Under a federal law known as HIPAA (the Health Insurance Portability and Accountability Act of 1996), Board employees and the Medical Plan’s service providers, such as Highmark, ActiveHealth Management, CIGNA Behavioral Health, and Express Scripts, may share protected health information (PHI) with other health plans and providers for payment, treatment, or healthcare operations purposes. The member must authorize the release of PHI to anyone else, including a member’s spouse or employing organization. Please see the Notice of Privacy Practices of Medical Plans.

To authorize the release of your PHI, the Authorization to Release Medical Plan Information form authorizes the Plan to release the information and the Authorization for Use or Disclosure of Protected Health Information form authorizes the Board to get PHI from your doctors or healthcare providers.

To provide limited powers of attorney to a personal representative so that person may handle Board of Pensions matters on behalf of the covered individual, you should complete the Designation of Personal Representative form. If you already have a power-of-attorney form, you can simply supply the Board with a copy, using the Personal Representative Request form.