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2005-038-RES ELECTING EXEMPTION FROM THE REQUIREMENTS OF HIPAA AND THE PUBLIC HEALTH SERVICE ACT
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2005-038-RES ELECTING EXEMPTION FROM THE REQUIREMENTS OF HIPAA AND THE PUBLIC HEALTH SERVICE ACT
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Last modified
8/18/2006 4:26:50 PM
Creation date
3/22/2005 3:35:30 AM
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CITY CLERK
Doc Name
2005
Doc Type
Resolution
CITY CLERK - Date
3/14/2005
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<br /> <br />. , , ~.. <br />.. "" <br /> <br />r-fk (C-If'11W' @l~. J?;A\lRtII~1 <br />~-_ ;;J~~~ ~s. ~~_"-..\~~ <br /> <br />p <br /> <br />March 9, 2005 <br /> <br />HCFA <br />Atten: David Holstein <br />7500 Security Blvd. Room S-L17 <br />Baltimore, MD 21244-1850 <br /> <br />RE: Election to he exempted from certain requirements under HIP AA <br /> <br />Dear Mr. Holstein: <br /> <br />The City of Paris elects that its group medical plan be exempted from the following requirements <br />of the Health Insurance Portability and Accountability Act of 1996 for the plan year beginning <br />May 1, 2005. <br /> <br />1. Limitations on pre-existing condition exclusion periods (146.11); <br />2. Special enrollment periods for individuals (and dependents)losing other coverage and <br />special enrollment periods with respect to certain dependent beneficiaries (146.117); <br />3. Prohibitions against discriminating against individual participants and beneficiaries based <br />on health status (146.121); <br />4. Standards relating to benefits for mothers and newborns (section 2704 of the PHS Act); <br />5. Parity in the application of certain limits to mental health benefits. <br />6. Benefits relating to women's health and cancer rights (section 903 of the PHS Act). <br />Treatment or reduction of the non-affected breast following a m~stectomy. <br /> <br />The medical benefits payable by the City's health plan are self-funded. The plan is protected <br />against catastrophic loss by aggregate and individual stop loss policies (which do not prevent an <br />election under Sec. 146.180 (3) of45 C.F.R. Part 16 of the Federal Regulations) that reimburse <br />the City for medical claims paid in excess of stop loss levels. <br /> <br />The City of Paris' group health plan is identified as follows: <br /> <br />Name of Plan: <br />Plan Sponsor: <br />Plan Manager: <br /> <br />City of Paris, Texas Intergovernmental Employee Benefits Pool <br />City of Paris <br />W.E. Anderson <br /> <br />EXHIBIT A <br /> <br />P.O. BOX 9037 . PARIS. TEXAS 75461-9037 . (903) 765.7511 . FAX (903) 765.6519 <br />
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