Privacy Act of 1974; Report of a New System of Records, 31440-31445 [2010-13178]
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31440
Federal Register / Vol. 75, No. 106 / Thursday, June 3, 2010 / Notices
customers; (iv) to establish and put in
force such other practices as the
Commission determines to be lawful
and reasonable governing the
relationship between the Port Authority
and American Stevedoring; and (v) to
pay the Complainant by way of
reparation for the unlawful conduct
hereinabove described, in an amount yet
to be determined, but exceeding
$16,000,000.00 with interest and
attorney’s fees, or such other sum as the
Commission may determine to be
proper as an award of reparation; and
(v) and that such other and further order
or orders be made as the Commission so
determines to be appropriate.’’
This proceeding has been assigned to
the Office of Administrative Law Judges.
Hearing in this matter, if any is held,
shall commence within the time
limitations prescribed in 46 CFR 502.61,
and only after consideration has been
given by the parties and the presiding
officer to the use of alternative forms of
dispute resolution. The hearing shall
include oral testimony and crossexamination in the discretion of the
presiding officer only upon proper
showing that there are genuine issues of
material fact that cannot be resolved on
the basis of sworn statements, affidavits,
depositions, or other documents or that
the nature of the matter in issue is such
that an oral hearing and crossexamination are necessary for the
development of an adequate record.
Pursuant to the further terms of 46
CFR 502.61, the initial decision of the
presiding officer in this proceeding shall
be issued by May 31, 2011 and the final
decision of the Commission shall be
issued by September 28, 2011.
Rachel E. Dickon,
Assistant Secretary.
[FR Doc. 2010–13390 Filed 6–2–10; 8:45 am]
BILLING CODE P
FEDERAL MARITIME COMMISSION
Ocean Transportation Intermediary
License Reissuance
Notice is hereby given that the
following Ocean Transportation
Intermediary licenses have been
reissued by the Federal Maritime
Commission pursuant to section 19 of
the Shipping Act of 1984 (46 U.S.C.
Chapter 409) and the regulations of the
Commission pertaining to the licensing
of Ocean Transportation Intermediaries,
46 CFR Part 515.
License no.
Name/address
013787N ........................
015941NF ......................
021975F .........................
Trans Caribe Express Shippers, Inc., 163 Tremont Avenue, East Orange, NJ 07018 .......................
Cargo Plus, Inc., 8333 Wessex Drive, Pennsauken, NJ 08109 ..........................................................
Adora International LLC dba Adora, 16813 FM 1485, Conroe, TX 77306 ..........................................
Sandra L. Kusumoto,
Director, Bureau of Certification and
Licensing.
Reason: Surrendered license
voluntarily.
[FR Doc. 2010–13416 Filed 6–2–10; 8:45 am]
BILLING CODE 6730–01–P
FEDERAL MARITIME COMMISSION
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Ocean Transportation Intermediary
License Revocation
The Federal Maritime Commission
hereby gives notice that the following
Ocean Transportation Intermediary
licenses have been revoked pursuant to
section 19 of the Shipping Act of 1984
(46 U.S.C. Chapter 409) and the
regulations of the Commission
pertaining to the licensing of Ocean
Transportation Intermediaries, 46 CFR
Part 515, effective on the corresponding
date shown below:
License Number: 004020N.
Name: Southern Cross Shipping, Inc.
Address: 6440 NW. 2nd Street,
Miami, FL 33126.
Date Revoked: May 10, 2010.
Reason: Surrendered license
voluntarily.
License Number: 017538N.
Name: Cosa Freight, Inc.
Address: 1601 W. Mission Blvd.,
Suite 104, Pomona, CA 91766.
Date Revoked: May 17, 2010.
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Date reissued
April 29, 2010.
April 25, 2010.
April 20, 2010.
will collect and maintain information
on individuals associated with plan
sponsors who perform key tasks on
Sandra L. Kusumoto,
behalf of the sponsor in order for the
Director, Bureau of Certification and
sponsor to participate in and receive
Licensing.
reimbursement under the program. The
[FR Doc. 2010–13415 Filed 6–2–10; 8:45 am]
system will also collect and maintain
BILLING CODE 6730–01–P
information on early retirees, and their
spouses, etc., so that sponsors’
eligibility to receive reimbursement for
the claims of such specific individuals
DEPARTMENT OF HEALTH AND
can be verified. The system will also
HUMAN SERVICES
collect and maintain information related
Privacy Act of 1974; Report of a New
to the documentation of actual medical
System of Records
costs of claims for health benefits
submitted to the Department, to ensure
AGENCY: Department of Health and
accurate reimbursement under the
Human Services (HHS).
program.
ACTION: Notice of a New System of
The purpose of this system is to
Records.
collect and maintain information on
individuals who are early retirees (and
SUMMARY: In accordance with the
requirements of the Privacy Act of 1974, spouses, etc.) such that sponsors’
the U.S. Department of Health & Human eligibility to receive reimbursement for
Services (HHS) is proposing to establish the claims of such specific individuals
can be verified, to collect and maintain
a new system of records (SOR) titled
‘‘Early Retirement Reinsurance Program information on individuals who are
(ERRP),’’ System No. 09–90–0250. Under associated with plan sponsors who
perform key tasks on behalf of the
authority of Section 1102 of the Patient
sponsor, so that the sponsor can
Protection and Affordable Care Act (the
participate in and get reimbursement
Affordable Care Act) (Pub. L. 111–148)
under the program, and to collect and
the Early Retiree Reinsurance Program
maintain documentation of the actual
is established. The program provides
costs of medical claims, so that accurate
reimbursement to participating
employment-based plans for a portion of and timely reimbursements may be
made to plan sponsors who continue to
the cost of health benefits for early
offer qualifying health benefits to early
retirees and their spouses, surviving
retirees (and spouses, etc.). Information
spouses and dependents. The system
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maintained in this system will also be
disclosed to: (1) Support regulatory,
reimbursement, and policy functions
performed by an HHS contractor,
consultant or grantee; (2) assist another
Federal or State agency, agency of a
State government, an agency established
by State law, or its fiscal agent; (3)
support litigation involving the
Department; (4) combat fraud and abuse
in certain health benefits programs; and
(5) assist efforts to respond to a
suspected or confirmed breach of the
security or confidentiality of
information maintained in this system
of records. We have provided
background information about the
modified system in the ‘‘Supplementary
Information’’ section below. Although
the Privacy Act requires only that HHS
provide an opportunity for interested
persons to comment on the proposed
routine uses, HHS invites comments on
all portions of this notice. See ‘‘Effective
Dates’’ section for comment period.
DATES: Effective Dates: HHS filed a new
system report with the Chair of the
House Committee on Government
Reform and Oversight, the Chair of the
Senate Committee on Homeland
Security & Governmental Affairs, and
the Administrator, Office of Information
and Regulatory Affairs, Office of
Management and Budget (OMB) on May
19, 2010. To ensure that all parties have
adequate time in which to comment, the
new system, including routine uses, will
become effective 30 days from the
publication of the notice, or 40 days
from the date it was submitted to OMB
and Congress, whichever is later, unless
HHS receives comments that require
alterations to this notice.
ADDRESSES: The public should address
comments to: HHS Privacy Officer,
Office of the Secretary, Office of the
Assistant Secretary for Public Affairs
(ASPA), Freedom of Information/
Privacy Acts Division, 330 ‘‘C’’ Street,
SW., Washington, DC 20201. Telephone
number: (202) 690–7453. Comments
received will be available for review at
this location, by appointment, during
regular business hours, Monday through
Friday from 9 a.m.–3 p.m., Eastern Time
zone.
FOR FURTHER INFORMATION CONTACT:
David Mlawsky, Office of Consumer
Information and Insurance Oversight
(OCIIO), Office of the Secretary,
Department of Health and Human
Services. He can be reached at (410)
786–6851, or contact via e-mail at
David.Mlawsky@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: Rising
costs have made it more difficult for
employers to provide quality, affordable
health insurance for workers and
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retirees. People in the early retiree age
group often face difficulties obtaining
insurance in the individual market
because of age or chronic conditions
that make coverage unaffordable and
inaccessible. The program provides
needed financial help for employerbased plans to continue to provide
valuable coverage to plan participants.
Section 1102(a)(2)(B) of the
Affordable Care Act defines
‘‘employment-based plan’’ to include a
group benefits plan providing health
benefits that is maintained by private
employers, State or local governments,
employee organizations, voluntary
employees’ beneficiary association, a
committee or board of individuals
appointed to administer such plan, or a
multiemployer plan (as defined by
Employee Retirement Income Security
Act, or ERISA). Section 1102 does not
differentiate between health benefits
provided by self-funded plans or
through the purchase of insurance.
The statute at section 1102(a)(2)(C)
defines ‘‘early retirees’’ as individuals
who are age 55 and older but are not
eligible for coverage under Medicare,
and who are not active employees of an
employer maintaining, or currently
contributing to, the employment-based
plan or of any employer that has made
substantial contributions to fund such
plan. The definition of early retiree in
the program’s implementing regulation
at 45 CFR 149.2 clarifies that spouses,
surviving spouses, and dependents are
also included in the definition of early
retiree. This definition accommodates
the language in section 1102(a)(1) of the
statute, which states that reimbursement
under the program is made to cover a
portion of the costs of providing health
coverage to early retirees and to the
eligible spouses, surviving spouses, and
dependents of such retirees.
Reimbursement can be made under the
program for the health benefit costs of
eligible spouses, surviving spouses, and
dependents of such retirees, even if they
are under the age of 55, and/or are
eligible for Medicare.
When submitting claims for
reimbursement, employment-based
plans (or their insurers) will submit
documentation of the actual costs of the
medical claims, indicating the health
benefit provided, the provider or
supplier, the incurred date, the
individual for whom the health benefit
was provided, the date and amount of
payment net any known negotiated
price concessions, and the employmentbased plan and benefit option under
which the health benefit was provided.
The Congress appropriated funding of
$5 billion for the temporary program.
The Secretary will reimburse plans 80
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percent of the costs for health benefits
for valid claims between $15,000 and
$90,000 (with those amounts being
indexed for plan years starting on or
after October 1, 2011). Section
1102(a)(1) required the Secretary to
establish this temporary program not
later than 90 days after enactment of the
statute, which is June 21, 2010. The
Secretary has established an effective
date of June 1, 2010. The program ends
no later than January 1, 2014.
I. Description of the Proposed System of
Records
A. Statutory and Regulatory Basis for
System
Authority for the collection,
maintenance, and disclosures from this
system is given under provisions of
§ 1102 of the Affordable Care Act and its
implementing regulations codified at
Title 45 Code of Federal Regulations
(CFR) Part 149.
B. Collection and Maintenance of Data
in the System
Information in this system is
maintained on early retirees and their
spouses, surviving spouses, and
dependents that are enrolled in
employment-based plans that
participate in the program. Information
maintained in this system includes, but
is not limited to, first name, last name,
middle initial, date of birth, Social
Security Number (SSN), gender,
standard data for identification such as
Plan Sponsor Identification Number,
Application Identification Number,
Benefit Option Identifier, and
relationship to early retiree.
Information in this system is also
maintained on individuals associated
with plan sponsors who perform key
tasks on behalf of the sponsor, so that
the sponsor can participate in and get
reimbursement under the program.
Information maintained in the system
regarding these individuals includes,
but is not limited to, standard data for
identification such as Plan Sponsor
Identification Number, Application
Identification Number, Benefit Option
Identifier, the individual’s first name,
middle initial, last name, job title, date
of birth, social security number, e-mail
address, telephone number, fax number,
employer name, and business address.
When submitting claims to the
Department for reimbursement,
employment-based plans (or their
insurers) will submit documentation of
the actual costs of the medical claims,
including the health benefit provided,
the provider or supplier, the incurred
date, the individual for whom the health
benefit was provided, the date and
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amount of payment net any known
negotiated price concessions, and the
employment-based plan and benefit
option under which the health benefit
was provided. Thus, such information is
maintained in this system.
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II. Agency Policies, Procedures, and
Restrictions on Routine Uses
A. The Privacy Act permits us to
disclose information without an
individual’s consent if the information
is to be used for a purpose that is
compatible with the purpose(s) for
which the information was collected.
Any such disclosure of data is known as
a ‘‘routine use.’’ The government will
only release ERRP information that can
be associated with an individual as
provided for under ‘‘Section III.
Proposed Routine Use Disclosures of
Data in the System.’’ Both identifiable
and non-identifiable data may be
disclosed under a routine use.
We will only disclose the minimum
personal data necessary to achieve the
purpose of ERRP. HHS has the following
policies and procedures concerning
disclosures of information that will be
maintained in the system. In general,
disclosure of information from the
system will be approved only for the
minimum information necessary to
accomplish the purpose of the
disclosure and only after HHS:
1. Determines that the use or
disclosure is consistent with the reason
that the data is being collected, e.g., to
collect, maintain, and process
information necessary to effectively and
efficiently administer the ERRP;
2. Determines that:
a. The purpose for which the
disclosure is to be made can only be
accomplished if the record is provided
in individually identifiable form;
b. The purpose for which the
disclosure is to be made is of sufficient
importance to warrant the effect and/or
risk on the privacy of the individual that
additional exposure of the record might
bring; and
c. There is a strong probability that
the proposed use of the data would in
fact accomplish the stated purpose(s).
3. Requires the information recipient
to:
a. Establish administrative, technical,
and physical safeguards to prevent
unauthorized use of disclosure of the
record;
b. Remove or destroy at the earliest
time all individually-identifiable
information; and
c. Agree to not use or disclose the
information for any purpose other than
the stated purpose under which the
information was disclosed.
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4. Determines that the data are valid
and reliable.
III. Proposed Routine Use Disclosures
of Data in the System
A. Entities Who May Receive
Disclosures Under Routine Use
These routine uses specify
circumstances, in addition to those
provided by statute in the Privacy Act
of 1974, under which HHS may release
information from the ERRP without the
consent of the individual to whom such
information pertains. Each proposed
disclosure of information under these
routine uses will be evaluated to ensure
that the disclosure is legally
permissible, including but not limited to
ensuring that the purpose of the
disclosure is compatible with the
purpose for which the information was
collected. We propose to establish the
following routine use disclosures of
information maintained in the system:
1. To support HHS contractors,
consultants, or HHS grantees who have
been engaged by HHS to assist in
accomplishment of an HHS function
relating to the purposes for this SOR
and who need to have access to the
records in order to assist HHS.
We contemplate disclosing
information under this routine use only
in situations in which HHS may enter
into a contractual or similar agreement
with a third party to assist in
accomplishing an HHS function relating
to purposes for this SOR.
HHS occasionally contracts out
certain of its functions when doing so
would contribute to effective and
efficient operations. HHS will give a
contractor, consultant, or HHS grantee
the information necessary for the
contractor or consultant to fulfill its
duties. In these situations, safeguards
are provided in the contract prohibiting
the contractor, consultant, or grantee
from using or disclosing the information
for any purpose other than that
described in the contract and requires
the contractor, consultant, or grantee to
return or destroy all information at the
completion of the contract. Contractors
are also required to provide the
appropriate management, operational,
and technical controls to secure the
data.
2. To assist another Federal or State
agency, agency of a State government,
an agency established by State law, or
its fiscal agent pursuant to agreements
with HHS to:
a. Contribute to the accuracy of HHS’’s
reimbursement to sponsors under the
ERRP;
b. Enable such agency to administer a
Federal health benefits program, or as
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necessary to enable such agency to
fulfill a requirement of a Federal statute
or regulation that implements a health
benefits program funded in whole or in
part with Federal funds, and/or
c. Assist Federal/State Medicaid
programs which may require ERRP
information for purposes related to this
system.
Other Federal or State agencies in
their administration of a Federal health
program may require ERRP information
in order to support evaluations and
monitoring of claims information of
beneficiaries, including proper
reimbursement for services provided.
3. To support the Department of
Justice (DOJ), court, or adjudicatory
body when:
a. The Department or any component
thereof, or
b. Any employee of HHS in his or her
official capacity, or
c. Any employee of HHS in his or her
individual capacity where the DOJ has
agreed to represent the employee, or
d. The United States Government, is
a party to litigation or has an interest in
such litigation, and by careful review,
HHS determines that the records are
both relevant and necessary to the
litigation and that the use of such
records by the DOJ, court or
adjudicatory body is compatible with
the purpose for which the agency
collected the records.
Whenever HHS is involved in
litigation, or occasionally when another
party is involved in litigation and HHS’s
policies or operations could be affected
by the outcome of the litigation, HHS
would be able to disclose information to
the DOJ, court, or adjudicatory body
involved.
4. To assist an HHS contractor
(including, but not limited to fiscal
intermediaries and carriers) that assists
in the administration of an HHSadministered health benefits program,
or to a grantee of an HHS-administered
grant program, when disclosure is
deemed reasonably necessary by HHS to
prevent, deter, discover, detect,
investigate, examine, prosecute, sue
with respect to, defend against, correct,
remedy, or otherwise combat fraud,
waste or abuse in such program.
We contemplate disclosing
information under this routine use only
in situations in which HHS may enter
into a contract or grant with a third
party to assist in accomplishing HHS
functions relating to the purpose of
combating fraud, waste or abuse.
HHS occasionally contracts out
certain of its functions when doing so
would contribute to effective and
efficient operations. HHS must be able
to give a contractor or grantee whatever
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information is necessary for the
contractor or grantee to fulfill its duties.
In these situations, safeguards are
provided in the contract prohibiting the
contractor or grantee from using or
disclosing the information for any
purpose other than that described in the
contract and requiring the contractor or
grantee to return or destroy all
information.
5. To assist another Federal agency or
to an instrumentality of any
governmental jurisdiction within or
under the control of the United States
(including any State or local
governmental agency), that administers,
or that has the authority to investigate
potential fraud, waste or abuse in a
health benefits program funded in
whole or in part by Federal funds, when
disclosure is deemed reasonably
necessary by HHS to prevent, deter,
discover, detect, investigate, examine,
prosecute, sue with respect to, defend
against, correct, remedy, or otherwise
combat fraud, waste or abuse in such
programs.
Other agencies may require ERRP
information for the purpose of
combating fraud, waste or abuse in such
Federally-funded programs.
6. To assist appropriate Federal
agencies and Department contractors
that have a need to know the
information for the purpose of assisting
the Department’s efforts to respond to a
suspected or confirmed breach of the
security or confidentiality of
information maintained in this system
of records, and the information
disclosed is relevant and unnecessary
for the assistance.
Other agencies may require ERRP
information for the purpose of assisting
the Department’s efforts to respond to a
suspected or confirmed breach of the
security or confidentiality of
information maintained in this system
of records.
B. Additional Circumstances Affecting
Routine Use Disclosures
Our policy will be to prohibit release
even of data not directly identifiable,
except pursuant to one of the routine
uses or if required by law, if we
determine there is a possibility that an
individual can be identified through
implicit deduction based on small cell
sizes (instances where the patient
population is so small that individuals
could, because of the small size, use this
information to deduce the identity of
the individual).
IV. Safeguards
HHS has safeguards in place for
authorized users and monitors such
users to ensure against unauthorized
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use. Personnel having access to the
system have been trained in the Privacy
Act and information security
requirements. Employees who maintain
records in this system are instructed not
to release data until the intended
recipient agrees to implement
appropriate management, operational
and technical safeguards sufficient to
protect the confidentiality, integrity and
availability of the information and
information systems and to prevent
unauthorized access.
This system will conform to all
applicable Federal laws and regulations
and Federal and HHS policies and
standards as they relate to information
security and data privacy. These laws
and regulations include but are not
limited to: The Privacy Act of 1974; the
Federal Information Security
Management Act of 2002; the Computer
Fraud and Abuse Act of 1986; the EGovernment Act of 2002, and the
Clinger-Cohen Act of 1996; OMB
Circular A–130, Management of Federal
Resources, Appendix III, Security of
Federal Automated Information
Resources also applies. Federal and
HHS policies and standards include but
are not limited to: All pertinent National
Institute of Standards and Technology
publications; and the HHS Information
Systems Program Handbook.
V. Effects of the New System on the
Rights of Individuals
HHS proposes to establish this system
in accordance with the principles and
requirements of the Privacy Act and will
collect, use, and disseminate
information only as prescribed therein.
We will only disclose the minimum
personal data necessary to achieve the
purpose of ERRP. Disclosure of
information from the system will be
approved only to the extent necessary to
accomplish the purpose of the
disclosure. HHS has assigned a higher
level of security clearance for the
information maintained in this system
in an effort to provide added security
and protection of data in this system.
HHS will take precautionary measures
to minimize the risks of unauthorized
access to the records and the potential
harm to individual privacy or other
personal or property rights. HHS will
collect only that information necessary
to perform the system’s functions. In
addition, HHS will make disclosure
from the proposed system only with
consent of the subject individual, or his/
her legal representative, or in
accordance with an applicable
exception provision of the Privacy Act.
HHS, therefore, does not anticipate an
unfavorable effect on individual privacy
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31443
as a result of the disclosure of
information relating to individuals.
Dated: May 20, 2010.
Jay Angoff,
Director Office of Consumer Information and
Insurance Oversight.
SYSTEM NUMBER: 09–90–0250
SYSTEM NAME:
‘‘Early Retirement Reinsurance
Program (ERRP),’’ OCIIO, OS/HHS.
SECURITY CLASSIFICATION:
Level Three Privacy Act Sensitive.
SYSTEM LOCATION:
Office of Consumer Information and
Insurance Oversight, U.S. Department of
Health & Human Services, 200
Independence Avenue, SW., Suite 738F,
Washington, DC 20201.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Information in this system is
maintained on individuals associated
with plan sponsors who perform key
tasks on behalf of the sponsor, so that
the sponsor can participate in and get
reimbursement under the program.
Information in this system is also
maintained on early retirees and their
spouses, surviving spouses, and
dependents that are enrolled in
employment-based plans that
participate in the program. With respect
to medical claims submitted by plan
sponsors for reimbursement,
information in this system is maintained
on early retirees and their spouses,
surviving spouses, and dependents with
respect to those medical claims,
including the health benefit provided,
the provider or supplier, the incurred
date, the individual for whom the health
benefit was provided, the date and
amount of payment net any known
negotiated price concessions, and the
employment-based plan and benefit
option under which the health benefit
was provided.
CATEGORIES OF RECORDS IN THE SYSTEM:
Information in this system is
maintained on early retirees and their
spouses, surviving spouses, and
dependents that are enrolled in
employment-based plans that
participate in the program. Information
maintained in this system includes, but
is not limited to, first name, last name,
middle initial, date of birth, Social
Security Number (SSN), gender,
standard data for identification such as
Plan Sponsor Identification Number,
Application Identification Number,
Benefit Option Identifier, and
relationship to early retiree. Information
in this system is maintained on
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individuals associated with plan
sponsors who perform key tasks on
behalf of the sponsor, so that the
sponsor can participate in and get
reimbursement under the program.
Information maintained in the system
regarding these individuals includes,
but is not limited to, standard data for
identification such as Plan Sponsor
Identification Number, Application
Identification Number, Benefit Option
Identifier, the individual’s first name,
middle initial, last name, job title, date
of birth, social security number, e-mail
address, telephone number, fax number,
employer name, and business address.
With respect to medical claims
submitted by plan sponsors for
reimbursement, information in this
system is maintained on early retirees
and their spouses, surviving spouses,
and dependents with respect to those
medical claims, including the health
benefit provided, the provider or
supplier, the incurred date, the
individual for whom the health benefit
was provided, the date and amount of
payment net any known negotiated
price concessions, and the employmentbased plan and benefit option under
which the health benefit was provided.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
Authority for the collection,
maintenance, and disclosures from this
system is given under provisions of
§ 1102 of the Affordable Care Act and its
implementing regulations codified at
Title 45 Code of Federal Regulations
(CFR) Part 149.
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PURPOSE(S) OF THE SYSTEM:
The purpose of this system is to
collect and maintain information on
individuals who are early retirees (and
spouses, etc.), to collect and maintain
information on individuals who are
associated with plan sponsors who
perform key tasks on behalf of the
sponsor, and to collect and maintain
information on medical claims
submitted to the U.S. Department of
Health & Human Services (HHS) for
reimbursement, so that accurate and
timely reimbursements may be made to
plan sponsors who continue to offer
qualifying health benefits to such
individuals. Information maintained in
this system will also be disclosed to:
(1)Support regulatory, reimbursement,
and policy functions performed by an
HHS contractor, consultant or grantee;
(2) assist another Federal or State
agency, agency of a State government,
an agency established by State law, or
its fiscal agent; (3) support litigation
involving the Department; (4) combat
fraud and abuse in certain health
benefits programs; and (5) assist efforts
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to respond to a suspected or confirmed
breach of the security or confidentiality
of information maintained in this
system of records.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OR USERS AND
THE PURPOSES OF SUCH USES:
B. ENTITIES WHO MAY RECEIVE DISCLOSURES
UNDER ROUTINE USE
These routine uses specify
circumstances, in addition to those
provided by statute in the Privacy Act
of 1974, under which HHS may release
information from the ERRP without the
consent of the individual to whom such
information pertains. Each proposed
disclosure of information under these
routine uses will be evaluated to ensure
that the disclosure is legally
permissible, including but not limited to
ensuring that the purpose of the
disclosure is compatible with the
purpose for which the information was
collected. We propose to establish or
modify the following routine use
disclosures of information maintained
in the system:
1. To support Agency contractors,
consultants, or HHS grantees who have
been engaged by the Agency to assist in
accomplishment of an HHS function
relating to the purposes for this SOR
and who need to have access to the
records in order to assist HHS.
2. To assist another Federal or State
agency, agency of a State government,
an agency established by State law, or
its fiscal agent pursuant to agreements
with HHS to:
a. Contribute to the accuracy of HHS’s
reimbursement to sponsors under the
ERRP,
b. Enable such agency to administer a
Federal health benefits program, or as
necessary to enable such agency to
fulfill a requirement of a Federal statute
or regulation that implements a health
benefits program funded in whole or in
part with Federal funds, and/or
c. Assist Federal/State Medicaid
programs which may require ERRP
information for purposes related to this
system.
3. To the Department of Justice (DOJ),
court, or adjudicatory body when:
b. The Agency or any component
thereof, or
e. Any employee of the Agency in his
or her official capacity, or
f. Any employee of the Agency in his
or her individual capacity where the
DOJ has agreed to represent the
employee, or
g. The United States Government, is a
party to litigation or has an interest in
such litigation, and by careful review,
HHS determines that the records are
both relevant and necessary to the
PO 00000
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Fmt 4703
Sfmt 4703
litigation and that the use of such
records by the DOJ, court or
adjudicatory body is compatible with
the purpose for which the agency
collected the records.
4. To assist an HHS contractor
(including, but not limited to fiscal
intermediaries and carriers) that assists
in the administration of an HHSadministered health benefits program,
or to a grantee of an HHS-administered
grant program, when disclosure is
deemed reasonably necessary by HHS to
prevent, deter, discover, detect,
investigate, examine, prosecute, sue
with respect to, defend against, correct,
remedy, or otherwise combat fraud,
waste or abuse in such program.
5. To assist another Federal agency or
to an instrumentality of any
governmental jurisdiction within or
under the control of the United States
(including any State or local
governmental agency), that administers,
or that has the authority to investigate
potential fraud, waste or abuse in a
health benefits program funded in
whole or in part by Federal funds, when
disclosure is deemed reasonably
necessary by HHS to prevent, deter,
discover, detect, investigate, examine,
prosecute, sue with respect to, defend
against, correct, remedy, or otherwise
combat fraud, waste or abuse in such
programs.
6. To appropriate Federal agencies
and Department contractors that have a
need to know the information for the
purpose of assisting the Department’s
efforts to respond to a suspected or
confirmed breach of the security or
confidentiality of information disclosed
is relevant and necessary for that
assistance.
C. ADDITIONAL CIRCUMSTANCES AFFECTING
ROUTINE USE DISCLOSURES
Our policy will be to prohibit release
even of data not directly identifiable,
except pursuant to one of the routine
uses or if required by law, if we
determine there is a possibility that an
individual can be identified through
implicit deduction based on small cell
sizes (instances where the patient
population is so small that individuals
could, because of the small size, use this
information to deduce the identity of
the beneficiary).
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
We will be storing records in
hardcopy files and various electronic
storage media (including DB2, Oracle,
and other relational data structures).
E:\FR\FM\03JNN1.SGM
03JNN1
Federal Register / Vol. 75, No. 106 / Thursday, June 3, 2010 / Notices
RETRIEVABILITY:
Information is most frequently
retrieved by first name, last name,
middle initial, date of birth, or Social
Security Number (SSN).
SAFEGUARDS:
sroberts on DSKD5P82C1PROD with NOTICES
HHS has safeguards in place for
authorized users and monitors such
users to ensure against unauthorized
use. Personnel having access to the
system have been trained in the Privacy
Act and information security
requirements. Employees who maintain
records in this system are instructed not
to release data until the intended
recipient agrees to implement
appropriate management, operational
and technical safeguards sufficient to
protect the confidentiality, integrity and
availability of the information and
information systems and to prevent
unauthorized access.
This system will conform to all
applicable Federal laws and regulations
and Federal, HHS, and HHS policies
and standards as they relate to
information security and data privacy.
These laws and regulations include but
are not limited to: The Privacy Act of
1974; the Federal Information Security
Management Act of 2002; the Computer
Fraud and Abuse Act of 1986; the EGovernment Act of 2002, and the
Clinger-Cohen Act of 1996. OMB
Circular A–130, Management of Federal
Resources, Appendix III, Security of
Federal Automated Information
Resources also applies. Federal, HHS,
and HHS policies and standards include
but are not limited to: all pertinent
National Institute of Standards and
Technology publications; and the HHS
Information Systems Program
Handbook. HHS will give a contractor,
consultant, or HHS grantee the
information necessary for the contractor
or consultant to fulfill its duties. In
these situations, safeguards are provided
in the contract prohibiting the
contractor, consultant, or grantee from
using or disclosing the information for
any purpose other than that described in
the contract and requires the contractor,
consultant, or grantee to return or
destroy all information at the
completion of the contract. Contractors
are also required to provide the
appropriate management, operational,
and technical controls to secure the
data.
management policies and standards. All
sponsor applications, claims, and other
program-related records are
encompassed by the document
preservation order and will be retained
until notification is received from the
Department of Justice.
SYSTEM MANAGER AND ADDRESS:
David Gardner, Acting Director, Early
Retiree Reinsurance Division, Office of
Insurance Programs, Office of Consumer
Information and Insurance Oversight,
U.S. Department of Health & Human
Services, 200 Independence Avenue,
SW., Suite 738F, Washington, DC
20201.
NOTIFICATION PROCEDURE:
For purpose of notification, the
subject individual should write to the
system manager who will require the
system name, and the retrieval selection
criteria (e.g., name, SSN, etc.).
RECORD ACCESS PROCEDURE:
For purpose of access, use the same
procedures outlined in Notification
Procedures above. Requestors should
also reasonably specify the record
contents being sought. (These
procedures are in accordance with
Department regulation 45 CFR
5b.5(a)(2)).
CONTESTING RECORD PROCEDURES:
The subject individual should contact
the system manager named above, and
reasonably identify the record and
specify the information to be contested.
State the corrective action sought and
the reasons for the correction with
supporting justification. (These
procedures are in accordance with
Department regulation 45 CFR 5b.7).
RECORD SOURCE CATEGORIES:
Record source categories include
program participants, individuals on
whose behalf reimbursements are being
sought, and those who voluntarily
submit data and personal information
for the ERRP program.
SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS
OF THE ACT:
None.
RETENTION AND DISPOSAL:
[FR Doc. 2010–13178 Filed 6–2–10; 8:45 am]
Records are maintained with
identifiers for all transactions after they
are entered into the system for a period
of 10 years. Records are housed in both
active and archival files in accordance
with HHS data and document
BILLING CODE 4150–65–P
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31445
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Reductions of Infection Caused by
Carbapenem Resistant
Enterobacteriaceae (KPC) Producing
Organisms through the Application of
Recently Developed CDC/HICPAC
Recommendations.’’ In accordance with
the Paperwork Reduction Act, 44 U.S.C.
3501–3520, AHRQ invites the public to
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on March 31st, 2010 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by July 6, 2010.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer).
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Reductions of Infections Caused by
Carbapenem Resistant
Enterobacteriaceae (KPC) Producing
Organisms Through the Application of
Recently Developed CDC/HICPAC
Recommendations.
Healthcare Acquired Infections (HAIs)
caused almost 100,000 deaths among
the 2.1 million people who acquired
infections while hospitalized in 2000,
and HAI rates have risen relentlessly
E:\FR\FM\03JNN1.SGM
03JNN1
Agencies
[Federal Register Volume 75, Number 106 (Thursday, June 3, 2010)]
[Notices]
[Pages 31440-31445]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-13178]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Privacy Act of 1974; Report of a New System of Records
AGENCY: Department of Health and Human Services (HHS).
ACTION: Notice of a New System of Records.
-----------------------------------------------------------------------
SUMMARY: In accordance with the requirements of the Privacy Act of
1974, the U.S. Department of Health & Human Services (HHS) is proposing
to establish a new system of records (SOR) titled ``Early Retirement
Reinsurance Program (ERRP),'' System No. 09-90-0250. Under authority of
Section 1102 of the Patient Protection and Affordable Care Act (the
Affordable Care Act) (Pub. L. 111-148) the Early Retiree Reinsurance
Program is established. The program provides reimbursement to
participating employment-based plans for a portion of the cost of
health benefits for early retirees and their spouses, surviving spouses
and dependents. The system will collect and maintain information on
individuals associated with plan sponsors who perform key tasks on
behalf of the sponsor in order for the sponsor to participate in and
receive reimbursement under the program. The system will also collect
and maintain information on early retirees, and their spouses, etc., so
that sponsors' eligibility to receive reimbursement for the claims of
such specific individuals can be verified. The system will also collect
and maintain information related to the documentation of actual medical
costs of claims for health benefits submitted to the Department, to
ensure accurate reimbursement under the program.
The purpose of this system is to collect and maintain information
on individuals who are early retirees (and spouses, etc.) such that
sponsors' eligibility to receive reimbursement for the claims of such
specific individuals can be verified, to collect and maintain
information on individuals who are associated with plan sponsors who
perform key tasks on behalf of the sponsor, so that the sponsor can
participate in and get reimbursement under the program, and to collect
and maintain documentation of the actual costs of medical claims, so
that accurate and timely reimbursements may be made to plan sponsors
who continue to offer qualifying health benefits to early retirees (and
spouses, etc.). Information
[[Page 31441]]
maintained in this system will also be disclosed to: (1) Support
regulatory, reimbursement, and policy functions performed by an HHS
contractor, consultant or grantee; (2) assist another Federal or State
agency, agency of a State government, an agency established by State
law, or its fiscal agent; (3) support litigation involving the
Department; (4) combat fraud and abuse in certain health benefits
programs; and (5) assist efforts to respond to a suspected or confirmed
breach of the security or confidentiality of information maintained in
this system of records. We have provided background information about
the modified system in the ``Supplementary Information'' section below.
Although the Privacy Act requires only that HHS provide an opportunity
for interested persons to comment on the proposed routine uses, HHS
invites comments on all portions of this notice. See ``Effective
Dates'' section for comment period.
DATES: Effective Dates: HHS filed a new system report with the Chair of
the House Committee on Government Reform and Oversight, the Chair of
the Senate Committee on Homeland Security & Governmental Affairs, and
the Administrator, Office of Information and Regulatory Affairs, Office
of Management and Budget (OMB) on May 19, 2010. To ensure that all
parties have adequate time in which to comment, the new system,
including routine uses, will become effective 30 days from the
publication of the notice, or 40 days from the date it was submitted to
OMB and Congress, whichever is later, unless HHS receives comments that
require alterations to this notice.
ADDRESSES: The public should address comments to: HHS Privacy Officer,
Office of the Secretary, Office of the Assistant Secretary for Public
Affairs (ASPA), Freedom of Information/Privacy Acts Division, 330 ``C''
Street, SW., Washington, DC 20201. Telephone number: (202) 690-7453.
Comments received will be available for review at this location, by
appointment, during regular business hours, Monday through Friday from
9 a.m.-3 p.m., Eastern Time zone.
FOR FURTHER INFORMATION CONTACT: David Mlawsky, Office of Consumer
Information and Insurance Oversight (OCIIO), Office of the Secretary,
Department of Health and Human Services. He can be reached at (410)
786-6851, or contact via e-mail at David.Mlawsky@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: Rising costs have made it more difficult for
employers to provide quality, affordable health insurance for workers
and retirees. People in the early retiree age group often face
difficulties obtaining insurance in the individual market because of
age or chronic conditions that make coverage unaffordable and
inaccessible. The program provides needed financial help for employer-
based plans to continue to provide valuable coverage to plan
participants.
Section 1102(a)(2)(B) of the Affordable Care Act defines
``employment-based plan'' to include a group benefits plan providing
health benefits that is maintained by private employers, State or local
governments, employee organizations, voluntary employees' beneficiary
association, a committee or board of individuals appointed to
administer such plan, or a multiemployer plan (as defined by Employee
Retirement Income Security Act, or ERISA). Section 1102 does not
differentiate between health benefits provided by self-funded plans or
through the purchase of insurance.
The statute at section 1102(a)(2)(C) defines ``early retirees'' as
individuals who are age 55 and older but are not eligible for coverage
under Medicare, and who are not active employees of an employer
maintaining, or currently contributing to, the employment-based plan or
of any employer that has made substantial contributions to fund such
plan. The definition of early retiree in the program's implementing
regulation at 45 CFR 149.2 clarifies that spouses, surviving spouses,
and dependents are also included in the definition of early retiree.
This definition accommodates the language in section 1102(a)(1) of the
statute, which states that reimbursement under the program is made to
cover a portion of the costs of providing health coverage to early
retirees and to the eligible spouses, surviving spouses, and dependents
of such retirees. Reimbursement can be made under the program for the
health benefit costs of eligible spouses, surviving spouses, and
dependents of such retirees, even if they are under the age of 55, and/
or are eligible for Medicare.
When submitting claims for reimbursement, employment-based plans
(or their insurers) will submit documentation of the actual costs of
the medical claims, indicating the health benefit provided, the
provider or supplier, the incurred date, the individual for whom the
health benefit was provided, the date and amount of payment net any
known negotiated price concessions, and the employment-based plan and
benefit option under which the health benefit was provided.
The Congress appropriated funding of $5 billion for the temporary
program. The Secretary will reimburse plans 80 percent of the costs for
health benefits for valid claims between $15,000 and $90,000 (with
those amounts being indexed for plan years starting on or after October
1, 2011). Section 1102(a)(1) required the Secretary to establish this
temporary program not later than 90 days after enactment of the
statute, which is June 21, 2010. The Secretary has established an
effective date of June 1, 2010. The program ends no later than January
1, 2014.
I. Description of the Proposed System of Records
A. Statutory and Regulatory Basis for System
Authority for the collection, maintenance, and disclosures from
this system is given under provisions of Sec. 1102 of the Affordable
Care Act and its implementing regulations codified at Title 45 Code of
Federal Regulations (CFR) Part 149.
B. Collection and Maintenance of Data in the System
Information in this system is maintained on early retirees and
their spouses, surviving spouses, and dependents that are enrolled in
employment-based plans that participate in the program. Information
maintained in this system includes, but is not limited to, first name,
last name, middle initial, date of birth, Social Security Number (SSN),
gender, standard data for identification such as Plan Sponsor
Identification Number, Application Identification Number, Benefit
Option Identifier, and relationship to early retiree.
Information in this system is also maintained on individuals
associated with plan sponsors who perform key tasks on behalf of the
sponsor, so that the sponsor can participate in and get reimbursement
under the program. Information maintained in the system regarding these
individuals includes, but is not limited to, standard data for
identification such as Plan Sponsor Identification Number, Application
Identification Number, Benefit Option Identifier, the individual's
first name, middle initial, last name, job title, date of birth, social
security number, e-mail address, telephone number, fax number, employer
name, and business address. When submitting claims to the Department
for reimbursement, employment-based plans (or their insurers) will
submit documentation of the actual costs of the medical claims,
including the health benefit provided, the provider or supplier, the
incurred date, the individual for whom the health benefit was provided,
the date and
[[Page 31442]]
amount of payment net any known negotiated price concessions, and the
employment-based plan and benefit option under which the health benefit
was provided. Thus, such information is maintained in this system.
II. Agency Policies, Procedures, and Restrictions on Routine Uses
A. The Privacy Act permits us to disclose information without an
individual's consent if the information is to be used for a purpose
that is compatible with the purpose(s) for which the information was
collected. Any such disclosure of data is known as a ``routine use.''
The government will only release ERRP information that can be
associated with an individual as provided for under ``Section III.
Proposed Routine Use Disclosures of Data in the System.'' Both
identifiable and non-identifiable data may be disclosed under a routine
use.
We will only disclose the minimum personal data necessary to
achieve the purpose of ERRP. HHS has the following policies and
procedures concerning disclosures of information that will be
maintained in the system. In general, disclosure of information from
the system will be approved only for the minimum information necessary
to accomplish the purpose of the disclosure and only after HHS:
1. Determines that the use or disclosure is consistent with the
reason that the data is being collected, e.g., to collect, maintain,
and process information necessary to effectively and efficiently
administer the ERRP;
2. Determines that:
a. The purpose for which the disclosure is to be made can only be
accomplished if the record is provided in individually identifiable
form;
b. The purpose for which the disclosure is to be made is of
sufficient importance to warrant the effect and/or risk on the privacy
of the individual that additional exposure of the record might bring;
and
c. There is a strong probability that the proposed use of the data
would in fact accomplish the stated purpose(s).
3. Requires the information recipient to:
a. Establish administrative, technical, and physical safeguards to
prevent unauthorized use of disclosure of the record;
b. Remove or destroy at the earliest time all individually-
identifiable information; and
c. Agree to not use or disclose the information for any purpose
other than the stated purpose under which the information was
disclosed.
4. Determines that the data are valid and reliable.
III. Proposed Routine Use Disclosures of Data in the System
A. Entities Who May Receive Disclosures Under Routine Use
These routine uses specify circumstances, in addition to those
provided by statute in the Privacy Act of 1974, under which HHS may
release information from the ERRP without the consent of the individual
to whom such information pertains. Each proposed disclosure of
information under these routine uses will be evaluated to ensure that
the disclosure is legally permissible, including but not limited to
ensuring that the purpose of the disclosure is compatible with the
purpose for which the information was collected. We propose to
establish the following routine use disclosures of information
maintained in the system:
1. To support HHS contractors, consultants, or HHS grantees who
have been engaged by HHS to assist in accomplishment of an HHS function
relating to the purposes for this SOR and who need to have access to
the records in order to assist HHS.
We contemplate disclosing information under this routine use only
in situations in which HHS may enter into a contractual or similar
agreement with a third party to assist in accomplishing an HHS function
relating to purposes for this SOR.
HHS occasionally contracts out certain of its functions when doing
so would contribute to effective and efficient operations. HHS will
give a contractor, consultant, or HHS grantee the information necessary
for the contractor or consultant to fulfill its duties. In these
situations, safeguards are provided in the contract prohibiting the
contractor, consultant, or grantee from using or disclosing the
information for any purpose other than that described in the contract
and requires the contractor, consultant, or grantee to return or
destroy all information at the completion of the contract. Contractors
are also required to provide the appropriate management, operational,
and technical controls to secure the data.
2. To assist another Federal or State agency, agency of a State
government, an agency established by State law, or its fiscal agent
pursuant to agreements with HHS to:
a. Contribute to the accuracy of HHS''s reimbursement to sponsors
under the ERRP;
b. Enable such agency to administer a Federal health benefits
program, or as necessary to enable such agency to fulfill a requirement
of a Federal statute or regulation that implements a health benefits
program funded in whole or in part with Federal funds, and/or
c. Assist Federal/State Medicaid programs which may require ERRP
information for purposes related to this system.
Other Federal or State agencies in their administration of a
Federal health program may require ERRP information in order to support
evaluations and monitoring of claims information of beneficiaries,
including proper reimbursement for services provided.
3. To support the Department of Justice (DOJ), court, or
adjudicatory body when:
a. The Department or any component thereof, or
b. Any employee of HHS in his or her official capacity, or
c. Any employee of HHS in his or her individual capacity where the
DOJ has agreed to represent the employee, or
d. The United States Government, is a party to litigation or has an
interest in such litigation, and by careful review, HHS determines that
the records are both relevant and necessary to the litigation and that
the use of such records by the DOJ, court or adjudicatory body is
compatible with the purpose for which the agency collected the records.
Whenever HHS is involved in litigation, or occasionally when
another party is involved in litigation and HHS's policies or
operations could be affected by the outcome of the litigation, HHS
would be able to disclose information to the DOJ, court, or
adjudicatory body involved.
4. To assist an HHS contractor (including, but not limited to
fiscal intermediaries and carriers) that assists in the administration
of an HHS-administered health benefits program, or to a grantee of an
HHS-administered grant program, when disclosure is deemed reasonably
necessary by HHS to prevent, deter, discover, detect, investigate,
examine, prosecute, sue with respect to, defend against, correct,
remedy, or otherwise combat fraud, waste or abuse in such program.
We contemplate disclosing information under this routine use only
in situations in which HHS may enter into a contract or grant with a
third party to assist in accomplishing HHS functions relating to the
purpose of combating fraud, waste or abuse.
HHS occasionally contracts out certain of its functions when doing
so would contribute to effective and efficient operations. HHS must be
able to give a contractor or grantee whatever
[[Page 31443]]
information is necessary for the contractor or grantee to fulfill its
duties. In these situations, safeguards are provided in the contract
prohibiting the contractor or grantee from using or disclosing the
information for any purpose other than that described in the contract
and requiring the contractor or grantee to return or destroy all
information.
5. To assist another Federal agency or to an instrumentality of any
governmental jurisdiction within or under the control of the United
States (including any State or local governmental agency), that
administers, or that has the authority to investigate potential fraud,
waste or abuse in a health benefits program funded in whole or in part
by Federal funds, when disclosure is deemed reasonably necessary by HHS
to prevent, deter, discover, detect, investigate, examine, prosecute,
sue with respect to, defend against, correct, remedy, or otherwise
combat fraud, waste or abuse in such programs.
Other agencies may require ERRP information for the purpose of
combating fraud, waste or abuse in such Federally-funded programs.
6. To assist appropriate Federal agencies and Department
contractors that have a need to know the information for the purpose of
assisting the Department's efforts to respond to a suspected or
confirmed breach of the security or confidentiality of information
maintained in this system of records, and the information disclosed is
relevant and unnecessary for the assistance.
Other agencies may require ERRP information for the purpose of
assisting the Department's efforts to respond to a suspected or
confirmed breach of the security or confidentiality of information
maintained in this system of records.
B. Additional Circumstances Affecting Routine Use Disclosures
Our policy will be to prohibit release even of data not directly
identifiable, except pursuant to one of the routine uses or if required
by law, if we determine there is a possibility that an individual can
be identified through implicit deduction based on small cell sizes
(instances where the patient population is so small that individuals
could, because of the small size, use this information to deduce the
identity of the individual).
IV. Safeguards
HHS has safeguards in place for authorized users and monitors such
users to ensure against unauthorized use. Personnel having access to
the system have been trained in the Privacy Act and information
security requirements. Employees who maintain records in this system
are instructed not to release data until the intended recipient agrees
to implement appropriate management, operational and technical
safeguards sufficient to protect the confidentiality, integrity and
availability of the information and information systems and to prevent
unauthorized access.
This system will conform to all applicable Federal laws and
regulations and Federal and HHS policies and standards as they relate
to information security and data privacy. These laws and regulations
include but are not limited to: The Privacy Act of 1974; the Federal
Information Security Management Act of 2002; the Computer Fraud and
Abuse Act of 1986; the E-Government Act of 2002, and the Clinger-Cohen
Act of 1996; OMB Circular A-130, Management of Federal Resources,
Appendix III, Security of Federal Automated Information Resources also
applies. Federal and HHS policies and standards include but are not
limited to: All pertinent National Institute of Standards and
Technology publications; and the HHS Information Systems Program
Handbook.
V. Effects of the New System on the Rights of Individuals
HHS proposes to establish this system in accordance with the
principles and requirements of the Privacy Act and will collect, use,
and disseminate information only as prescribed therein. We will only
disclose the minimum personal data necessary to achieve the purpose of
ERRP. Disclosure of information from the system will be approved only
to the extent necessary to accomplish the purpose of the disclosure.
HHS has assigned a higher level of security clearance for the
information maintained in this system in an effort to provide added
security and protection of data in this system.
HHS will take precautionary measures to minimize the risks of
unauthorized access to the records and the potential harm to individual
privacy or other personal or property rights. HHS will collect only
that information necessary to perform the system's functions. In
addition, HHS will make disclosure from the proposed system only with
consent of the subject individual, or his/her legal representative, or
in accordance with an applicable exception provision of the Privacy
Act.
HHS, therefore, does not anticipate an unfavorable effect on
individual privacy as a result of the disclosure of information
relating to individuals.
Dated: May 20, 2010.
Jay Angoff,
Director Office of Consumer Information and Insurance Oversight.
SYSTEM NUMBER: 09-90-0250
SYSTEM NAME:
``Early Retirement Reinsurance Program (ERRP),'' OCIIO, OS/HHS.
SECURITY CLASSIFICATION:
Level Three Privacy Act Sensitive.
SYSTEM LOCATION:
Office of Consumer Information and Insurance Oversight, U.S.
Department of Health & Human Services, 200 Independence Avenue, SW.,
Suite 738F, Washington, DC 20201.
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
Information in this system is maintained on individuals associated
with plan sponsors who perform key tasks on behalf of the sponsor, so
that the sponsor can participate in and get reimbursement under the
program. Information in this system is also maintained on early
retirees and their spouses, surviving spouses, and dependents that are
enrolled in employment-based plans that participate in the program.
With respect to medical claims submitted by plan sponsors for
reimbursement, information in this system is maintained on early
retirees and their spouses, surviving spouses, and dependents with
respect to those medical claims, including the health benefit provided,
the provider or supplier, the incurred date, the individual for whom
the health benefit was provided, the date and amount of payment net any
known negotiated price concessions, and the employment-based plan and
benefit option under which the health benefit was provided.
CATEGORIES OF RECORDS IN THE SYSTEM:
Information in this system is maintained on early retirees and
their spouses, surviving spouses, and dependents that are enrolled in
employment-based plans that participate in the program. Information
maintained in this system includes, but is not limited to, first name,
last name, middle initial, date of birth, Social Security Number (SSN),
gender, standard data for identification such as Plan Sponsor
Identification Number, Application Identification Number, Benefit
Option Identifier, and relationship to early retiree. Information in
this system is maintained on
[[Page 31444]]
individuals associated with plan sponsors who perform key tasks on
behalf of the sponsor, so that the sponsor can participate in and get
reimbursement under the program. Information maintained in the system
regarding these individuals includes, but is not limited to, standard
data for identification such as Plan Sponsor Identification Number,
Application Identification Number, Benefit Option Identifier, the
individual's first name, middle initial, last name, job title, date of
birth, social security number, e-mail address, telephone number, fax
number, employer name, and business address. With respect to medical
claims submitted by plan sponsors for reimbursement, information in
this system is maintained on early retirees and their spouses,
surviving spouses, and dependents with respect to those medical claims,
including the health benefit provided, the provider or supplier, the
incurred date, the individual for whom the health benefit was provided,
the date and amount of payment net any known negotiated price
concessions, and the employment-based plan and benefit option under
which the health benefit was provided.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
Authority for the collection, maintenance, and disclosures from
this system is given under provisions of Sec. 1102 of the Affordable
Care Act and its implementing regulations codified at Title 45 Code of
Federal Regulations (CFR) Part 149.
PURPOSE(S) OF THE SYSTEM:
The purpose of this system is to collect and maintain information
on individuals who are early retirees (and spouses, etc.), to collect
and maintain information on individuals who are associated with plan
sponsors who perform key tasks on behalf of the sponsor, and to collect
and maintain information on medical claims submitted to the U.S.
Department of Health & Human Services (HHS) for reimbursement, so that
accurate and timely reimbursements may be made to plan sponsors who
continue to offer qualifying health benefits to such individuals.
Information maintained in this system will also be disclosed to:
(1)Support regulatory, reimbursement, and policy functions performed by
an HHS contractor, consultant or grantee; (2) assist another Federal or
State agency, agency of a State government, an agency established by
State law, or its fiscal agent; (3) support litigation involving the
Department; (4) combat fraud and abuse in certain health benefits
programs; and (5) assist efforts to respond to a suspected or confirmed
breach of the security or confidentiality of information maintained in
this system of records.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES
OR USERS AND THE PURPOSES OF SUCH USES:
B. Entities Who May Receive Disclosures Under Routine Use
These routine uses specify circumstances, in addition to those
provided by statute in the Privacy Act of 1974, under which HHS may
release information from the ERRP without the consent of the individual
to whom such information pertains. Each proposed disclosure of
information under these routine uses will be evaluated to ensure that
the disclosure is legally permissible, including but not limited to
ensuring that the purpose of the disclosure is compatible with the
purpose for which the information was collected. We propose to
establish or modify the following routine use disclosures of
information maintained in the system:
1. To support Agency contractors, consultants, or HHS grantees who
have been engaged by the Agency to assist in accomplishment of an HHS
function relating to the purposes for this SOR and who need to have
access to the records in order to assist HHS.
2. To assist another Federal or State agency, agency of a State
government, an agency established by State law, or its fiscal agent
pursuant to agreements with HHS to:
a. Contribute to the accuracy of HHS's reimbursement to sponsors
under the ERRP,
b. Enable such agency to administer a Federal health benefits
program, or as necessary to enable such agency to fulfill a requirement
of a Federal statute or regulation that implements a health benefits
program funded in whole or in part with Federal funds, and/or
c. Assist Federal/State Medicaid programs which may require ERRP
information for purposes related to this system.
3. To the Department of Justice (DOJ), court, or adjudicatory body
when:
b. The Agency or any component thereof, or
e. Any employee of the Agency in his or her official capacity, or
f. Any employee of the Agency in his or her individual capacity
where the DOJ has agreed to represent the employee, or
g. The United States Government, is a party to litigation or has an
interest in such litigation, and by careful review, HHS determines that
the records are both relevant and necessary to the litigation and that
the use of such records by the DOJ, court or adjudicatory body is
compatible with the purpose for which the agency collected the records.
4. To assist an HHS contractor (including, but not limited to
fiscal intermediaries and carriers) that assists in the administration
of an HHS-administered health benefits program, or to a grantee of an
HHS-administered grant program, when disclosure is deemed reasonably
necessary by HHS to prevent, deter, discover, detect, investigate,
examine, prosecute, sue with respect to, defend against, correct,
remedy, or otherwise combat fraud, waste or abuse in such program.
5. To assist another Federal agency or to an instrumentality of any
governmental jurisdiction within or under the control of the United
States (including any State or local governmental agency), that
administers, or that has the authority to investigate potential fraud,
waste or abuse in a health benefits program funded in whole or in part
by Federal funds, when disclosure is deemed reasonably necessary by HHS
to prevent, deter, discover, detect, investigate, examine, prosecute,
sue with respect to, defend against, correct, remedy, or otherwise
combat fraud, waste or abuse in such programs.
6. To appropriate Federal agencies and Department contractors that
have a need to know the information for the purpose of assisting the
Department's efforts to respond to a suspected or confirmed breach of
the security or confidentiality of information disclosed is relevant
and necessary for that assistance.
C. Additional Circumstances Affecting Routine Use Disclosures
Our policy will be to prohibit release even of data not directly
identifiable, except pursuant to one of the routine uses or if required
by law, if we determine there is a possibility that an individual can
be identified through implicit deduction based on small cell sizes
(instances where the patient population is so small that individuals
could, because of the small size, use this information to deduce the
identity of the beneficiary).
POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING,
AND DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
We will be storing records in hardcopy files and various electronic
storage media (including DB2, Oracle, and other relational data
structures).
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RETRIEVABILITY:
Information is most frequently retrieved by first name, last name,
middle initial, date of birth, or Social Security Number (SSN).
SAFEGUARDS:
HHS has safeguards in place for authorized users and monitors such
users to ensure against unauthorized use. Personnel having access to
the system have been trained in the Privacy Act and information
security requirements. Employees who maintain records in this system
are instructed not to release data until the intended recipient agrees
to implement appropriate management, operational and technical
safeguards sufficient to protect the confidentiality, integrity and
availability of the information and information systems and to prevent
unauthorized access.
This system will conform to all applicable Federal laws and
regulations and Federal, HHS, and HHS policies and standards as they
relate to information security and data privacy. These laws and
regulations include but are not limited to: The Privacy Act of 1974;
the Federal Information Security Management Act of 2002; the Computer
Fraud and Abuse Act of 1986; the E-Government Act of 2002, and the
Clinger-Cohen Act of 1996. OMB Circular A-130, Management of Federal
Resources, Appendix III, Security of Federal Automated Information
Resources also applies. Federal, HHS, and HHS policies and standards
include but are not limited to: all pertinent National Institute of
Standards and Technology publications; and the HHS Information Systems
Program Handbook. HHS will give a contractor, consultant, or HHS
grantee the information necessary for the contractor or consultant to
fulfill its duties. In these situations, safeguards are provided in the
contract prohibiting the contractor, consultant, or grantee from using
or disclosing the information for any purpose other than that described
in the contract and requires the contractor, consultant, or grantee to
return or destroy all information at the completion of the contract.
Contractors are also required to provide the appropriate management,
operational, and technical controls to secure the data.
RETENTION AND DISPOSAL:
Records are maintained with identifiers for all transactions after
they are entered into the system for a period of 10 years. Records are
housed in both active and archival files in accordance with HHS data
and document management policies and standards. All sponsor
applications, claims, and other program-related records are encompassed
by the document preservation order and will be retained until
notification is received from the Department of Justice.
SYSTEM MANAGER AND ADDRESS:
David Gardner, Acting Director, Early Retiree Reinsurance Division,
Office of Insurance Programs, Office of Consumer Information and
Insurance Oversight, U.S. Department of Health & Human Services, 200
Independence Avenue, SW., Suite 738F, Washington, DC 20201.
NOTIFICATION PROCEDURE:
For purpose of notification, the subject individual should write to
the system manager who will require the system name, and the retrieval
selection criteria (e.g., name, SSN, etc.).
RECORD ACCESS PROCEDURE:
For purpose of access, use the same procedures outlined in
Notification Procedures above. Requestors should also reasonably
specify the record contents being sought. (These procedures are in
accordance with Department regulation 45 CFR 5b.5(a)(2)).
CONTESTING RECORD PROCEDURES:
The subject individual should contact the system manager named
above, and reasonably identify the record and specify the information
to be contested. State the corrective action sought and the reasons for
the correction with supporting justification. (These procedures are in
accordance with Department regulation 45 CFR 5b.7).
RECORD SOURCE CATEGORIES:
Record source categories include program participants, individuals
on whose behalf reimbursements are being sought, and those who
voluntarily submit data and personal information for the ERRP program.
SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS OF THE ACT:
None.
[FR Doc. 2010-13178 Filed 6-2-10; 8:45 am]
BILLING CODE 4150-65-P