Ch. 6 - Privacy and Security Standards

How will an applicant's COBRA benefits be affected by the ACA?

Most rules relating to pre-existing conditions were changed

The GLBA considers all of the following to be personally identifiable information (PII), EXCEPT:

Nickname - PII includes credit history, account numbers, Social Security numbers, dates of birth, names, and addresses.

What is the maximum fine that may be imposed against a covered entity for all violations of HIPAA in the same calendar year?

$1,500,000 - A covered entity may be fined as much as $1,500,000 for all violations in a single calendar year.

As a navigator, you are NOT required to protect health information about a:

Applicant's health insurance agent - Protected health information includes any information about a consumer's provision of health care; past, present, or future health or medical condition (physical or mental); or past, present, or future payment for health care.

How do HIPAA regulations apply to the marketplace and navigator entities?

As they do for "covered entities" - HIPAA regulations apply to all Marketplaces, Navigator Entities, and insurance producers in the same way they apply to health care providers and other covered entities.