HomeMy WebLinkAboutContract 45272 C1111 SSE CRETARY
CONTRACT
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BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement ("Agreement") is entered into on this 23'd day of
Decema ber, 20,13(the "Effective Date"), by and between CITY' OF FT, WORTH on behalf of
the Group Hie,alth and Welfare Plans of CITY OF FT. WORTH, ("Covered Entity") and
Galllalgher Benefit Services, Inc. ("Business Associate").
RECITALS-
WHEREAS, over Entity and Business Associate mutually desire to out,linie their
individual responsibilities wit respect, to the use a,nd/or disclosure of Protected Health
Information ("PHI") as mandated by the Privacy Rule from u,lgated under the Administrative
Simplifications subtitle of the Health Insurance Portability aind, Accountability Act of 1996
("HI PAW") including gall pertinent regulations issued by the U.S. Department of Health and
Human Services as outlined in 4,5 C.F.R. Parts, 160, 162 and 164; (''HIP Privacy Rules
andlor Security Standards,") an d
WHEREAS,, Covered Entity end Business Associate u,ndersta,nd and agree that th,e
HIPAA Privacy, Ru�ll,ies and, Security Standards requires the Covered Entity and Business
Associate enter into a Business Associate Agreement whi,ch, shall govern the use and/or
disclosure of PHI and the security of PHI and e,PHI.
NOW,,THEREFORE,, the parties hereto, agree as follows:
1. Definitions. When used in this Agreement and capitalized, the following
terms, have the following meanings:
(a,) "Breach" shall have the same meaning as the term "'Breach"" in 45
C.F.R. §164.402.
(b) "Electronic Protected Health, Information" or "ePHI'" shall have the,
same meaning as the term "Electronic Protected Health, Information" in 4,5 C.F.R.
§ 160-103-
(c) Individuall" shall have the same meaning as the term "Individual" in
45 C.F.R. 1610,.103 an shall include a person who qualifies as a, personal
representative in accordance with 45 C.F.R. §11,614.502(g).,
(d) "Privacy Rule"" shall mean the Standards for Privacy of Individual
Identifiable Health, Information, as set forth at 45 C.F.R. Part 160 an,d 45 C.F.R. Part
164 Subparts,A and E.,
11111 a eaning
(e) Protected Health Information"" or "PHI"' shall have the same rn
as the term protected health information" in 1451 C. . . § 160.103, limited to th,e
OFFICIAL RECORD
ITY SECRETARY
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information created or received' by Business Associate from or on behalf of Covered
Entity.
(f) "Required by Law"" shall have the same mea,ning as the term "required
by law" in 45 C.F.R. § 164.103.
(g) "'Secretary"' shall have the same meaning as the term "Secretary," in 45
C.F.R. § 160.103.1
(h) °'Security Incident"shall have the same meaning as the term "Se u ity
Incident" in 45 C.F.R. § 164.304.
(1) "Security Rule*"shall mean the Standards for Security of PHI, including
ePHI, as set forth at 45 C.F.R. Part 160 and 45 C.F.R. Part 164 Subparts A and C.
(J) "'Unsecured Protected Health Information" shall have the same
meaning as the term "'Unsecured Protected Health Information"' in 45 C.F.R.
§ 164.402-
Terms, used but not defined in this Agreement shall have the same meaning as those
terms in the HIPAA re�guilatio�ns.
241 Ii anions and Activities of BuMiness,Associate Rggarding PHA.
(a) Business Associate agrees to not use or further disclose PHI other than
as permitted or required by this Agreement or as Required by Law.
(b) Business Associate agrees to use appropriate safeguards to prevent
use or disclosure of the PHI other than as provided for by this Agreement.
(c) Business Associate agrees to ensure that any agents, including sub-
contractors (excluding entities that are merely conduits that transport information
but do not access it other than on a raindorn or infrequent basis as necessary for the
performance of the transportation service or as required by law), to whom it
provides PHI agree, to the same restrictions and conditions that apply to Business
Associate with respect to such information.,
(d) Business Associate agrees to provide access., at the request of Covered
Entity, and in a reasonable time and manner designated by Covered Entity, to PHI in a
Designated Record Set that is not also in Covered Entity's possession, to Covered
Entity in, order for Covered Entity to meet the requirements, Linder 45 C.F.,R.
§ 164-524.
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(e) Business Associate agrees to make any amendment to PHI in a
Designated Record Set that the Covered Entity directs or agrees to pursuant to 45
C.F.R. § 164.526 in al reasonable time and manner designated by Covered Entity.,
(f) Business Associate agrees to make internal practices books and
records relating to the use and disclosure of PHI avail ablle to the Secretary, in a
reasonable time and manner as designated by the Covered Entity or Secretary, for
p,urposes, of the Secretary determini ng Covered Entity's comp:liance with the Privacy
Rule. Business Associate shall immediately notify Covered Entity upon receipt or
notice of any request by the Secretary to conduct an investigation with respect to PHI
received from the Covered Entity.
(g) Business Associate agrees to document any disclosures of PHI that are
not excepted under 45 C.F.R. § 164.528(a)(1) as would be required for Covered Entity
to respond to a requles,t by an Individual for an accounting of disclosures of PHI in
accordance with 45 C.F.R. § 164.528-
(h) Business, Associate agrees, to provide to Covered Entity or an,
Individual, in a time and manner designiated by Covered Entity, information collected
in accordance with, paragraph (g) above, to permit Covered Entity to, respond to a
request by an Individual for an accounting of disclosures of PHI in accordance with 45
C.F.R. § 164-528.
(1) Business Associate agrees to use or disclose PHI pursuant to the,
request of Covered Entity; provided, however, that Covered Entity shall not request
Business Associate to use or disclose PHI in any manner that would not be
permissible under the Privacy Rule if done by Covered Entity.
3. Permitted Uses and Disclosures of PHI by Business Assoc1ate.
(a) Bu mess Associate may use or disclose PHI to perform functions,
activities or services for, or on behalf of, Covered Entity in accordance with Business
►ssociate's then current service agreement with the Covered Entity, provid,eld that
such use or disclosure would not violate the Privacy Rule if done by Covered Entity.
(b) Business Associate may use PHI for the proper, mainialgemeint and
administration of Business Associate, and to carry out the legal responsibilities of
Business Associate.
(c) Business Associate ma ay disclose PHI for the proper management and
administration of Business Associate and to carry out the legal responsibilities of
Business Associate if:
(i) such disclosure is Required by Law, or
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00 Business Associate obtains from the person to whom the
information is disclosed reasonable assurances that meet the
requirements of HI,P,AA (including, but not limited to a Separate
agreement with the person) and that provide that such information
will remain confidential and ulsed or further disclosed only as Required
by Law or for the purposes, for which it was disclosed to the person,
and the person agrees to notify Business Associate of any instances of
which, it is aware that the confidentiality of the information has been
breached.
(d) Business Associate shall limit the PHI to the extent practicable, to the
limited data set or if needed by the Business, Associate, to the minimum necessary to
accomplish the intended purpose of such use, disclosure or request subject to
exceptions set forth in the Privacy Rule.
(e) Business Associate may use PHI to provide Data Aggregation services
to Covered Entity as permitted by 45 C. .I § 164.504(e)(2)('i)(B).
4. ObRizations of Covered Re Emit -garding PHI.
(a) Covered Entity shall provide Business Associate with the notice of
privacy practices that Covered Entity produces, in accordance with 45 C-F.R.
§ 164.520, as well as any changes to such notice:.
(bi) Covered, Entity shall provide Business Associate with any chainges in, or
revocation, of, authorization by an Individual to use or disclose PHI, if such changes
affect Business Associate's perm,itted, or required uses and disclosures.
(c) Covered Entity shall notify Business Associate of any restriction to the
use or disclosure of PHI that Covered Entity has agreed to in accordance with 45
C.F.,R. § 164-52211 if such restrictions affect Business Associate's permitted or required
uses and disclosures.
(d), Covered Entity shall, require all of its employees, agents, and
representatives to be appropriately informed of its legal, obligations pursuant to this
Agreement and the Privacy Rule and Security Standards required by HIPAA and gill
reasonably cooperate with Business Associate in the performance of the mutual
obligations under this Agreement.
Sol Securit y of Protected Health Information.
(a) Business Associate has implemented policies, and procedures, to
ensure that its receipt, maintenance, or transmission of all PHI (including, ePHO,
e ither electronic or otherwise, on behalf of Covered Entity complies, with the
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applica,ble administrative, physicall, and technical safeguards required protecting the
confidentiality, availability and integrity of PHI as requ,iried by the HI' AA Privacy Rules
and Security Standards.
(b) Business Associate agrees that it will ensure that agents or
subcontractors agree to implemient the applicable, administrative, physical, and
technical safeguards required to protect the confidentiality, availability and integrity
of PHI (including ePHI) as required by HIPAA Privacy Rules and Security Standards.
(c) Business, Associate agrees to report to Covered Entity any Security
Incident of which it becomes aware. Business Associate agrees to report the Security
Incident to the Covered Entity as soon as reasonably practicable, but not later than
10 business days from the date the Business Associate becomes aware of the
incident.
(d) Business, Associate agrees to establish procedures to mitigate, to the,
extent possible, any harmful effect that is known, to or reasonably anticipated by
Business Associate of a use or disclosure of PHI, by Business Associate in violation of
this Agreement.
(e) In accordance with the requirements of 45 C.F.R. § 164.410, Business
Associate agrees to immediately notify Covered Entity upon discovery of any Breach
of Unsecured Protected Health Information and provide to Covered Entity, to the
extent available to Business Associate, all information required to permit Covered
Entity to comply with the requirements of 45 C.F.R. Part 164 Subpart D.
(f) Covered Entity agrees and understands that the Covered Entity is
independently responsible for the security of all PHI in its possession (electronic or
otherwise), including all PHI that it receives from outside sources inc,luding the
Business Associate.
(g) Business Associate agrees, and understands that the Business
Associate is, independently responsible for the security of all PHI in its possession,
(electronic or otherwise,), including all PHI that it receives from outside sources
including other Business,Associates or the Covered Entity.
6. Term, and Termination.
(a), Term. This Agreement shall be effective as of the, Effective Date and
shall remain in effect until the Business Associate relationship with the Covered
Entity is terminated and all PHI is returned, destroyed or is otherwise protected as
set forth iin Section 6(d).
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(b) Termination for Cause by Covered Entity. Upon Covered Entity's
knowledge of a material breach by Business Associate, Covered Entity shall provide
an opportunity for Business Associate to cure the breach. If Business Associate does
not cure the breach, wilthin, 30 days from the date that Covered Entity provides notice
of such breach to Business, Associate,, Covered Entity shall have the right to
immediately terminate, this Agreement and the underlying services agreement
between Covered Entity and Business Associate.
(c) Termination by Business Associate.. This Agreement may be
terminated by Business Associate upon 30 days prior written notice to Covered Entity
in the event that Business Associate,, acting in good faith,, bellieves that the
requirements of any law, legislation, consent decree, judicial action, governmental
regulation or agency opinion, enacted, issued, or otherwise effective after the date of
this Agreement and applicable to PHI or to, this Agreement, cannot be met by
Business Associate in a commercially reasonable manner and without significant
addii,tioinal, expense.
(d) Effect of Termination. Upon termination of -this Agreement for ally
reason, at the request of Covered Entity, Business Associate shall return or destroy all
PHI received from Covered Entity, or created or received by Business Associate on
behalf of Covered Entity. Business Associate shall not retain any copies, of the PHI
unless return or destruction is deemeld infeasible. If the return or destruction of PHI
is infeasible, Business Associate shall extend the protections of this Agreement, to,
such PHI and limit further uses and disclosures of such PHI' to those purposes that
make the return or destruction infeasible, for so long as Business Associate maintains
such PHI. For purposes of illustration only and not to lim it the set of circumstances
that could potentially make return or destruction infeasible, it would be infeasible for
Blusiness, Associate to return or destroy certain PHI that is part of work prodiuct that
midst be retained for document retention, arch,ival purposes, as well as PHI that is
stored as a result of backup, e-mail systems that store e-mails for emergency backup
purposes.
7'. Amendment.
The parties may agree, to amend this Agreement from time to time in any other
respect that they deem appropriate. This Agreement shall not be amiended except by
written instrument executed by the parties.
8. Indemnification.
Business Associate shall indemnify and hold harmless Covered Entity from and
against any and all costs, expenses, claims, demands, causes of action, damages, attorneys'
feels and judgments that arise out of or that may be 'imposed upon, incurred by, or brought
against Covered Entity to the extent resulting from a breach of this Agreement or any
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violation of the Privacy Rule or other applicable H1 regulations by Business, Associate.
The indemnification obligations provided for In this Section will commence on the Effective
Date of this Agreement and will suirvive its termina ioln.
To the extent allowed under Texas law,, Covered Entity shaill Indemnify and hold
harmless, Business Associate from and against any are all" costs,, expenses, claims, demands,,
causes ofaction, damages, attorneys," fees and judgments that arise out of or are ire ipos,ed
upon, incurred, by, or brought against Business Associate to the ext'ent directly resulting from
a breach of tl"""eis Agreement or, a,ny viola tion of the Privacy Rule, or other applicable HIPAA
regulations, by Covered Entity. The indemnification obligations provided for in this Section
will commence on the Effective Date of this Agreement and will survive its termination.
9.
S ru
The parties intend this Agreement to, be enforced as, written. Holwever, (i), if any
port,ion or pr ovi i r of thiiis Agreement is to any extent declared illegail or unenforceiable by a
duly authorized court having Jurisdiction, then the remainder of this Agreement, oir the
application of such portion or provision in circumstances other than those as to which it is so
declared illegal or un nforceable, will not, be affected thereby, and each portion and
provision of this Agreement will be valid and enforceable to the fullest extent permitted by
law; and (ii) if any provision, or part thereof, is held to be unenforceable because of the
duration of such provision, the Covered Entity and the Business Associate agree that the
court making such determination will have the power to modify such provision'. and such
modified provision will then be enforceable tio the, full is extent permitted', by law.
lo. Notices.
All notices., requests, consents and other communications hereunder will be in
writing, will be addressed to the receiving party-si address set forth below or to such other
address as a party may designate by notice hereunder, and will be either (i) delivered by
band, (iii) made facsimile transmissi on, (ill') sent by overnight courier, or (iv) sent by
registered mail or certified mall, return receipt requested, postage prepaid.
If to the Covered Entity.11
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.1 References.
reference in this Agreement to a section in the Privacy Rule means the referenced
section or its successor, and for which compliance is required,
12. Headings and Captions.
The headings and captions of the various subdivisions of the Agreement are for
convenience of' reference only and Will in no way modify or affect the meaning or
construction of any of the terms or provisions hereof.
3. Entire A reernuent.
This Agreement sets forth the entire understanding of the, parties with respect to the
subject matter set forth herein anid supersedes all, prior greements, arrangements and
communications, whether oral or written, pertaining to the subject matter hereof.
14. Bindiing Effect.
The provisions of this Agreement shall he binding upon and shall inure to the benefit
of both parties and their respective successors and assigns.
15. N a i'ver of Rights, P owers, and Remedies.
No failure or delay by a party hereto in exercising any right, power or remedy under
this Agreement, and no course of' dealing, between the parties hereto, will operate, as a
waiver of any such right, power or remedy of the party.. No single or partial exercise of any
right, power or remedy under this Agreement by a party hereto, nor any abandonment or
discontinuance of steps to enforce any such right, power or remedy, will preclude such party
from any other or further exercise thereof or the elxercise of any other right, power or
remedy hereunder. The election of any remedy by a party hereto will not constitute a
wrw a,iver of the right of such party to plursue other available rem:edie . No notice to or
demand on a party not expressly required under thiis Agreement will entitle the party
receiving such notice or demand to any other or further notice or demand in similar or other
circumstances or constitute a waiver of the right of the party ,giving such notice or demand
to any other or further action in any circumstances without such notice or clemand. The
terms and provisions of this Agreement may he waived,ed, or consent for the deplarture
therefrom granted, only by written document elxecuted by the party entitled to the benefits
of such terms or provisions. No such waiver or consent will he deemed to be or will
constitute a waiver or consent with respect to any ether terms or provisions of this
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Agreement, whether or not similar. Each such waiver or consent will be effective only in the
specific instance and for the purpose for which it was given, and will not constitute a,
continuing waiver or consent.
16. Governin Law.
This Agreement will be governed by and construed in accordance with the laws of
the State of Texas.
170 Interpretation.
It is the parties" intent to comply strictly with all applicable laws, including without
limitation., HIPAA,, state statutes, or regulations (collectively, the "Regulatory Laws"), in
connection with this Agreement. In the event there shiall, be a change in the Regulatory
Laws, or in the reasoned interpretation of any of the Regulatory Laws or the adoption of new
federal or state legislation, any of which are reasonably likely to materially and adversely
affect the manner in which either party may perform or be compensated under this
Agreement or which shall make this Agreement unlawful, the parties shall' immediately enter
into good faith negotiations regarding a new arrangement or basis for compensation
pursuant to this Agreement that compliies with the law,, regulation or policy and that
approximiates as, closely as possible the economic position of the parties prior to, the change.
In addition, the parties hereto have negotiated and prepared the terms of this Agreement in
good faith with the intent that each and every one of the terms, covenants and conditions
herein be binding upon and inure to the benefit of the respective parties. To the extent this
Agreement is in violation of applicable law, then the parties agree to negotiate in good, faith
to amend this Agreement, to the extent possible consistent with its purposes, to conform to
law.
IN WITNESS WHEREOF, the, partiels have executed this Business Associate
Agreement as of the Effective, Date.
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