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HIPAA-AS Information for Employers

Use this section to find HIPAA-AS information for fully-insured or self-funded group health plans.

    
HIPAA-AS Overview for Employers  Responsibilities for Fully-Insured Group Health Plans
    
Summary of Group Health Plan Responsibilities  Responsibilities for Self-Funded Group Health Plans
    
Premium Payment HIPAA-AS Wellmark Companion Guide   Enrollment and Maintenance HIPAA-AS Wellmark Companion Guide 
    
General Information on How to Get Started   Electronic Membership Enrollment Registration (834) 
    
  

Quick Links

Authorization to Use or Disclose Protected Health Information
»   Individual Authorization - Iowa - #S-53258 pdf image
»   Individual Authorization - South Dakota - #S-3315 pdf image
»   Designation of Authorized Representative - Iowa
- #S-53257 pdf image
»   Designation of Authorized Representative - South Dakota - #S-3316 pdf image
Authorized Representative Appointment and Authorization for Release of Information
»   Iowa - #C-5674 pdf image
»   South Dakota - #C-3617 pdf image
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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