Group Health Plans sponsored or maintained by employers, however,

Question

Options

• AARE SOMETIMES covered entities.
• BARE NOT covered entities.
• CARE covered entities
• DARE called uncovered entities

• A
  3% (1)
• B
  3% (1)
• C
  93% (28)

Explanation

Under HIPAA, covered entities fall into three categories: health care providers, health care clearinghouses, and health plans - and employer-sponsored Group Health Plans qualify as health plans, making option C correct. Option A is wrong because coverage under HIPAA is not situational or conditional for group health plans; they are covered entities by definition, not just sometimes. Option B is flatly incorrect - it contradicts the HIPAA statute, which explicitly lists health plans (including employer-sponsored group plans) as covered entities. Option D is wrong because "uncovered entities" is not a recognized HIPAA term at all; the law uses "covered entities" and simply excludes entities that don't meet the criteria.

Memory tip: Think of the three pillars of HIPAA covered entities as "the 3 Ps" - Providers, Plans, and Processors (clearinghouses). Employer group health plans fall under Plans, so they're always in.

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