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2017-640-E HR - Flexible Benefits Administrators, Inc. (FBA) to authorize FBA to work directly with Delta Dental
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2017-640-E HR - Flexible Benefits Administrators, Inc. (FBA) to authorize FBA to work directly with Delta Dental
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6/12/2018 9:21:31 AM
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12/12/2017 7:15:13 AM
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Contract
Date
7/13/2017
Contract Starting Date
7/13/2017
Contract Document Type
Agreement
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R 2017-640-E HR - Flexible Benefits Administrators, Inc. (FBA) to authorize FBA to work directly with Delta Dental
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DocuSign Envelope ID:B156146B-0400-4433-84BD-A56E1DCE5DA7 <br /> Data in accordance with any other applicable agreement between Employer and Vendor ("Services <br /> Agreement"). In case of conflict between this Agreement and the Services Agreement, this Agreement <br /> shall control. Nothing herein shall prohibit Vendor from integrating or merging the Data into another <br /> Vendor database provided (1) any use or disclosure of any data or information from the merged or <br /> integrated database shall be on an aggregated basis such that no individual patients, providers, health <br /> plans, insurers, administrative services providers, or other individuals or entities can be identified, <br /> explicitly or implicitly, directly or indirectly, by users of such databases, and (2) Vendor does not and will <br /> not use, disclose or sell to or on behalf of any third party any pricing data or information contained in <br /> the Data without Delta Dental's and Employer's express prior written consent. The Parties' use or <br /> disclosure of the Data will be in compliance with all applicable laws, rules and regulations, including but <br /> not limited to the patient confidentiality requirements of the HIPAA Privacy Rule (45 CFR Parts 160 and <br /> 164). <br /> 3. If applicable, as determined by the Employer, the Employer has obtained or will obtain, <br /> pursuant to 45 CFR 164.508 of the HIPAA Privacy Rule, proper, written authorization from all individuals <br /> whose protected health information is used for any purpose except to carry out payment activities, for <br /> health care operations, or as otherwise permitted or required by law without consent or authorization <br /> of the individual. <br /> 4. The Data will be provided only to those employees, officers and principals of the Parties who are <br /> directly involved in the Services or in providing other service to the Employer or the Plan, but only after <br /> each individual has been informed of the confidential nature of the Data and instructed to treat the Data <br /> in accordance with this Agreement. The Data will be held confidential at all times and will not be <br /> divulged to any other party except as required by law. If any court order, regulatory order, other legal <br /> process or legal obligation requires Vendor to disclose information covered by its confidentiality <br /> obligation, Vendor will provide Delta Dental prompt telephonic and written notice of any such order or <br /> process (including providing a copy of the order or process), and cooperate with Delta Dental in <br /> responding to it unless such notice is prohibited by law. Such cooperation will be at Vendor's expense, <br /> unless the court order, regulatory order, legal process or legal obligation arises from an action against <br /> Delta Dental. <br /> 5. Each party represents that it has appropriate procedures and safeguards in place with respect to <br /> its use of the Data and the confidentiality of protected health information, and/or proprietary <br /> information of Delta Dental contained therein, and which will insure the integrity and security of the <br /> Data. The Parties will ensure that the transmission, handling, storage, use and any eventual elimination <br /> of this Data will preserve patient privacy and the confidentiality of the Data in compliance with all <br /> applicable laws, rules and regulations, including but not limited to the HIPAA Privacy Rule. <br /> 6. Each party shall assume liability solely for its own actions and shall not be responsible for any <br /> claims relating to breaches or alleged breaches of confidentiality concerning Data that is released or <br /> disclosed by another party to this Agreement. <br /> 7. To the extent that Vendor will be given access to any Delta Dental online toolkit ("Online <br /> Toolkit") for purposes of accessing or entering claims or eligibility data, Delta Dental hereby grants <br /> Vendor a limited, non-sublicensable, non-transferable, non-exclusive, temporary license to use the <br /> Online Toolkit. Vendor shall be solely responsible for the accuracy and completeness of the data entered <br /> using the Online Toolkit. Vendor shall indemnify and hold harmless Delta Dental its affiliates, members, <br /> officers, employees and agents, including persons or entities acting at the direction of or on behalf of <br /> Page 2 of 4 <br /> P:\Legal\CTS\DDNC\ORANGE COUNTY-FLEXIBLE BENEFIT ADMINISTRATORS Vendor Authorization Agreement(governmental entity((7-13-2017).doc <br />
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