Form preview

Get the free Business Associate Agreement

Get Form
This document outlines the terms and conditions between Trustmark Insurance Company, Trustmark Life Insurance Company (Covered Entity) and a Business Associate regarding the safeguarding and handling
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign business associate agreement

Edit
Edit your business associate agreement form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your business associate agreement form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing business associate agreement online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Sign into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit business associate agreement. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, dealing with documents is always straightforward. Try it now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out business associate agreement

Illustration

How to fill out Business Associate Agreement

01
Identify the parties involved - the Covered Entity and the Business Associate.
02
Clearly define the scope of services the Business Associate will provide.
03
Include provisions for the protection of Protected Health Information (PHI).
04
Specify permissible uses and disclosures of PHI by the Business Associate.
05
Outline the requirements for the Business Associate to report any breaches of PHI.
06
Detail the obligations of the Business Associate to safeguard PHI.
07
Include terms regarding contract termination and the handling of PHI upon termination.
08
Ensure compliance with HIPAA regulations and include necessary clauses.

Who needs Business Associate Agreement?

01
Healthcare providers who handle PHI.
02
Health plans and health insurers.
03
Business associates that provide services involving PHI.
04
Consultants and IT service providers that have access to PHI.
05
Any entity that works with healthcare organizations and handles sensitive patient information.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
36 Votes

People Also Ask about

HIPAA requires Covered Entities to ensure that BAs they work with meet specific security standards for handling PHI. A BAA helps demonstrate this commitment and protects both parties in case of a data breach.
A business associate contract is not required with persons or organizations whose functions, activities, or services do not involve the use or disclosure of [PHI], and where any access to [PHI] by such persons would be incidental, if at all.
Any Business Associate you share PHI or ePHI with over the course of the work they've been hired to do is who needs a Business Associate Agreement.
Business agreements are the heart and soul of most companies and organizations. They help ease business operations and processes without friction between involved parties. Business contracts — when executed correctly — can help to manage business expectations and avoid liability.
Consequently, a BAA with a vendor is also required if: Your vendor is involved in creating, sending, storing, or receiving PHI; Your vendor's services require that you disclose PHI to the vendor; Your vendor accesses your PHI on a regular basis.
As such, a BAA is required any time you are working with a vendor or contractor who will come into contact with PHI on your organization's behalf. Keep in mind, HIPAA requires you to sign the BAA with your business associate before sharing any PHI with them.
Business associate agreements form the backbone of your organization's HIPAA compliance program. These agreements include clauses outlining the permissible and impermissible uses of Protected Health Information (PHI), each party's liabilities, consequences of failing to comply with stated requirements, and more.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Business Associate Agreement (BAA) is a contract between a healthcare provider and a business associate that outlines the responsibilities of the business associate in safeguarding protected health information (PHI) and complying with HIPAA regulations.
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file a Business Associate Agreement with any business associates that handle PHI on their behalf.
To fill out a Business Associate Agreement, both parties must clearly define their roles, responsibilities, and terms regarding PHI handling, including data security measures, breach notification procedures, and termination clauses.
The purpose of a Business Associate Agreement is to ensure that business associates comply with HIPAA regulations when handling PHI, thereby protecting patient privacy and maintaining data security.
A Business Associate Agreement must include information such as the names of the parties involved, the specific permitted uses and disclosures of PHI, security measures to be implemented, breach notification procedures, and terms for agreement termination.
Fill out your business associate agreement online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.