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CITY OF ALAMO HEIGHTS
ADMINISTRATION DEPARTMENT
CITY COUNCIL AGENDA MEMORANDUM
TO: Mayor and City Council
FROM: Phil Laney, Assistant City Manager
SUBJECT: Insurance Broker Contract Assignment Agreement
DATE: December 13, 2021
SUMMARY
Discussion and possible action regarding the assignment of the insurance broker contract from
Catto & Catto Benefits Group, LLP to HUB International, Inc.
BACKGROUND INFORMATION
In 2016, Financial Benefit Services (FBS) in partnership with Catto & Catto became the
Insurance Brokers for the Cityโ€™s employee insurance benefits. In 2018, Catto & Catto Benefits
Group (โ€œCatto & Cattoโ€) became the sole broker and the fees remained at the initial $26,500 per
year. In 2020, Catto & Catto received a 2% increase in their annual fees for a total of $27,030.
In November 2021, Catto & Catto was acquired by Hub International Inc. Hub purchased the
assets of Catto & Catto and provides the same employee benefits broker services as Catto &
Catto. The Cityโ€™s insurance broker contract with Catto & Catto will assign, grant, convey and
transfer to Hub. The City existing services and terms will be with Hub.
POLICY ANALYSIS
Catto and Catto have consistently provided quality insurance broker services to the city since
2016. Assignment of the insurance broker contract to Hub International will allow the City to
continue receiving services and terms under the existing contract.
FISCAL IMPACT
No fiscal impact with this item. The Cityโ€™s annual fee to Hub International, Inc. will remain a
total of $27,030.00.
ATTACHMENT
Attachment A โ€“ Broker Services Assignment and Assumption Agreement
Attachment B โ€“ COAH-Hub Business Associate Agreement
______________________
Phil Laney
Assistant City Manager
______________________
Buddy Kuhn
City Manager
Attachment A
ASSIGNMENT AND ASSUMPTION AGREEMENT
This Assignment and Assumption Agreement (โ€œAgreementโ€), effective as of December 1, 2021
(โ€œEffective Dateโ€), is by and among City of Alamo Heights, a political subdivision of the State
of Texas, located at 6116 Broadway, San Antonio, Texas 78209 (โ€œCOAHโ€), Hub International,
Inc., a Texas corporation (โ€œHubโ€), and Catto & Catto Benefits Group, LLP, a Texas limited
liability company (โ€œCatto & Cattoโ€).
WHEREAS, COAH and Catto & Catto entered into an Employee Broker Services Agreement in
September 2020 (โ€œBroker Agreementโ€);
WHEREAS, Hub has purchased the assets of Catto & Catto and provides the same employee
benefits broker services as Catto & Catto;
WHEREAS, Catto & Catto desires to assign the Broker Agreement to Hub and Hub agrees to
assume all responsibilities under the Broker Agreement, and COAH agrees to Catto & Cattoโ€™s
assignment of the Broker Agreement to Hub.
NOW, THEREFORE, in consideration of the mutual covenants, terms, and conditions set forth
herein, and for other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties agree as follows:
1. Assignment and Assumption. Catto & Catto hereby assigns, grants, conveys and
transfers to Hub all of Catto & Cattoโ€™s right, title and interest in and to the Broker Agreement.
Hub hereby accepts such assignment and assumes all of Catto & Cattoโ€™s duties and obligations
under the Broker Agreement and agrees to perform and discharge, as and when due, all of the
obligations of Catto & Catto under the Broker Agreement as of the Effective Date.
2. Consent to Assignment. COAH hereby consents to the assignment of the Broker
Agreement by Catto & Catto to Hub.
3. Governing Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of Texas and consent to the exclusive jurisdiction of the
courts residing in Bexar County, Texas.
4. Counterparts. This Agreement may be executed in counterparts, each of which
shall be deemed an original, but all of which together shall be deemed to be one and the same
agreement. A signed copy of this Agreement delivered by email or other means of electronic
transmission shall be deemed to have the same legal effect as delivery of an original signed copy
of this Agreement.
5. Further Assurances. Each of the parties hereto shall execute and deliver, at the
reasonable request of any other party, such additional documents, instruments, and assurances
and take such further actions as such other party may reasonably request to carry out the
provisions hereof and give effect to the transactions contemplated by this Agreement. All other
terms and conditions of the Broker Agreement shall remain in full force and effect.
Attachment A
CITY OF ALAMO HEIGHTS
Assignment of Broker Services Agreement 2
IN WITNESS WHEREOF, the parties have executed this Agreement to be effective as of the
Effective Date.
City of Alamo Heights
By_____________________
Name: Buddy Kuhn
Title: City Manager
Hub International Texas, Inc.
By_____________________
Name:
Title:
Catto & Catto Benefits Group, LLP
By_______________________
Name:
Title:
Attachment B
1
Business Associate Agreement
This Agreement is executed on the 1st day of December 2021 between the City of Alamo Heights (โ€œCovered
Entityโ€), and Hub International Texas, Inc. ("Business Associate"). Whereas the Covered Entity will make
available to the Business Associate certain PHI (PHI) to enable performance of the resolution of claims issues,
marketing of insurance plans, and negotiation of renewals; and
Therefore, the Covered Entity and Business Associate agree to be bound by the following terms and
conditions:
Article I. Definitions
Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45
CFR ยง ยงยง 160.103 and 164.501.
A. โ€œBusiness Associateโ€ shall mean Hub International Texas, Inc.
B. โ€œCovered Entityโ€ shall mean City of Alamo Heights.
C. โ€œIndividualโ€ shall have the same meaning as the term "individual"' in 45 CFR ยง ยง 164.501, and shall
include a person who qualifies as a personal representative in accordance with 45 CFR ยง 164.502(g).
D. โ€œPrivacy Ruleโ€ shall mean the Standards for Privacy of Individually Identifiable Health Information at
45 CFR ยง part 160 and part 164, subparts A and E.
E. โ€œProtected Health Informationโ€ (โ€œPHIโ€) shall have the same meaning as the term "Protected Health
Information'' in 45 CFR ยง 164.501, limited to the information created or received by Business
Associate from, or on behalf of, Covered Entity.
F. โ€œRequired By Lawโ€ shall have the same meaning as the term "required by law'' in 45 CFR ยง 164.501.
G. โ€œSecretaryโ€ shall mean the Secretary of the Department of Health and Human Services or his
designee.
H. โ€œBreachโ€ shall mean the access, acquisition, use or disclosure of PHI in a manner not permitted
under the Privacy Rule that compromises the security or privacy of PHI in accordance with 45 CFR ยง
164.402.
Article II โ€“ Obligations and Activities of Business Associate
A. Business Associate agrees to not use or further disclose PHI other than as permitted or required by
the Agreement or as Required by Law.
B. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of the PHI,
other than as provided for by this Agreement.
C. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to
Business Associate of a use or disclosure of PHI by Business Associate in violation of the
requirements of this Agreement.
D. Business Associate agrees to report to Covered Entity any use or disclosure of the PHI not provided
for by this Agreement.
Attachment B
2
E. Business Associate agrees to ensure that any agent, including a subcontractor, to whom it provides
PHI received from, or created or received by Business Associate on behalf of Covered Entity, agrees
to the same restrictions and conditions that apply through this Agreement to Business Associate
with respect to such information.
F. Business Associate agrees to provide access, at the request of Covered Entity, and in the time and
manner designated by Covered Entity, to PHI in a Designated Record Set, to Covered Entity or, as
directed by Covered Entity, to an Individual in order to meet the requirements under 45 CFR ยง
164.524.
G. Business Associate agrees to make any amendment(s) to PHI in a Designated Record Set that the
Covered Entity directs or agrees to pursuant to 45 CFR ยง 164.526, at the request of Covered Entity or
an Individual, and in the time and manner designated by Covered Entity.
H. Business Associate agrees to make internal practices, books and records relating to the use and
disclosure of PHI received from, or created or received by Business Associate on behalf of, Covered
Entity available to the Covered Entity or, at the request of the Covered Entity, to the Secretary in a
time and manner designated by the Covered Entity or the Secretary, for purposes of the Secretary
determining Covered Entity's compliance with the Privacy Rule.
I. Business Associate agrees to document such disclosures of PHI and information related to such
disclosures as would be required for Covered Entity to respond to a request by an Individual for an
accounting of disclosures of PHI in accordance with 45 CFR ยง 164.528.
J. Business Associate agrees to provide to Covered Entity or an Individual, in time and manner
designated by Covered Entity, information collected in accordance with Article II, Section I of this
Agreement, to permit Covered Entity to respond to a request by an Individual for an accounting of
disclosures of PHI in accordance with 45 CFR ยง 164.528.
K. Business Associate agrees to comply with the Standards for Privacy of Individually Identifiable Health
Information (the โ€œPrivacy Ruleโ€) and the Security Standards for the Protection of Electronic PHI (the
โ€œSecurity Ruleโ€) under the Health Insurance Portability and Accountability Act of 1996 (โ€œHIPAAโ€) and
Subtitle D of the Health Information Technology for Economic and Clinical Health Act (โ€œHITECHโ€), and
all applicable provisions of the American Recovery and Reinvestment Act of 2009 and all implementing
regulations (collectively โ€œARRAโ€).
L. Business Associate agrees to following the discovery of a breach of unsecured PHI notify the Covered
Entity of such breach. A breach shall be treated as discovered by the business associate as of the first
day on which such breach is known to the business associate or by exercising reasonable diligence
would have been known to the business associate. A business associate shall be deemed to have
knowledge of a breach if the breach is known, or by exercising reasonable diligence would have been
known, to any person, other than the person committing the breach, who is an employee, officer or
other agent of the business associate. The Business Associate will follow the timeliness and content of
notice requirements in accordance with 45 CFR ยง 164.410.
Attachment B
3
Permitted Uses and Disclosures by Business Associate
Article III โ€“ General Use and Disclosure Provisions
Except as otherwise limited in this Agreement, Business Associate may use or disclose PHI to perform
functions, activities or services for, or on behalf of, Covered Entity as specified in Business Service
Agreement provided that such use or disclosure would not violate the Privacy Rule if done by Covered
Entity.
Article IV - Specific Use and Disclosure Provisions
A. Except as otherwise limited in this Agreement, Business Associate may use PHI for the proper
management and administration of the Business Associate or to carry out the legal responsibilities
of the Business Associate.
B. Except as otherwise limited in this Agreement, Business Associate may disclose PHI for the proper
management and administration of the Business Associate, provided that disclosures are required
by law, or Business Associate obtains reasonable assurances from the person to whom the
information is disclosed that it will remain confidential and used or further disclosed only as
required by law, or for the purpose for which it was disclosed to the person, and the person notifies
the Business Associate of any instances of which it is aware in which the confidentiality of the
information has been breached.
C. Except as otherwise limited in this Agreement, Business Associate may use PHI to provide Data
Aggregation services to Covered Entity as permitted by 42 CFR ยง 164.504(e)(2)(i)(B).
D. Notwithstanding any other provision of this Agreement or the Broker Services Agreement and
except as otherwise Required by Law, Business Associate may not share any PHI beyond Summary
Health Information and enrollment/disenrollment information with the plan sponsor of Covered
Entity unless there is an authorization in place that meets the requirements set forth in 45 CFR ยง
164.508. For this purpose, Business Associate may put the authorization in place, or may rely on
written assurance from the plan sponsor that it has a valid authorization in place.
Article V - Obligations of Covered Entity
A. Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions.
a. Covered Entity shall provide Business Associate with any changes in, or revocation of,
permission by individual to use or disclose PHI, if such changes affect Business Associateโ€™s
permitted or required uses and disclosures.
b. Covered Entity shall notify Business Associate of any restriction to the use or disclosure of
PHI that Covered Entity has agreed to in accordance with 45 CFR ยง 164.522.
B. Permissible Requests by Covered Entity.
Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not
be permissible under the Privacy Rule if done by Covered Entity.
Attachment B
4
Article VI - Term and Termination
A. Term.
The Term of this Agreement shall be effective as of December 1, 2021, and shall terminate when all of
the PHI provided by Covered Entity to Business Associate, or created or received by Business Associate
on behalf of Covered Entity, is destroyed or returned to Covered Entity or, if it is infeasible to return or
destroy PHI, protections are extended to such information, in accordance with the termination
provisions in this Section.
B. Termination for Cause.
Upon knowledge of a material breach of the agreement by either party, non-breaching party will
provide written notice of breach or violation to the other party specifying the nature of the breach or
violation. Non-breaching party will provide an opportunity for the breaching party to cure the breach or
end the violation within a reasonable time frame. If the breaching party does not cure the breach or end
the violation within a time frame specified by the non-breaching party, immediately terminate the
agreement. If termination of the agreement is not feasible then the non-breaching party must report it
to the Secretary of Health and Human Services.
C. Effect of Termination.
a. Except as provided in paragraph (b) of this section, upon termination of this Agreement, for
any reason, Business Associate shall return or destroy all PHI received from Covered Entity,
or created or received by Business Associate on behalf of Covered Entity. This provision shall
apply to PHI that is in the possession of subcontractors or agents of Business Associate.
Business Associate shall retain no copies of the PHI.
b. In the event that Business Associate determines that returning or destroying the PHI is
infeasible, Business Associate shall provide to Covered Entity notification of the conditions
that make return or destruction infeasible. Upon mutual agreement of the Parties that
return or destruction of PHI is infeasible, Business Associate shall extend the protections of
this Agreement to such PHI and limit further uses and disclosures of such PHI to those
purposes that make the return or destruction infeasible, for so long as Business Associate
maintains such PHI.
Article VII- Security Requirements
A. The Business Associate agrees to implement in accordance with 45 CFR ยง 164.308
administrative, 164.310 physical and 164.312 technical safeguards that reasonably and
appropriately protect the confidentiality, integrity and availability of the electronic PHI that the
business associate creates, receives, maintains or transmits on behalf of the Covered Entity.
Business Associate in accordance with 45 CFR ยง 164.316 agrees to document aforementioned
administrative, physical and technical safeguards.
Attachment B
5
B. The Business Associate ensures that any agent, including a subcontractor that creates, receives,
maintains or transmits electronic PHI on behalf of the business associate agrees to comply with
same citations listed above and enters into a contract or other arrangement with agent or
subcontractor much the same as the contract or other arrangement between a covered entity
and a business associate.
C. The Business Associate agrees to report to the Covered Entity any security incident of which it
becomes aware including breaches of unsecured PHI.
D. The Business Associate authorizes the Covered Entity to terminate the contract if the Covered
Entity determines that the Business Associate has violated a material term of this Agreement.
Article VIII - Miscellaneous
A. Regulatory References. A reference in this Agreement to a section in the Privacy Rule means the
section as in effect or as amended, and for which compliance is required.
B. Amendment. The Parties agree to take such action, as is necessary, to amend this Agreement
from time to time, as is necessary, for Covered Entity to comply with the requirements of the
Privacy Rule and the Health Insurance Portability and Accountability Act, Public Law 104-191.
C. Survival. The respective rights and obligations of Business Associate under Article VI, Section C of
this Agreement shall survive the termination of this Agreement.
D. Interpretation. Any ambiguity in this Agreement shall be resolved in favor of a meaning that
permits Covered Entity to comply with the Privacy and Security Rule.
AGREED:
City of Alamo Heights Hub International Texas, Inc.
Signature____________________________ Signature______________________________
Name Buddy Kuhn____________________ Name_________________________________
Title City Manager____________________ Title__________________________________

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  • 1. CITY OF ALAMO HEIGHTS ADMINISTRATION DEPARTMENT CITY COUNCIL AGENDA MEMORANDUM TO: Mayor and City Council FROM: Phil Laney, Assistant City Manager SUBJECT: Insurance Broker Contract Assignment Agreement DATE: December 13, 2021 SUMMARY Discussion and possible action regarding the assignment of the insurance broker contract from Catto & Catto Benefits Group, LLP to HUB International, Inc. BACKGROUND INFORMATION In 2016, Financial Benefit Services (FBS) in partnership with Catto & Catto became the Insurance Brokers for the Cityโ€™s employee insurance benefits. In 2018, Catto & Catto Benefits Group (โ€œCatto & Cattoโ€) became the sole broker and the fees remained at the initial $26,500 per year. In 2020, Catto & Catto received a 2% increase in their annual fees for a total of $27,030. In November 2021, Catto & Catto was acquired by Hub International Inc. Hub purchased the assets of Catto & Catto and provides the same employee benefits broker services as Catto & Catto. The Cityโ€™s insurance broker contract with Catto & Catto will assign, grant, convey and transfer to Hub. The City existing services and terms will be with Hub. POLICY ANALYSIS Catto and Catto have consistently provided quality insurance broker services to the city since 2016. Assignment of the insurance broker contract to Hub International will allow the City to continue receiving services and terms under the existing contract. FISCAL IMPACT No fiscal impact with this item. The Cityโ€™s annual fee to Hub International, Inc. will remain a total of $27,030.00. ATTACHMENT Attachment A โ€“ Broker Services Assignment and Assumption Agreement Attachment B โ€“ COAH-Hub Business Associate Agreement ______________________ Phil Laney Assistant City Manager ______________________ Buddy Kuhn City Manager
  • 2. Attachment A ASSIGNMENT AND ASSUMPTION AGREEMENT This Assignment and Assumption Agreement (โ€œAgreementโ€), effective as of December 1, 2021 (โ€œEffective Dateโ€), is by and among City of Alamo Heights, a political subdivision of the State of Texas, located at 6116 Broadway, San Antonio, Texas 78209 (โ€œCOAHโ€), Hub International, Inc., a Texas corporation (โ€œHubโ€), and Catto & Catto Benefits Group, LLP, a Texas limited liability company (โ€œCatto & Cattoโ€). WHEREAS, COAH and Catto & Catto entered into an Employee Broker Services Agreement in September 2020 (โ€œBroker Agreementโ€); WHEREAS, Hub has purchased the assets of Catto & Catto and provides the same employee benefits broker services as Catto & Catto; WHEREAS, Catto & Catto desires to assign the Broker Agreement to Hub and Hub agrees to assume all responsibilities under the Broker Agreement, and COAH agrees to Catto & Cattoโ€™s assignment of the Broker Agreement to Hub. NOW, THEREFORE, in consideration of the mutual covenants, terms, and conditions set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 1. Assignment and Assumption. Catto & Catto hereby assigns, grants, conveys and transfers to Hub all of Catto & Cattoโ€™s right, title and interest in and to the Broker Agreement. Hub hereby accepts such assignment and assumes all of Catto & Cattoโ€™s duties and obligations under the Broker Agreement and agrees to perform and discharge, as and when due, all of the obligations of Catto & Catto under the Broker Agreement as of the Effective Date. 2. Consent to Assignment. COAH hereby consents to the assignment of the Broker Agreement by Catto & Catto to Hub. 3. Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas and consent to the exclusive jurisdiction of the courts residing in Bexar County, Texas. 4. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of which together shall be deemed to be one and the same agreement. A signed copy of this Agreement delivered by email or other means of electronic transmission shall be deemed to have the same legal effect as delivery of an original signed copy of this Agreement. 5. Further Assurances. Each of the parties hereto shall execute and deliver, at the reasonable request of any other party, such additional documents, instruments, and assurances and take such further actions as such other party may reasonably request to carry out the provisions hereof and give effect to the transactions contemplated by this Agreement. All other terms and conditions of the Broker Agreement shall remain in full force and effect.
  • 3. Attachment A CITY OF ALAMO HEIGHTS Assignment of Broker Services Agreement 2 IN WITNESS WHEREOF, the parties have executed this Agreement to be effective as of the Effective Date. City of Alamo Heights By_____________________ Name: Buddy Kuhn Title: City Manager Hub International Texas, Inc. By_____________________ Name: Title: Catto & Catto Benefits Group, LLP By_______________________ Name: Title:
  • 4. Attachment B 1 Business Associate Agreement This Agreement is executed on the 1st day of December 2021 between the City of Alamo Heights (โ€œCovered Entityโ€), and Hub International Texas, Inc. ("Business Associate"). Whereas the Covered Entity will make available to the Business Associate certain PHI (PHI) to enable performance of the resolution of claims issues, marketing of insurance plans, and negotiation of renewals; and Therefore, the Covered Entity and Business Associate agree to be bound by the following terms and conditions: Article I. Definitions Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR ยง ยงยง 160.103 and 164.501. A. โ€œBusiness Associateโ€ shall mean Hub International Texas, Inc. B. โ€œCovered Entityโ€ shall mean City of Alamo Heights. C. โ€œIndividualโ€ shall have the same meaning as the term "individual"' in 45 CFR ยง ยง 164.501, and shall include a person who qualifies as a personal representative in accordance with 45 CFR ยง 164.502(g). D. โ€œPrivacy Ruleโ€ shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 CFR ยง part 160 and part 164, subparts A and E. E. โ€œProtected Health Informationโ€ (โ€œPHIโ€) shall have the same meaning as the term "Protected Health Information'' in 45 CFR ยง 164.501, limited to the information created or received by Business Associate from, or on behalf of, Covered Entity. F. โ€œRequired By Lawโ€ shall have the same meaning as the term "required by law'' in 45 CFR ยง 164.501. G. โ€œSecretaryโ€ shall mean the Secretary of the Department of Health and Human Services or his designee. H. โ€œBreachโ€ shall mean the access, acquisition, use or disclosure of PHI in a manner not permitted under the Privacy Rule that compromises the security or privacy of PHI in accordance with 45 CFR ยง 164.402. Article II โ€“ Obligations and Activities of Business Associate A. Business Associate agrees to not use or further disclose PHI other than as permitted or required by the Agreement or as Required by Law. B. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of the PHI, other than as provided for by this Agreement. C. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of PHI by Business Associate in violation of the requirements of this Agreement. D. Business Associate agrees to report to Covered Entity any use or disclosure of the PHI not provided for by this Agreement.
  • 5. Attachment B 2 E. Business Associate agrees to ensure that any agent, including a subcontractor, to whom it provides PHI received from, or created or received by Business Associate on behalf of Covered Entity, agrees to the same restrictions and conditions that apply through this Agreement to Business Associate with respect to such information. F. Business Associate agrees to provide access, at the request of Covered Entity, and in the time and manner designated by Covered Entity, to PHI in a Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an Individual in order to meet the requirements under 45 CFR ยง 164.524. G. Business Associate agrees to make any amendment(s) to PHI in a Designated Record Set that the Covered Entity directs or agrees to pursuant to 45 CFR ยง 164.526, at the request of Covered Entity or an Individual, and in the time and manner designated by Covered Entity. H. Business Associate agrees to make internal practices, books and records relating to the use and disclosure of PHI received from, or created or received by Business Associate on behalf of, Covered Entity available to the Covered Entity or, at the request of the Covered Entity, to the Secretary in a time and manner designated by the Covered Entity or the Secretary, for purposes of the Secretary determining Covered Entity's compliance with the Privacy Rule. I. Business Associate agrees to document such disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR ยง 164.528. J. Business Associate agrees to provide to Covered Entity or an Individual, in time and manner designated by Covered Entity, information collected in accordance with Article II, Section I of this Agreement, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR ยง 164.528. K. Business Associate agrees to comply with the Standards for Privacy of Individually Identifiable Health Information (the โ€œPrivacy Ruleโ€) and the Security Standards for the Protection of Electronic PHI (the โ€œSecurity Ruleโ€) under the Health Insurance Portability and Accountability Act of 1996 (โ€œHIPAAโ€) and Subtitle D of the Health Information Technology for Economic and Clinical Health Act (โ€œHITECHโ€), and all applicable provisions of the American Recovery and Reinvestment Act of 2009 and all implementing regulations (collectively โ€œARRAโ€). L. Business Associate agrees to following the discovery of a breach of unsecured PHI notify the Covered Entity of such breach. A breach shall be treated as discovered by the business associate as of the first day on which such breach is known to the business associate or by exercising reasonable diligence would have been known to the business associate. A business associate shall be deemed to have knowledge of a breach if the breach is known, or by exercising reasonable diligence would have been known, to any person, other than the person committing the breach, who is an employee, officer or other agent of the business associate. The Business Associate will follow the timeliness and content of notice requirements in accordance with 45 CFR ยง 164.410.
  • 6. Attachment B 3 Permitted Uses and Disclosures by Business Associate Article III โ€“ General Use and Disclosure Provisions Except as otherwise limited in this Agreement, Business Associate may use or disclose PHI to perform functions, activities or services for, or on behalf of, Covered Entity as specified in Business Service Agreement provided that such use or disclosure would not violate the Privacy Rule if done by Covered Entity. Article IV - Specific Use and Disclosure Provisions A. Except as otherwise limited in this Agreement, Business Associate may use PHI for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. B. Except as otherwise limited in this Agreement, Business Associate may disclose PHI for the proper management and administration of the Business Associate, provided that disclosures are required by law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law, or for the purpose for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached. C. Except as otherwise limited in this Agreement, Business Associate may use PHI to provide Data Aggregation services to Covered Entity as permitted by 42 CFR ยง 164.504(e)(2)(i)(B). D. Notwithstanding any other provision of this Agreement or the Broker Services Agreement and except as otherwise Required by Law, Business Associate may not share any PHI beyond Summary Health Information and enrollment/disenrollment information with the plan sponsor of Covered Entity unless there is an authorization in place that meets the requirements set forth in 45 CFR ยง 164.508. For this purpose, Business Associate may put the authorization in place, or may rely on written assurance from the plan sponsor that it has a valid authorization in place. Article V - Obligations of Covered Entity A. Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions. a. Covered Entity shall provide Business Associate with any changes in, or revocation of, permission by individual to use or disclose PHI, if such changes affect Business Associateโ€™s permitted or required uses and disclosures. b. Covered Entity shall notify Business Associate of any restriction to the use or disclosure of PHI that Covered Entity has agreed to in accordance with 45 CFR ยง 164.522. B. Permissible Requests by Covered Entity. Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not be permissible under the Privacy Rule if done by Covered Entity.
  • 7. Attachment B 4 Article VI - Term and Termination A. Term. The Term of this Agreement shall be effective as of December 1, 2021, and shall terminate when all of the PHI provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered Entity, is destroyed or returned to Covered Entity or, if it is infeasible to return or destroy PHI, protections are extended to such information, in accordance with the termination provisions in this Section. B. Termination for Cause. Upon knowledge of a material breach of the agreement by either party, non-breaching party will provide written notice of breach or violation to the other party specifying the nature of the breach or violation. Non-breaching party will provide an opportunity for the breaching party to cure the breach or end the violation within a reasonable time frame. If the breaching party does not cure the breach or end the violation within a time frame specified by the non-breaching party, immediately terminate the agreement. If termination of the agreement is not feasible then the non-breaching party must report it to the Secretary of Health and Human Services. C. Effect of Termination. a. Except as provided in paragraph (b) of this section, upon termination of this Agreement, for any reason, Business Associate shall return or destroy all PHI received from Covered Entity, or created or received by Business Associate on behalf of Covered Entity. This provision shall apply to PHI that is in the possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies of the PHI. b. In the event that Business Associate determines that returning or destroying the PHI is infeasible, Business Associate shall provide to Covered Entity notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Parties that return or destruction of PHI is infeasible, Business Associate shall extend the protections of this Agreement to such PHI and limit further uses and disclosures of such PHI to those purposes that make the return or destruction infeasible, for so long as Business Associate maintains such PHI. Article VII- Security Requirements A. The Business Associate agrees to implement in accordance with 45 CFR ยง 164.308 administrative, 164.310 physical and 164.312 technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of the electronic PHI that the business associate creates, receives, maintains or transmits on behalf of the Covered Entity. Business Associate in accordance with 45 CFR ยง 164.316 agrees to document aforementioned administrative, physical and technical safeguards.
  • 8. Attachment B 5 B. The Business Associate ensures that any agent, including a subcontractor that creates, receives, maintains or transmits electronic PHI on behalf of the business associate agrees to comply with same citations listed above and enters into a contract or other arrangement with agent or subcontractor much the same as the contract or other arrangement between a covered entity and a business associate. C. The Business Associate agrees to report to the Covered Entity any security incident of which it becomes aware including breaches of unsecured PHI. D. The Business Associate authorizes the Covered Entity to terminate the contract if the Covered Entity determines that the Business Associate has violated a material term of this Agreement. Article VIII - Miscellaneous A. Regulatory References. A reference in this Agreement to a section in the Privacy Rule means the section as in effect or as amended, and for which compliance is required. B. Amendment. The Parties agree to take such action, as is necessary, to amend this Agreement from time to time, as is necessary, for Covered Entity to comply with the requirements of the Privacy Rule and the Health Insurance Portability and Accountability Act, Public Law 104-191. C. Survival. The respective rights and obligations of Business Associate under Article VI, Section C of this Agreement shall survive the termination of this Agreement. D. Interpretation. Any ambiguity in this Agreement shall be resolved in favor of a meaning that permits Covered Entity to comply with the Privacy and Security Rule. AGREED: City of Alamo Heights Hub International Texas, Inc. Signature____________________________ Signature______________________________ Name Buddy Kuhn____________________ Name_________________________________ Title City Manager____________________ Title__________________________________