Common use of Data Quality and Integrity Clause in Contracts

Data Quality and Integrity. Agents/Brokers/Entities should take reasonable steps to ensure that PII is complete, accurate, and up-to-date to the extent such data is necessary for the Agent/Broker/Entity’s intended use of such data, and that such data has not been altered or destroyed in an unauthorized manner, thereby ensuring the confidentiality, integrity, and availability of PII. A. Standard: Right to Amend, Correct, Substitute, or Delete PII. Agents/Brokers/Entities must offer Consumers, Applicants, Qualified Individuals, and Enrollees—or these individuals’ legal representatives or Authorized Representatives—an opportunity to request amendment, correction, substitution, or deletion of PII maintained and/or stored by the Agent/Broker/Entity if such individual believes that the PII is not accurate, timely, complete, relevant, or necessary to accomplish CoverME.gov-related functions, except where the information questioned originated from other sources, in which case the individual should contact the originating source. B. Standard: Verification of Identity for Requests to Amend, Correct, Substitute or Delete PII. Agents/Brokers/Entities that maintain and/or store PII must develop and implement policies and procedures to verify the identity of any person who requests access to, notification of, or modification—including amendment, correction, substitution, or deletion—of PII that is maintained by or for the Agent/Broker/Entity. This includes confirmation of an individuals’ legal or personal authority to access, receive notification of, or seek modification—including amendment, correction, substitution, or deletion—of a Consumer’s, Applicant’s, Qualified Individual’s, or Enrollee’s PII. C. Standard: Accounting for Disclosures. Except for those disclosures made to the Agent/Broker/Entity’s Workforce who have a need for the record in the performance of their duties, and the disclosures that are necessary to carry out the required functions of the Agent/Broker/Entity, Agents/Brokers/Entities that maintain and/or store PII shall maintain an accounting of any and all disclosures.

Data Quality and Integrity. Agents/Brokers/Entities should take reasonable steps to ensure that PII is complete, accurate, and up-to-date to the extent such data is necessary for the Agent/Broker/Entity’s intended use of such data, and that such data has not been altered or destroyed in an unauthorized manner, thereby ensuring the confidentiality, integrity, and availability of PII. A. Standard: Right to Amend, Correct, Substitute, or Delete PII. Agents/Brokers/Entities must offer Consumers, Applicants, Qualified Individuals, and Enrollees—or these individuals’ legal representatives or Authorized Representatives—an opportunity to request amendment, correction, substitution, or deletion of PII maintained and/or stored by the Agent/Broker/Entity if such individual believes that the PII is not accurate, timely, complete, relevant, or necessary to accomplish CoverME.gov-related functionsfunction, except where the information questioned originated from other sources, in which case the individual should contact the originating source. i. Implementation Specifications: 1. Such individuals shall be provided with instructions as to how they should address their requests to the Agent/Broker/Entity’s Responsible Official, in writing or telephonically. They may also be offered an opportunity to meet with such individual or their delegate(s) in person. 2. Such individuals shall be instructed to specify the following in each request: (a) The PII they wish to correct, amend, substitute or delete; (b) The reasons for requesting such correction, amendment, substitution, or deletion, along with any supporting justification or evidence. 3. Such requests must be granted or denied within no more than ten (10) business days of receipt. 4. If the Agent/Broker/Entity (or its delegate) reviews these materials and ultimately agrees that the identified PII is not accurate, timely, complete, relevant, or necessary to accomplish the function for which the PII was obtained/provided, the PII should be corrected, amended, substituted, or deleted in accordance with applicable law. 5. If the Agent/Broker/Entity (or its delegate) reviews these materials and ultimately does not agree that the PII should be corrected, amended, substituted, or deleted, the requestor shall be informed in writing of the denial, and, if applicable, the availability of any appeal procedures. If available, the notification must identify the appropriate appeal authority including that authority’s name, title, and contact information. B. Standard: Verification of Identity for Requests to Amend, Correct, Substitute or Delete PII. Agents/Brokers/Entities that maintain and/or store PII must develop and implement policies and procedures to verify the identity of any person who requests access to, notification of, or modification—including amendment, correction, substitution, or deletion—of PII that is maintained by or for the Agent/Broker/Entity. This includes confirmation of an individuals’ legal or personal authority to access, receive notification of, or seek modification—including amendment, correction, substitution, or deletion—of a Consumer’s, Applicant’s, Qualified Individual’s, or Enrollee’s PII. C. Standard: Accounting for Disclosuresi. Implementation Specifications: 1. Except for those disclosures made The requester must submit through mail, via an electronic upload process, or in-person to the Agent/Broker/Entity’s Workforce who have Responsible Official, a need for the record in the performance copy of their duties, and the disclosures that are necessary to carry out the required functions one of the Agent/Broker/Entityfollowing government-issued identification: a driver’s license, Agents/Brokers/Entities school identification card, voter registration card, U.S. military card or draft record, identification card issued by the federal, state or local government, including a U.S. passport, military dependent’s identification card, Native American tribal document, or U.S. Coast Guard Merchant Mariner card. 2. If such requester cannot provide a copy of one of these documents, he or she can submit two of the following documents that maintain corroborate one another: a birth certificate, Social Security card, marriage certificate, divorce decree, employer identification card, high school or college diploma, and/or store PII shall maintain an accounting of any and all disclosuresproperty deed or title.