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HomeMy WebLinkAboutContract 46278 ' CITY SECRETAW BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the "BAA") is made and entered into by and between Delta Dental Insurance Company (the"Covered Entity") and City of Forth Worth (the "Business Associate"). Definitions: Business Associate—"Business Associate"shall have the same meaning as the term"business associate"at 45 CFR §160.103, and in reference to the party to this agreement, shall be the party designated as a Business Associate in the first paragraph of this agreement. Covered Entity—"Covered Entity"shall have the same meaning as the term "covered entity" at 45 CFR §160.103, and in reference to the party to this agreement, shall be the party designated as a Covered Entity in the first paragraph of this agreement. Terms capitalized and used herein but not otherwise defined in this Business Associate Agreement ("BAA") shall have the same meaning as those terms are defined in the Health Insurance Portability and Accountability Act and related regulations found at 45 CFR Part 160 and Part 164, and the HITECH Act of 2009 (Health Information Technology for Economic and Clinical Health) as amended, revised or updated from time to time. I. Obligations and Activities of Business Associate. A. Business Associate may use or disclose Protected Health Information ("PHI") as follows: 1. as reasonably necessary to provide the services described in the separate primary agreement with Covered Entity ("Agreement"), and to undertake other activities of Business Associate permitted or required to satisfy its obligations under such Agreement; 2. as Required by Law; 3. for the proper management and administration of Business .7u Associate, provided, that such use or disclosure is Required by M Law; C-) M 4. to carry out the legal and compliance responsibilities of Business M Associate; and r ? 5. to report violations of law to appropriate Federal and State authorities. AFFICBAL RECORD CITY SECRETARY September 17,2013 Page 1 of 7 FT. WORTH,TX I. information that identifies the Individual(s) whose Unsecured PHI has been or is reasonably believed by Business Associate to have been accessed, acquired, used or disclosed during the Breach; 2. a brief description of what happened; 3. a description of the Unsecured PHI involved in the Breach; 4. steps that the Individuals) could take to protect him/herself from potential harm; and 5. a brief description of steps taken by Business Associate to investigate, mitigate or protect against the Breach. G. To the extent applicable, Business Associate shall provide PHI contained in a Designated Record Set held by Business Associate (that is not duplicative of PHI in possession of Covered Entity) to Covered Entity in order for Covered Entity to meet the requirements under 45 CFR §164.524 or 45 CFR §164.526, as applicable. If any Individual requests access to his or her PHI directly from Business Associate, Business Associate shall forward such request to Covered Entity so that Covered Entity can comply with the request. Any disclosure of, or decision not to disclose, the PHI requested by an Individual or a personal representative and compliance with the requirements applicable to an Individual's right to obtain access to PHI shall be the sole responsibility of the Covered Entity. If the PHI that is requested is maintained electronically and the Individual requests an electronic copy of such information, Business Associate will provide access to the information in an electronic format that complies with 45 CFR § 164.524(c)(2)(ii). H. Business Associate shall document disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528. Business Associate shall provide to Covered Entity, within a timeframe mutually agreed to by Covered Entity and Business Associate, information collected in accordance with this Section, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528. If any Individual requests access to the foregoing information directly from Business Associate, Business Associate shall forward such request to Covered Entity so that Covered Entity can comply with the request. I. Business Associate agrees to make its internal practices, books and records, including policies and procedures, relating to the use and disclosure of PHI received from, or created or received by Business Associate on behalf of Covered Entity available to the Secretary of Health and Human Services September 17,2013 Page 3 of 7 s 5. where applicable, rely on the plan sponsor's representations certifying amendments to their plan documents with appropriate restrictions covering their use and disclosure of PHI. III. Term and Termination. A. The term of the BAA shall commence as of the date of execution and shall continue in full force and effect until it expires or is terminated as set forth herein. B. This BAA may be terminated by Covered Entity if Business Associate materially breaches these terms or its Agreement and fails to cure such breach within fifteen (15) business days after receipt of written notice of the breach. This BAA will automatically terminate upon the expiration or termination of the Agreement (or such portion of the Agreement which gave rise to the requirement for this Business Associate Agreement). If, in its reasonable discretion following consultation with the other party, it is determined that neither termination of this BAA nor a cure is feasible; the non-breaching party may report the breach to the Secretary. C. Upon expiration or termination of this BAA for any reason, Business Associate will return or destroy all PHI to Covered Entity. Business Associate shall not retain any copies of the PHI. However, to the extent that Business Associate determines that it is infeasible to return or destroy Covered Entity's PHI, Business Associate shall notify Covered Entity in writing of the conditions that make return or destruction infeasible. For any PHI for which return or destruction is infeasible, Business Associate will 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. If Business Associate elects to destroy all PHI, it shall, if requested in writing by Covered Entity, certify in writing to Covered Entity that such PHI has been destroyed. The terms of this section shall survive the expiration or termination of this BAA. IV. Confidential Information A. "Confidential Information" means any information disclosed by or on behalf of a Party ("Disclosing Party") to the other Party ("Receiving Party") in writing and on whatever medium, concerning the Disclosing Party's business and/or operations and includes without limitation any materials, trade secrets, know-how, formulas, processes, policies and procedures, training materials, September 17,2013 Page 5 of 7 VII. Indemnification. The Parties agree that the indemnification provision contained in the Agreement between the Business Associate and the Covered Entity shall apply to each party's performance and that of their respective agents or subcontractors under this BAA. Business Associate: Group Name: City of Fort Worth Group Number: 17182 Signature: Printed Name: U Sq V) Cl t Title: Date: APPROVED AS TO M A LEGALITY: Covered Entity: IBS AS TA T CITY ATTORNQEYY Signature: 5OW kK. Iii C U AA Printed Name: Melissa Fullerton �� 0,000°®-0 � ° Title: Vice President, Western Region 0 C3$ a0 $ o;U Organization: Delta Dental Insurance Company ° Aids" ����/ $° 00 °000°°0°°°°° Date: September 12, 2014 M&Y V, Jl"'I r9 c1 ecretary OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX September 17,2013 Page 7 of 7 T Page 1 of 2 A&C Review Official site of the City of Fort Worth,Texas ITT COUNCIL AGENDA FORTS 1 1 COUNCIL ACTION: Approved on 7/22/2014 DATE: 7/22/2014 REFERENCE NO.: C-26884 LOG NAME: 14DENTAL CODE: C TYPE: NON-CONSENT PUBLIC HEARING: NO SUBJECT: Authorize Execution of a Contract with Delta Dental for the Administration of Dental Insurance with Participants Paying All Premiums and No Financial Impact to the City (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council authorize the execution of a contract with Delta Dental for the administration of dental insurance with participating employees and retirees paying all premiums and no financial impact to the City. DISCUSSION: The Human Resources Department (HRD) will use this Contract to provide City employees and retirees with access to dental insurance plans. The City of Fort Worth currently contracts with Cigna Insurance to provide employees access to this type of insurance. Having worked with the same carrier for many years, HRD staff determined that it would be in the best interest of City employees and retirees to go out to the market and give all providers an opportunity to compete for the City's business to ensure that City employees are getting the best overall policies and prices. The City issued a Request for Proposals (RFP) on February 19, 2014, This RFP was advertised in the Fort Worth Star-Telegram every Wednesday starting on February 19, 2014 through March 27, 2014. Fifty-nine vendors were solicited from the purchasing database; eight responses were received. The proposals were thoroughly reviewed by an evaluation team consisting of Staff from the following departments: Transportation and Public Works, Fire, Water, Parks and Communiy Services and Human Resources. The evaluation team was provided with resources and assistance by the City's benefits consultant, Arthur J. Gallagher, and by staff in the Human Resources Department and Purchasing Division. The evaluation team ranked the proposals based on the following factors: technical proposals, qualifications, adherence to terms and conditions of the RFP, financial stability, value-added services and pricing competitiveness. Two finalists were selected for presentations. Following the presentations, the evaluation team determined that Delta Dental provides the best overall solution to the City. The proposed contract will offer enhanced dental benefits at reduced costs to City employees and retirees. Delta Dental will provide a three-year rate guarantee through December 31, 2017 with a 7.5 percent rate cap in years four and five. AGREEMENT TERMS - Upon City Council approval, the initial three-year term of this contract shall begin on January 1, 2015 and expire on December 31, 2017. RENEWAL OPTIONS -This contract may be renewed up to two one-year terms at the City's sole discretion. This action does not require specific City Council approval provided that sufficient funds are appropriated for the City to meet its obligations during the renewal period. http://apps.cfwnet.org/council_packet/me_review.asp?ID=20034&councildate=7/22/2014 12/17/2014 ✓1&C Review Page 2 of 2 M/WBE OFFICE -A waiver of the goal for MBE/SBE sub-contracting was requested by the Purchasing Division and approved by the M/WBE Office, in accordance with the BDE Ordinance, because the purchase of goods or services is from sources where sub-contracting or supplier opportunities are negligible. FISCAL INFORMATION/CERTIFICATION: The Financial Management Services Director certifies that this action does not have material effect on City funds. TO Fund/Account/Centers FROM Fund/Account/Centers Submitted for City Manager's Office by: Susan Alanis (8180) Originating Department Head: Brian Dickerson (7783) Additional Information Contact: Margaret Wise (8058) ATTACHMENTS http://apps.cfwnet.org/council_packet/mc_review.asp?ID=20034&councildate=7/22/2014 12/17/2014