Insurance Code 791.13(n) (1981; amended by AB 470, 2009)
Summary:
An insurance institution, agent, or insurance-support organization may disclose personal or privileged information about an individual to a group policyholder for the purpose of reporting claims experience or conducting an audit of the insurance institution's or agent's operations or services. The information disclosed must be reasonably necessary for the group policyholder to conduct the review or audit.
Data Origin:
insurance institutions, insurance agents, or insurance-support organizations Parties Bound:
insurance institutions, insurance agents, or insurance-support organizations Associated Federal Law(s):
Uses and disclosures to carry out treatment, payment, or health care operations
: Permitted uses and disclosures
Associated Federal Law(s):
Uses and disclosures of protected health information: general rules : Minimum necessary - covered entity must make reasonable efforts to limit the use/disclosure of protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request; exceptions.