IN Bulletin 154
for Electronic Transmission of Protected Health Information
July 3, 2007
Bulletin 154
Security for Electronic Transmission of Protected Health Information
The Standards for Privacy of Individually Identifiable Health Information (Privacy Rule)
created by the Office of Civil Rights to implement the requirements ofthe Health Insurance
Portability and Accountability Act of 1996 (HIP AA) established a set ofnational standards for
the protection ofcertain "protected health information" (PHI). 45 C.F.R.F.R. § 160.103. Many
ofthe organizations subject to the Privacy Rule, "covered entities," are also regulated by the
Indiana Department of Insurance (IDOI). While the IDOI recognizes the substantial efforts the
health insurance industry has made to comply with the purpose ofthe Privacy Rule and to define
and limit the circumstances in which an individual's health information may be used or
disclosed, unfortunately there are still a significant number ofmembers ofthe health insurance
industry that do not adequately protect PHI transmissions. Due to the unparalleled increase in the
receipt and transfer ofhealth information electronically, the IDOI strongly recommends that
health insurers implement secured email technology for all PHI transmissions, including email
exchanges to and from any insured citizen ofIndiana.
INDIANA DEPARTMENT OF INSURANCE