractor Business Associate Agreement (S-BAA) between:
    • General Agent (Business Associate to the Employer and Plan)
    • Self Insured Reporting as your Subcontractor
  • Data use release agreement:
    • This is an agreement signed by your company as a Business Associate to the Employer and Plan and will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list the Employer as the Plan Sponsor, their Plan, Broker, Reinsurance GA and any other vendors. 

Captives

If you are a Captive contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your client.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Subcontractor Business Associate Agreement (S-BAA) between:
    • General Agent (Business Associate to the Employer and Plan)
    • Self Insured Reporting as your Subcontractor
  • Data use release agreement:
    • This is an agreement signed by your company as a Business Associate to the Employer and Plan and will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list the Employer as the Plan Sponsor, their Plan, Broker, TPA and any other vendors. 

Population Health Company

If you are a Population Health Company contracting with Self Insured Reporting, it is important to understand that we are likely to be working together using Protected Health Information (PHI) from your client.  This will require us to do a few things in order to stay compliant.

  • We need need to executed a Subcontractor Business Associate Agreement (S-BAA) between:
    • General Agent (Business Associate to the Employer and Plan)
    • Self Insured Reporting as your Subcontractor
  • Data use release agreement:
    • This is an agreement signed by your company as a Business Associate to the Employer and Plan and will direct us as Self Insured Reporting in regard to which of your vendors we can receive and/or provide PHI to.
    • In this document, you will list the Employer as the Plan Sponsor, their Plan, Broker, TPA and any other vendors.