Health Insurance Portability and Accountability Act (HIPAA)

ACERA is not legally required to comply with HIPAA.  However, the integrity of your account is a high priority.  Because ACERA does frequently deal with retiree personal health information (PHI), we have developed procedures on how to process your information in order to keep it confidential.  To read about the privacy statement and practices, please click here.

HIPAA Authorization Form- Retiree authorization form that allows ACERA to release PHI

HIPAA Cancellation Form- Cancellation of authorization for PHI disclosure

- Last Modified: 06 / 04 / 2007