Business Associate Addendum Sample Contracts

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • October 19th, 2015

This Business Associate Addendum (“Addendum”) supplements and is made part of that certain agreement (“Agreement”), which incorporates this Addendum by reference, by and between HealthTech Management Services, Inc.® d/b/a HealthTechS3 (“Associate”) and Hospital or Client (as defined in the Agreement) (Hospital or Client hereinafter referred to as “Entity”).

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Business Associate ADDENDUM
Business Associate Addendum • August 29th, 2018

This Business Associate Addendum (this “Addendum”) is incorporated by reference into the [Name of Underlying Agreement] (the “Services Agreement”) whereby [Name of Contractor] (herein referred to as “Business Associate”) provides [nature of services] (the “Services”) to the University of Nebraska, a corporate public body, for and on behalf of the University of Nebraska (herein referred to as “Covered Entity”).

Exhibit I Business Associate Addendum
Business Associate Addendum • December 30th, 2021
BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • January 8th, 2024

[To be used whenever Health Care Component is entering in a new agreement, or already has a written contract with a business associate; this

Contract
Business Associate Addendum • August 22nd, 2011

This Business Associate Addendum, effective April 1, 2003, is entered into March 1, 2011 by and between Guilford County and/or Guilford County Department of Social Services and/or Guilford County Department of Public Health (“Covered Entity”) Guilford County Schools (“Business Associates”).

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • April 26th, 2024

This BAA will be effective as of the date Customer accepts the Agreement. Customer must have an existing Agreement in place for this BAA to be valid and effective. Together with the Agreement, this BAA will govern each party’s respective obligations relating to PHI.

HIPAA BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • January 2nd, 2020

This Business Associate Addendum (“BAA”) is made between Cognito, LLC., a South Carolina corporation (“Cognito Forms”) and {OrganizationLegalName} (“Covered Entity” or “{Organization}”) as an addendum to the Cognito Forms Terms of Service (the “Terms of Service”). This BAA is effective as of {AgreementDate} (“Effective Date”), which is the date

PRIVACY ADDENDUM
Business Associate Addendum • October 10th, 2020

This PRIVACY ADDENDUM (this “Addendum”) is effective this [insert day] day of [insert month, year] (the “Effective Date”), by and between The Cambridge Public Health Commission d/b/a the Cambridge Health Alliance, a public entity and Health Care Provider (the “Covered Entity”), and [Insert Vendor Name] a Business Associate (the “Vendor”).

QBench LIMS Business Associate Addendum
Business Associate Addendum • November 14th, 2022

This Business Associate Addendum ("BAA") is entered into between QBench, Inc. ("Company") and the customer agreeing to the terms below ("Customer"), and supplements, amends and is

Business Associate Addendum
Business Associate Addendum • October 28th, 2020

This Business Associate Addendum (“Addendum”) supplements and is made a part of the PatientNOW Master Service Agreement (the “Agreement”) by and between the individual/company identified in the Bill To portion of the Order Form and Patient NOW, Inc., a Colorado corporation with offices at 6160 S. Syracuse Way, STE B-100, Greenwood Village, CO 80111 (“PatientNOW”), of even date herewith (together, the “Parties”). PatientNOW and Covered Entity may be referred to individually as a “Party” or collectively as the “Parties.”

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • January 17th, 2021

This Business Associate Addendum (“Addendum”) is entered into by and between Deloitte Consulting, L.L.P. (“Deloitte”) and the State of Wisconsin Department of Employee Trust Funds Board (“BOARD”), attached to the Wisconsin Department of Employee Trust Funds (“ETF”), the administrator for the State of Wisconsin Group Health Insurance Plans (“PLANS”) on behalf of the State of Wisconsin.

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • October 8th, 2015

This Business Associate Addendum (“Addendum”) adds to and is made a part of the Q- global Subscription and License Agreement by and between NCS Pearson, Inc. (“Business Associate”) and Covered Entity (as defined below). As stated in the Subscription and License Agreement, this Addendum is an integral part of the Subscription and License Agreement as if fully set forth therein.

Contract
Business Associate Addendum • January 23rd, 2019 • Illinois

This Health Insurance Portability & Accountability Act Business Associate Addendum (“HIPAA Addendum”) is an addendum to the Service Agreement (and incorporated therein by reference) by and between Benefit Express Services, LLC (“BE” or “Business Associate”) and Client (“Client” or “Covered Entity”). In order, to provide such services to Client, the Business Associate must have access to certain protected health information ("Protected Health Information" or "PHI"), as defined in the Standards for Privacy of Individually Identifiable Health Information (the "Privacy Standards") set forth by the U.S. Department of Health and Human Services (“HHS”) pursuant to the Health Insurance Portability and Accountability Act of 1996, ("HIPAA") and amended by the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”), part of the American Recovery and Reinvestment Act of 2009 (“ARRA”), the Genetic Information Nondiscrimination Act of 2008 (“GINA”), and the final regulation

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • October 21st, 2015

(hereinafter referred to as “VENDOR”), and Community Health Choice, Inc., a licensed non-profit health maintenance organization, under the laws of the State of Texas (hereinafter referred to as “Community”).

BUSINESS ASSOCIATE PRIVACY AND SECURITY ADDENDUM
Business Associate Addendum • April 15th, 2020

This Business Associate Addendum (“Addendum”), effective ____________, 20__ (“Effective Date”), is entered into by and between University of Southern California, ___________________________ (“University”) and ____________________________ (“Vendor”). Capitalized terms used in this Addendum without definition shall have the respective meanings assigned to such terms by the Administrative Simplification section of the Health Insurance Portability and Accountability Act and their implementing regulations as each may be amended from time to time (collectively, “HIPAA”).

HIPAA BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • February 1st, 2017 • Colorado

This Business Associate Addendum (“Addendum”) is a part of the Agreement dated ______ between the Regents of the University of Colorado, a body corporate, for and on behalf of the University of Colorado Denver, _____________________ (“University”) and ________________________ (“Contractor”), Agreement number _____________. For purposes of this Addendum, the University is referred to as “Covered Entity” or “CE” and the Contractor is referred to as “Associate”. Unless the context clearly requires a distinction between the Agreement document and this Addendum, all references herein to “the Agreement” or “this Agreement” include this Addendum.

Business Associate Addendum to Transaction Service Agreement
Business Associate Addendum • June 1st, 2022

This Business Associate Addendum to Transaction Service Agreement (this “Addendum”), effective this signed date is entered into by and between Orion Healthcare Technology, Inc. (“Orion”) and Webb County Texas (“the Covered Entity) named below (each a “Party” and collectively the “Parties").

HIPAA RULES BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • September 27th, 2017
BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • March 12th, 2010 • American Dental Partners Inc • Services-misc health & allied services, nec

This Business Associate Addendum (the “Addendum”) is made effective January 1, 2010 among Northland Dental Partners, PLLC, a Minnesota professional limited liability company (“Northland”), its wholly owned subsidiaries, Family Periodontic Specialists, P.L.C., Family Oral Surgery Specialists, PLC, and Family Endodontic Specialists, PLC, all Minnesota professional limited liability companies (the “Subsidiaries,” and collectively with Northland, “Provider”), and American Dental Partners of Minnesota, LLC, a Delaware limited liability company (“Business Associate”).

Business Associate Addendum – Blue Diamond
Business Associate Addendum • September 15th, 2015

This Business Associate Addendum for Blue Diamond Enhanced Security Support ("Addendum") supplements and is made a part of the International Passport Advantage Agreement (for Software Subscription and Support for IBM Programs or Selected Support for Selected Programs, but excluding Selected Support for Non-IBM Programs); the Client Relationship Agreement (for Subscription and Support for Programs and warranty and maintenance Service for Machines, but excluding support and maintenance for Non-IBM Products); the IBM Client Agreement (for Program Services and warranty and maintenance Service for IBM Machines, but excluding support and maintenance for Non-IBM Machines and Non-IBM Programs); the IBM Agreement for the Acquisition of Software Maintenance (for S&S for Eligible Programs); and/or the International Program License Agreement (to assist Client in isolating the cause of a problem with Programs) by and between the undersigned customer ("Customer") and International Business Machines

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • September 19th, 2020

This Business Associate Addendum (“BAA”) is entered into by and between (hereinafter referred to as “VENDOR”), and Community Health Choice, Inc., a non-profit corporation licensed as a health maintenance organization, under the laws of the State of Texas (hereinafter referred to as “COMMUNITY”).

EXHIBIT B
Business Associate Addendum • April 6th, 2006 • Kansas

between City of Overland Park, Kansas (a hybrid entity with functions that are covered and functions that are not covered hereinafter referred to for purposes of this Addendum as the “Covered Entity”), and ADPI EMS Billing, Inc., a Delaware Corporation (hereinafter referred to as the “Business Associate”), and amends and is made a part of the Agreement between the Covered Entity and the Business Associate.

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BUSINESS ASSOCIATE ADDENDUM TO SERVICE AGREEMENT
Business Associate Addendum • March 24th, 2017

Whereas, Business Associate renders certain services on behalf of Covered Entity pursuant to an Engagement Letter (“Service Agreement”); and

BUSINESS ASSOCIATE ADDENDUM TO AGREEMENT
Business Associate Addendum • May 5th, 2020

THIS BUSINESS ASSOCIATE ADDENDUM (“Addendum”) is attached to and is made a part of a certain written agreement by and between University Dental Associates (“Covered Entity”) and _________________, (“Business Associate”) which agreement is dated the ___________________________ (collectively, “Services Agreement”).

B usiness Associate Addendum
Business Associate Addendum • December 4th, 2020

This Addendum (“Addendum”) supplements and is made a part of the [IBM Customer Agreement #__________] (the “Agreement”) by and between ____________ (“Customer”) and International Business Machines Corporation (“IBM”). IBM and Customer may be referred to individually as a “Party” or collectively as the “Parties.”

ADDENDUM A
Business Associate Addendum • March 14th, 2024

This Business Associate Addendum (the “Addendum”) is entered into by and between the Ohio Department of Developmental Disabilities ("Agency") and Contractor.

License and Services Agreement Business Associate Addendum
Business Associate Addendum • November 14th, 2018

This Business Associate Addendum (hereinafter referred to as “the Addendum”) is being made and entered into by and between Licensee (“Covered Entity”) and CureMD.com, Inc. (“Business Associate”) and will be read as an integral party of the License and Services Agreement (“LSA”) (Both Covered Entity and Business Associate would also be referred as “Party” individually and collectively as “Parties” herein below)

HIPAA BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • December 27th, 2022

This Business Associate Addendum (“BAA”) is made between Cognito, LLC., a South Carolina corporation (“Cognito Forms”) and A Shared Vision (“Covered Entity” or “A Shared Vision”) as an addendum to the Cognito Forms Terms of Service (the “Terms of Service”). This BAA is effective as of 4/12/2024 (“Effective Date”), which is the date A Shared Vision indicated its acceptance of this BAA electronically and ends as of the termination date for any reason identified in Section 5. This BAA was electronically signed by Steven Lindauer, Executive Director on behalf of A Shared Vision on the Effective Date.

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • August 8th, 2021

_________, 201__ (the “Effective Date”), by and between FAUQUIER EAR, NOSE AND THROAT CONSULTANTS, P.L.C., a Virginia limited liability company (“Covered Entity”), and ,

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • July 1st, 2013

This BUSINESS ASSOCIATE ADDENDUM (this “BA Addendum”) is an Addendum to the License Agreement by and between EYEFINITY, INC., a Delaware corporation (“EF”), and the Eye Care Provider who is licensed to use certain of Eyefinity’s Products and Services (“Customer”). EF and Customer may be referred to individually as a “Party” and collectively as the “Parties”. Capitalized terms used in this BA Addendum without definition shall have the respective meanings assigned to such terms by the License Agreement between the Parties (the “License Agreement”), or the Administrative Simplification section of the Health Insurance Portability and Accountability Act of 1996, the Health Information Technology for Economic and Clinical Health Act and their implementing regulations as amended from time to time (collectively, “HIPAA”).

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • November 7th, 2014

(hereinafter referred to as “VENDOR”), and the Harris County Hospital District d/b/a Harris Health System, a political subdivision of the State of Texas (hereinafter referred to as “Harris Health”).

APPENDIX G: NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES‌‌
Business Associate Addendum • May 16th, 2022

This Contract is made effective the 00 day of MONTH YEAR, by and between TRILLIUM HEALTH RESOURCES (“Covered Entity”) and CONTRACTOR NAME. (“Business Associate”) (collectively the “Parties”).

BUSINESS ASSOCIATE ADDENDUM
Business Associate Addendum • August 24th, 2020

This Business Associate Addendum (“Addendum”) is effective as of _____________________ (the “Effective Date”) by and between The Mount Sinai Hospital and Mount Sinai School of Medicine of New York University (individually and collectively “Covered Entity”) and _____________________________ (“Business Associate”). This Addendum supplements and is made a part of any agreements between Covered Entity and Business Associate involving the use or disclosure of PHI (as defined below). Each individual agreement is referred to herein as the “Underlying Agreement”.

B usiness Associate Addendum
Business Associate Addendum • December 12th, 2019

This Business Associate Addendum (“Addendum”) supplements and is made a part of the base agreement, and applicable transaction document(s), between Client and International Business Machines Corporation (IBM) for the services that will be processing protected health information of individuals governed by U.S. laws and regulations (collectively, the “Agreement”). IBM and Client may be referred to individually as a “Party” or collectively as the “Parties.” Once accepted electronically, any reproduction made by reliable means (for example, electronic image, photocopy or facsimile) is considered an original.

Business Associate Addendum
Business Associate Addendum • December 2nd, 2016

This Business Associate Addendum (“Addendum”) supplements and is made a part of the Underlying Agreement (as defined below) by and between the Merge Customer as identified on the applicable Sales Order and/or other Underlying Agreement (“Customer”) and Merge Healthcare Solutions Inc., an IBM Company (“Business Associate”). Business Associate and Customer may be referred to individually as a “Party” or collectively as the “Parties.”

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