Health Plan Identifier Requirement 

 

One of the requirements of the most recent amendment to HIPAA is that most plans obtain a Health Plan Identifier (HPID).   

 

The document below goes into more detail, but highlights include:

 

  • Plans with over $5,000,000 in gross receipts (in benefits for self-funded plans and premium for fully insured plans) must obtain an HPID by November 5, 2014.
  • Plans with less than $5,000,000 in gross receipts must obtain an HPID by November 5, 2015
  • Generally Carriers will obtain HPID for their fully insured plans
  • Employers with fully insured Medical plans, but with self-funded HRSs, FSA or Dental and Vision plans may have to file for HPIDs for those plans

For more more information, read Health Plan Identifier

 

Do not hesitate to contact us if you have any questions at 812.279-9500

 

  
JA Benefits, LLC
1630 H. Street
Bedford, IN 47421
  
p. 812.279.9500
f . 812.275.0033
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