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![[Video] The Importance of HR in Protecting PHI & Managing Self-Funded Plans](https://www.combinedhcm.com/hubfs/The%20Importance%20of%20HR%20in%20Protecting%20PHI%20%26%20Managing%20Self-Funded%20Plans%20.jpg)
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When managing a self-funded benefits plan, HR teams play a critical role in ensuring stop-loss coverage is handled correctly. From claims reporting to PHI management, HR is at the center of compliance and communication.
Stop-Loss & Claims Reporting: How HR Safeguards Your Benefits Plan
Why the HIPAA Privacy Officer Matters
Every organization offering self-funded insurance should appoint a HIPAA privacy officer—typically a member of the HR team. This individual is responsible for safeguarding protected health information (PHI), ensuring claims data and reimbursements are processed securely.
Claims Reporting and Financial Oversight
While the HR privacy officer handles sensitive data, HR can provide high-level financial reporting to leadership teams. This ensures CFOs and executives understand plan performance without risking PHI exposure.
Scaling HR’s Role as Your Plan Grows
For most employers, one HR-designated privacy officer is sufficient. Larger organizations, however, may benefit from committees to oversee broader claims and stop-loss strategies.
HR professionals are the gatekeepers of compliance, claims reporting, and stop-loss reimbursements in self-funded benefits plans.
This video is not intended to be exhaustive nor should any discussion or opinions be construed as legal advice. Viewers should contact legal counsel for legal advice.
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