In early April 2003, the Employee Insurance Program (EIP) mailed a Notice of Privacy Practices directly to all enrollees covered under the state insurance program. This notice was sent in compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

HIPAA ensures security and privacy of health information by setting standards for access and distribution of that information. The notice, in brochure form, outlines the various situations in which EIP uses and discloses health information. It also outlines the subscriber’s rights with regard to the information and disclosure.

Below are links to a copy of this notice and the forms referenced in the notice. After reviewing these documents, if you have any questions, please contact the South Carolina Budget and Control Board Privacy Officer at 803-734-0600 (Greater Columbia area) or 888-260-9430 (toll-free outside Columbia area).

• Notice of Privacy Practices (legal size- 8 1/2 x 14) - (183KB - PDF)
• Authorized Representative Form - (146KB - PDF)
• Request to Inspect and/or Copy Protected Health Information - (79KB - PDF)
• Request to Amend Protected Health Information - (77KB - PDF)
• Request for Accounting of Disclosures - (77KB - PDF)
• Request for Restriction of Use or Disclosure of Protected Health Information - (78KB - PDF)
• Privacy Regulations Complaint Form - (79KB - PDF)
• Request for Confidential Communications - (98KB - PDF)