HIPAA Privacy Practices and Forms

Inter-County is committed to protecting the privacy of our members' personal health information. Part of that commitment is complying with the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which requires us to take additional measures to protect personal information and to inform our members about those measures.

Notice of Privacy Practices

Describes how Inter-County may use and disclose a member’s personal health information and how a member of an Inter-County health plan can get access to this information.

General HIPAA Information

HIPAA Privacy Forms

For your convenience, download and print any of the following HIPAA forms as needed:

Mail or fax the completed and signed forms to:
Inter-County
Attn: Privacy Office
1900 Market Street, Suite 500
Philadelphia, PA 19103
Fax: 215-238-7993
Phone: 215-830-2579

HIPAA Privacy Inquiries

If you have questions or comments regarding HIPAA Privacy, please submit an inquiry.