12 CRR-NY 325-5.8NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 12. DEPARTMENT OF LABOR
CHAPTER V. WORKERS' COMPENSATION
SUBCHAPTER C. MEDICAL PROVIDER AUTHORIZATION
PART 325. MEDICAL AND SURGICAL CARE AND TREATMENT
SUBPART 325-5. COMPUTER MATCH BETWEEN HEALTH INSURERS AND WORKERS' COMPENSATION CARRIERS
12 CRR-NY 325-5.8
12 CRR-NY 325-5.8
325-5.8 Confidentiality of information.
Misuse of confidential information; penalties. A health insurer and HIMP agent receiving information pursuant to section 13(d) and (h) of the Workers' Compensation Law and this Subpart shall use such information solely for the purpose of seeking reimbursement from the employer, workers' compensation insurance carrier or special fund. Every agreement between a health insurer and a HIMP agent shall specify that the HIMP agent may be terminated by the board for misuse of confidential information. Upon notification to the chair that either a health insurer or a HIMP agent has used such information for purposes other than those stated above, an administrative hearing shall be held before an employee of the board, designated by the chair to conduct such hearings. The chair, upon a finding that such information has been used by a health insurer or a HIMP agent for purposes other than that stated above, may, after such hearing, impose a penalty of not more than $10,000, and may prohibit such health insurer and HIMP agent from receiving information under section 13(d) and (h) of the Workers' Compensation Law and this Subpart, for a period of up to three years. Additionally, a health insurer and HIMP agent receiving information pursuant to section 13(h) of the Workers' Compensation Law and this Subpart, shall comply with all applicable Federal and State laws and regulations regarding the confidentiality of such information, including but not limited to section 110-a of the Workers’ Compensation Law. In addition to any other available penalty or remedy at law, the chair, upon a finding that such information has been used by a HIMP agent for purposes other than as stated above, may immediately terminate such individual or entity’s status as a HIMP agent.
12 CRR-NY 325-5.8
Current through August 31, 2021
End of Document

IMPORTANT NOTE REGARDING CONTENT CURRENCY: The "Current through" date indicated immediately above is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Administrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of NYS Rules.