North Dakota Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights
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How to fill out Certificate Of Group Health Plan Coverage With Statement Of HIPAA Portability Rights?
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FAQ
What is a certificate of coverage (CoC)? A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor. The CoC details the health benefits the beneficiary and their dependents have under their plan.
Certificate of Creditable Coverage A written certificate issued by a group health plan or health insurance issuer (including an HMO) that shows your prior health coverage (creditable coverage).
This certificate provides evidence of your prior health coverage. You may need to furnish this certificate if you become eligible under a group health plan that excludes coverage for certain medical conditions that you have before you enroll.
Creditable coverage is used in two different ways. In general, it is coverage that gives you the right to buy or switch health insurance coverage without penalty, restriction, or waiting period. Different types of health insurance have different creditable coverage requirements.
The HIPAA certificate, also known as certificate of creditable coverage, documents the health coverage you had before you lost coverage. If you had less than 18 months of continuous coverage, the certificate includes the dates any waiting period began and when coverage began and ended.
HIPAA is the federal Health Insurance Portability and Accountability Act of 1996. The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs.
Individuals should retain this document for their records. CMS does not request or require a copy of this creditable coverage documentation. Therefore, individuals should not be instructed to send the certificate to CMS.
The Security Rule protects a subset of information covered by the Privacy Rule, which is all individually identifiable health information a covered entity creates, receives, maintains or transmits in electronic form. The Security Rule calls this information "electronic protected health information" (e-PHI).
A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor.
HIPAA's "portability" protection means that once a person obtains creditable health plan coverage, he or she can use evidence of that coverage to reduce or eliminate any preexisting medical condition exclusion period that might otherwise be imposed when moving to another health plan.