This Business Associate Agreement ("Agreement") is made and effective the [DATE_SIGNED]
BETWEEN |
Ease Placement Inc. (the "Covered Entity"), a corporation organized and existing under the
laws of CALIFORNIA, with its head office located at: 9090 Union Park Way, #118 Elk Grove, CA 95624 United States |
AND |
[AGENT_COMPANY_NAME] (the "Business Associate"), a corporation organized and existing under the
laws of California, with its head office located at: [AGENT_MAILING_ADDRESS]
|
The Covered Entity and Business Associate, collectively, the “Parties”), wish to enter into this agreement (“Agreement”).
The Parties may contemplate entering into one or more agreements (the “Services Agreement”) pursuant to which Business
Associate is providing certain [insert the kind(s) of services provided by the Business Associate] (“Services”) to the Covered
Entity that require the disclosure and use of Protected Health Information (“PHI”). Unless the Services Agreement specifies
otherwise, Business Associate is an independent contractor with respect to the performance of all Services, and neither
Business Associate nor anyone employed by Business Associate will be deemed for any purpose to be the employee, agent,
servant, or representative of the Covered Entity. Both Parties are committed to complying with the Privacy Rule and the
Security Rule promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as well
as the Health Information Technology for Economic and Clinical Health (“HITECH”) Act and associated regulations.
This Agreement sets forth the terms and conditions pursuant to which Protected Health Information that is provided by, or
created or received by, the Business Associate from or on behalf of the Covered Entity, will be handled between the Business
Associate and the Covered Entity and with third parties during the term of each Services Agreement and after its
termination. All capitalized terms in this Agreement have the meanings ascribed to them in Section 1 below, unless
otherwise noted or the context clearly requires otherwise.
1. GENERAL TERMS AND CONDITIONS
- Definitions: All terms used in this Agreement shall have the meanings set forth in the HIPAA Security and Privacy Rule, unless otherwise defined herein.
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Existing Service Agreements: All existing Service Agreements and amendments thereto, between the
Employer or Plan Sponsor and Business Associate are subject to this Agreement and are hereby amended by
this Agreement. In the event of conflict between the terms of any Service Agreement and this Agreement, the
terms and conditions of this Agreement shall govern.
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Where provisions of this Agreement are different from those mandated by the HIPAA Security and Privacy
Rule, but are nonetheless permitted by the Rule, the provisions of this Agreement shall control.
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Nothing express or implied in this Agreement is intended to confer, nor shall anything herein confer, upon any
person other than the Business Associate and the respective successors or assigns of the Business Associate,
any rights, remedies, obligations, or liabilities whatsoever
2. PERMITTED USE AND DISCLOSURE
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Treatment, Payment and Operations (“TPO”): Business Associate agrees to create, receive, maintain, transmit,
use, or disclose Protected Health Information only in a manner that is consistent with this Agreement and the
HIPAA Security and Privacy Rule and only in connection with providing the services to or on behalf of
Covered Entity identified in any existing Service Agreement and amendments thereto. Accordingly, in
providing services to or on behalf of the Covered Entity, the Business Associate, for example, will be
permitted to use and disclose Protected Health Information for Treatment, Payment and Healthcare Operations
consistent with the HIPAA Security and Privacy Rule, without obtaining authorization. Protected Health
Information does not include summary health information or information that has been de-identified in
accordance with the standards for de-identification provided for in the HIPAA Security and Privacy Rule.
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Business Associate may only use or disclose Protected Health Information to the extent permitted or required
by this Agreement or by law. Except as otherwise provided herein, the Business Associate may not use or
disclose Protected Health Information in a manner that would violate HIPAA's Security and Privacy Rules if
such use or disclosure were made by a Covered Entity. In particular, a Business Associate may use or disclose
Protected Health Information (1) to fulfill its obligations as set out in any agreement between the Parties
evidencing their business relationship, including the Arrangement Agreement, or (2) as required by applicable
laws, rules or regulations, or by an accrediting or credentialing body to which a Covered entity must disclose
such information, or (3) as permitted by this Agreement, the Arrangement Agreement (if consistent with this
Agreement and the HIPAA Security and Privacy Rule) or the HIPAA Security and Privacy Rule, or (4) as
permitted by the HIPAA Security and Privacy Rule as if such use or disclosure were made by a Covered
entity.
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Business Associate may de-identify Protected Health Information only at the express request of the Covered
Entity and only for its use. The Business Associate may not sell Protected Health Information except on the
instructions of the Covered Entity and in accordance with the requirements of the HIPAA Security and Privacy
Rule.
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Notwithstanding the prohibitions set forth in this Agreement,
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Business Associate may use Protected Health Information for the proper management and
administration of Business Associate or to carry out the legal responsibilities of Business Associate;
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Business Associate may disclose Protected Health Information for the proper management and
administration of Business Associate or to carry out the legal responsibilities of Business Associate,
provided that as to any such disclosure, the following requirements are met: (A) The disclosure is
required by law; or (B) Business Associate obtains reasonable assurances from the person to whom the
information is disclosed that the information will remain confidential and will be used or further
disclosed only as required by law or for the purpose for which it was disclosed to the person, and
the person notifies Business Associate of any instances of which it is aware in which the
confidentiality of the information has been breached;
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Business Associate may provide data aggregation services relating to the health care operations of
Covered Entity pursuant to any agreements between the Parties evidencing their business relationship.
For purposes of this Agreement, data aggregation means the combining of Protected Health
Information by Business Associate with the Protected Health Information received by Business
Associate in its capacity as a business associate of another covered entity, to permit data analyses that
relate to the health care operations of the respective covered entities.
2. PERMITTED USE AND DISCLOSURE
Business Associate agrees as follows:
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Business Associate undertakes not to use or disclose protected health information other than as permitted or
required by the Master agreement or as required by law.
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Business Associate undertakes to use appropriate safeguards and comply with the HIPAA Security Rule with
respect to Electronically Protected Health Information to prevent the use or disclosure of Protected Health
Information other than as provided in this Agreement and the Master Agreement.
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Business Associate undertakes to report to the Covered Entity any use or disclosure of the Protected Health
Information not provided for in this Agreement of which it becomes aware.
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Business Associate undertakes to report to the Covered Entity any breach of unsecured Protected Health
Information or any security incident of which the Business Associate becomes aware without unreasonable
delay, and in any event no later than five (5) business days after discovery; however, the parties acknowledge
and agree that this Section 3(d) constitutes notice of the Covered Entity's continued presence and occurrence
or attempted occurrence of such incidents without further notice for which the Covered Entity shall not be
notified of the need for such notice. "Unsuccessful security incidents" means, without limitation, pings and
other broadcast attacks on the Business Associate firewall, port scans, unsuccessful connection attempts,
denial of service attacks and any combination of the foregoing, as long as no such incident results in
unauthorized access, use or disclosure of the Protected Health Information.
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Business Associate undertakes to ensure that any Subcontractor, to whom it provides Protected Health
Information received from or created or received by Business Associate on behalf of Covered Entity agrees to
the same restrictions and conditions that apply through this Agreement to Business Associate with respect to
such information.
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Business Associate agrees to provide access, at the request of Covered Entity, access, within a reasonable time
and in a reasonable manner, to the Protected Health Information in a designated file established for the
Covered Entity to meet the requirements of 45 CFR 164.524.
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Business Associate agrees to make any changes to the Protected Health Information in a Designated Record
Set that the Covered Entity orders or accepts in accordance with 45 CFR 164.526 at the request of the Covered
Entity within a reasonable time and in a reasonable manner. In the event that a Person provides the Business
Associate directly with a request to amend the Protected Health Information, the Business Associate must
promptly forward such request to the relevant Entity.
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Business Associate agrees to make available to the Secretary internal practices, books and records, including
policies and procedures and protected health information, relating to the use and disclosure of protected health
information received or created or received by the Business Associate on behalf of the Covered Entity, at a
time and on a basis determined by the Secretary, so that the Secretary determine the compliance with the
Privacy and Security rules.
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Business Associate undertakes to document any disclosures of Protected Health Information and any
information relating to such disclosures that would be necessary for the Covered Entity to respond to an
Individual's request for an accounting of disclosures of Protected Health Information pursuant to 45 CFR
164.528. The Business Associate must provide the Covered Entity with information relating to disclosures of
Protected Health Information by the Business Associate in order to enable the Covered Entity to respond to an
Individual's request for an accounting of disclosures of Protected Health Information pursuant to 45 C.F.R. §
164.528. In the event that a Business Associate receives a direct request from an Individual for accounting for
disclosures of Protected Health Information made by a Business Associate, the Business Associate agrees to
promptly forward such request to the Covered Entity.
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Business Associates shall mitigate, to the extent possible, the negative effects of any inappropriate use and/or
disclosure of Protected Health Information by a Business Associate that is known to the Business Associates.
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Of the transactions that Business Associate performs in its role as Business Associate of Covered Entity,
Business Associate, its agents, and subcontractors shall do the following:
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be prepared to transmit and accept transactions electronically in the Standard Formats identified in 45
CFR §§162.1101 through 162.1802;
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adapt implementation plans and standards pursuant to applicable Implementation Guides;
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implement contingencies for non-compliant transactions as necessary to facilitate timely acceptance
and payment of claims, particularly in light of state claim payment laws; and
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to the extent practicable, communicate with those providers, agents, or subcontractors who are
submitting or receiving transactions electronically in order to facilitate compliant transactions.
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Business Associate understands and agrees that from time-to time the Department of Health and Human
Services might modify the standard transactions now identified in 45 CFR §§162.1101 through 162.1802.
Business Associate, its agents, and subcontractors agree to abide by any changes to such standard transactions
that are applicable to services supplied by Business Associate in connection with the referenced Services
Agreement.
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Business Associate shall implement administrative, physical, and technical safeguards that reasonably protect
the confidentiality, integrity, and availability of Electronic Protected Health Information (“ePHI”) that it
creates, maintains, or transmits on behalf of Covered Entity as required by 45 CFR §164.314.
4. OBLICATIONS OF COVERED ENTITY
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If Covered Entity wishes to receive Protected Health Information, it shall provide Business Associate with
name or identity/job title of the individual(s) authorized to represent Covered Entity who can receive and
disclose Protected Health Information for purposes of TPO below, and shall further notify Business Associate
of any changes with respect to the persons so identified:
[NAME/TITLE] _______________________
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Covered Entity shall notify Business Associate of any limitation(s) in its notice of privacy practices of
Covered Entity in accordance with 45 CFR 164.520 to the extent that such limitation may affect Business
Associate’s use or disclosure of Protected Health Information.
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Covered Entity shall provide Business Associate with the plan amendment produced in accordance with 45 CFR §164.504.
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Covered Entity shall notify Business Associate of any changes in, or revocation of, permission by Individual to
use or disclose Protected Health Information to the extent that such changes may affect Business Associate’s
use or disclosure of Protected Health Information.
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Covered Entity shall notify Business Associate of any restriction to the use or disclosure of Protected Health
Information that Covered Entity has agreed to in accordance with 45 CFR §164.522.
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Covered Entity shall cooperate with Business Associate to provide Accounting of Disclosures when requested.
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Covered Entity shall not request Business Associate to use or disclose Protected Health Information in any
manner that would not be permissible under the Privacy Rule if done by Covered Entity.
5. TERMINATION
This Agreement shall be effective as of the date first set forth above and shall terminate upon the earlier of (i) the
termination of all agreements between the parties, and (ii) the termination by Covered Entity for cause as provided
herein. Notwithstanding anything in this Agreement to the contrary, Covered Entity shall have the right to terminate
this Agreement and the Arrangement Agreement immediately if Covered Entity determines that Business Associate
has violated any material term of this Agreement. If Covered Entity reasonably believes that Business Associate will
violate a material term of this Agreement and, where practicable, Covered Entity gives written notice to Business
Associate of such belief within a reasonable time after forming such belief, and Business Associate fails to provide
adequate written assurances to Covered Entity that it will not breach the cited term of this Agreement within a
reasonable period of time given the specific circumstances, but in any event, before the threatened breach is to occur,
then Covered Entity shall have the right to terminate this Agreement and the Arrangement Agreement immediately.
6. MISCELLANEOUS
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Indemnification. Each Party shall, to the fullest extent permitted by law, protect, defend, indemnify and hold
harmless the other Party and that Party’s respective employees, directors, and agents (“Indemnitees”) from and
against any and all losses, costs, claims, penalties, fines, demands, liabilities, legal actions, judgments, and
expenses of every kind (including reasonable attorneys fees, including at trial and on appeal) asserted or
imposed against any Indemnitees arising out of the acts or omissions of the Party or any subcontractor of or
consultant of the Party or any of the Party’s employees, directors, or agents related to material breach of this
Agreement or willful or grossly negligent failure to comply with HIPAA.
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Severability. If any provision of this Agreement is held invalid or unenforceable, such invalidity or nonenforceability shall not invalidate or render unenforceable any other portion of this Agreement. The entire
Agreement will be construed as if it did not contain the particular invalid or unenforceable provision(s), and
the rights and obligations of Business Associate and Covered Entity will be construed and enforced
accordingly.
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Waiver. The failure by one Party to require performance of any provision of this Agreement shall not affect
that Party’s right to require performance at any time thereafter, nor shall a waiver of any breach or default of
this Agreement constitute a waiver of any subsequent breach or default or a waiver of the provision itself.
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Amendment. Covered Entity and Business Associate may amend this Agreement by mutual written consent.
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Governing laws. This Agreement will be governed by the laws of the State of California.
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Interpretation. Any ambiguity in this Agreement shall be resolved to permit Covered Entity to comply with the Privacy Rule.
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Master Agreement. This Agreement is hereby incorporated into the Master Agreement as an addendum to the
Master Agreement. In the event of any inconsistency between the provisions of this Agreement and the Master
Agreement, the provisions of this Agreement will prevail, unless the applicable terms of the Master Agreement
would be more protective of Protected Health Information.
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Third Party Beneficiaries. Business Associate and Covered Entity agree that Individuals whose Protected
Health Information is used or disclosed to Business Associates or its Subcontractors under this Agreement are
not third-party beneficiaries of this Agreement or the Master Agreement.
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Correspondence. The Parties will send any reports or notices required under this Agreement to the addresses
set forth in the notice provision of the Master Agreement.
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Entire Agreement. This Agreement supersedes and replaces any and all prior Business Associate Agreements
between the Parties. To the extent that the Service Agreement addresses the rights and obligations contained in
this Agreement, this Agreement supersedes and replaces all provisions in the Service Agreement related to the
subject matter of this Agreement.
This Agreement expresses the full and complete understanding of the parties with respect to the subject matter hereof and
supersedes all prior or contemporaneous proposals, agreements, representations and understandings, whether written or oral,
with respect to the subject matter. This Agreement is not, however, to limit any rights that Agent may have under trade
secret, copyright, patent or other laws that may be available to Agent. This Agreement may not be amended or modified
except in writing signed by each of the parties to the Agreement. This Agreement shall be construed as to its fair meaning
and not strictly for or against either party. The headings hereof are descriptive only and not to be construed in interpreting the
provisions hereof.