HIPAA Forms

HIPAA Individual Authorization
HIPAA Group Health Plan Designation Change Form
HIPAA Business Associate Designation Change Form
Group Health Plan Designation Change Form - Form for employer to report change in personnel designated to handle protected health information on behalf of the group health plan.
Business Associate Designation Form -- Form for Business Associates to report change in personnel designated to handle protected health information on their behalf.

HIPAA Privacy
HIPAA, the Health Insurance Portability and Accountability Act of 1996, through its Administrative Simplification provisions, requires health plans, health care clearinghouses, and health care providers to protect the privacy and security of the health information they have. Genworth Financial Employee Benefits Group complies with these provisions for the in scope HIPAA coverages it provides (generally, medical, prescription drug and dental plans).
Here you will find our HIPAA materials for individuals. In the Plan Administrator section of our toolkit, you will find additional HIPAA materials that will be helpful to plan administrators.
Health Information Privacy Notices: GLHIC HIPAA Privacy Notice.pdf PIC PIC HIPAA Master policyholder letter and notice final CalBen English Spanish
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