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5.3. ERMUSR 02-09-2010
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5.3. ERMUSR 02-09-2010
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ERMUSR
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2.24 Optional Benefits means the benefits made available through this Plan as follows: <br />2.25 PHI means health information that: <br />(a) is created or received by a health care provider, health plan, public health authority, <br />employer, life insurer, school or university, or health care clearinghouse; <br />(b) relates to the past, present future physical or mental health or condition of an <br />individual; the provision of health care to an individual; or the past, present or future <br />payment for the provision of health care to an individual; and <br />(c) either identifies the individual or reasonably could be used to identify the individual. <br />PHI includes ePHI. <br />2.26 Participant means an Eligible Employee who participates in the Plan in accordance with Article <br />III and has not ceased to be a Participant under Section 3.4. <br />2.27 Plan means the Elk River Municipal Utilities Flexible Benefits Plan, as it may be amended from <br />time to time. <br />2.28 Plan Administrator means the entity determined under Section 6.1. <br />2.29 Plan Year means the twelve-month period commencing on the first day of January and ending <br />on the last day of December. <br />2.30 Privacy Rules means the Standards and Privacy of Individua//y Identifiab/e Hea/th Information <br />at 45 C.F.R. Part 160 and Part 164 at subparts A and E. <br />2.31 Security Rules means the Security Standards and Imp/ementation Specifications at 45 C.F.R. <br />Part 160 and Part 164, subpart C. <br />2.32 Spouse means an individual who is legally married to a Participant <br />and treated as a "spouse" under the Code <br />2.33 Summary Health Information means "summary health information" as defined in 45 C.F.R. <br />Section 164.504, which generally defines "summary health information" to include information, <br />which may be PHI, that summarizes claims history, claims expenses, or the type of claims <br />experienced by individuals receiving benefits under the Plan from which certain identifiers have <br />been deleted. <br />Deleted: (a) group medical benefits;¶ <br />(b) group dental benefits;¶ <br />(c) medical expense reimbursement plan; and¶ <br />(d) dependent care expense reimbursement <br />plan.¶ <br />Deleted: , or <br />Deleted: , <br />Deleted: or restated <br />Deleted: ,except as otherwise specifically <br />described with respect to an Optional Benefit, <br />Deleted: <#>Security Incident means <br />"security incident" as defined in 45 C.F.R. <br />Section 164.304, which generally defines <br />"security incident" [o include attempted or <br />successful unauthorized access, use, disclosure, <br />modification, or destruction of ePHI.¶ <br />Deleted: who is <br />Deleted: . <br />© 2009 Hitesman & Associates, P.A. 5 Elk River Municipal Utilities <br />Flexible Benefits Plan (No. 8.0.0.0) <br />
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