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Who is eligible for HIPAA?

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Who is eligible for HIPAA?

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HIPAA is directed at health insurance carriers and plan sponsors. Anyone covered under a full-risk health benefits plan issued by a carrier or covered under a self-insured health benefits plan offered by a plan sponsor, is subject to federal HIPAA.

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The provisions of the Health Insurance Portability and Accountability Act (HIPAA) generally apply to group health plans and group health insurance issuers offering group health insurance coverage. This means that both the plan itself and the insurer (if any) are required to comply. HIPAA contains many exceptions, including exceptions for the following types of plan: • Plans with fewer than 2 employees; • Plans providing only certain incidental types of coverages, including accident, disability income, liability insurance, and workers compensation; • Plans providing limited scope dental or vision benefits if provided under separate insurance policy or if coverage is elected by participants separately from the medical coverage; • And health FSAs, if certain requirements are met.

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The provisions of HIPAA generally apply to group health plans and group health insurance issuers offering group health insurance coverage. This means that both the plan itself and the insurer (if any) are required to comply. HIPAA contains many exceptions, including exceptions for the following types of plan: • Plans with fewer than 2 employees; • Plans providing only certain incidental types of coverages, including accident, disability income, liability insurance, and workers compensation; • Plans providing limited scope dental or vision benefits if provided under separate insurance policy or if coverage is elected by participants separately from the medical coverage; • And health FSAs, if certain requirements are met.

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In order to qualify as an eligible individual you must meet the following conditions:

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