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DISCLOSURE OF MEDICATION
Jun 30, 2006

Can a health insurance company release the names of medications that its employees are taking to the employer along with the name of the employee? I know that they can not release the names of the medical condition, but what about the medications/names in justifying why the premiums will increase for the next year. I thought that if an insurance company was to raise a company's policy price, the only thing that could be mentioned was that there were a lot of claims the previous year. Conditions, names, or medications, or any type of combination of the three were strictly prohibited from being disclosed to the employer. Are there any exceptions?

Response from Ms. Franzoi

With the requirments of HIPAA, an insurance company would not release employee-specific information unless needed in the administration of the plan and premiyum setting would not be considered administration. However, an insurance company might release claims experience, including claim costs related to disease states and to specific drugs in the aggregate, not by covered individual, in order to support the need for an increase in premium.



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