FINAL TEMPLATE_ Business Associate Agreement 2021_MHS Branded_4-21-22

Contract Status: 
Clerk Final Review
Contract Type: 
Service
Contract Source: 
County
Contract Duration (months): 
12months
Responsible Department: 
Health
Vendor (Contractor): 
Sauk County
Contract Value: 
$0

THIS IS A TEMPLATE TO REVIEW

This Business Associate Agreement (“BAA”) is between MANAGED HEALTH SERVICES INSURANCE CORP., a Wisconsin corporation (“Covered Entity”), and ___________________ (“Business Associate”; individually with Covered Entity a “Party” and together the “Parties”) and is effective _____________________. Capitalized terms not otherwise defined in this BAA have the meanings assigned to such terms in Section 1.

Covered Entity and/or one or more of its Affiliates desires to obtain services from Business Associate (or its Affiliates) that will result in the Use of Covered Entity’s (or its Affiliate’s) PHI pursuant to one or more contracts between Business Associate, on one hand, and Covered Entity and/or any of its Affiliates, on the other hand, in effect on or after the Effective Date (each contract, a "Primary Agreement"); and
Covered Entity and Business Associate desire and intend that this BAA govern the Use of all PHI under a Primary Agreement and all other Use of PHI by Business Associate and/or its Affiliates for or on behalf of Covered Entity.