AGENCY: Department of Health. Bureau of Communicable Disease Control

SERIES: 22948
TITLE: Health insurance continuation client charts
DATES: 1992-
ARRANGEMENT: Alphabetical by last name

DESCRIPTION: This record series documents client participation in the Ryan White Title II Program, from which the clients receive benefits for health insurance and continuation. Continuation consists of Consolidated Omnibus Budget Reconcilliation Act (COBRA) funding for the medical expenses of the clients who are eligible. Information includes patient and demographic information, HIV status, release of information form, correspondence, chart notes, authorization for payments, income verification, COBRA election forms and insurance coverage information. The information collected in this record series is compiled and submitted in a report to the Health Resources and Services Administration (HRSA), a copy which is maintained by the agency.

RETENTION

Retain for 8 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 08/2000

FORMAT MANAGEMENT

Computer data files: Retain in Office for 8 years and then delete.

Paper: Retain in Office for 3 years and then transfer to State Records Center. Retain in State Records Center for 5 years and then destroy.

APPRAISAL

Administrative Fiscal

PRIMARY DESIGNATION

Private. UCA 63G-2-302 (1) (2008)

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