What information can be released to a plan sponsor?
Blue Cross Blue Shield of Michigan and Blue Care Network do not release personal health information, or PHI, to area and industry underwritten groups or their plan sponsors, other than enrollment information about their employees.
BCBSM experience-rated underwritten group health plans and their plan sponsors do not generally receive PHI from us, other than enrollment information about their employees. BCBSM experience-rated groups and their plan sponsors may request and receive summary health information to obtain premium bids for providing health insurance coverage for the group health plan, or to modify, amend, or terminate the group health plan. BCBSM experience-rated group health plans and their plan sponsors may receive PHI from us if they provide us with a written certification in the form we require: 1) indicating that the plan documents have been amended to enable these disclosures and to impose specific restrictive safeguards on the plan sponsor's use and disclosure of the PHI in accordance with applicable law; and 2) identifying the plan administration functions for which the PHI has been requested.
BCBSM self-funded group health plans and their plan sponsors may receive summary health information under the same conditions imposed on experience-rated groups and may receive PHI if they provide us with a written certification in the form we require.