The Educators Health Alliance (EHA) is a fully insured health plan. The Alliance negotiates an annual contract with a health insurance carrier to provide health insurance coverage to employees of multiple employers who are members of the Alliance. The current insurance carrier is Blue Cross Blue Shield of Nebraska. 

To transact its business, the EHA receives only summary health information from Blue Cross Blue Shield regarding utilization of medical services and plan benefits. The plan neither tracks nor requests information from Blue Cross Blue Shield regarding individuals or employer/employee groups covered by the plan. Nor does EHA request or maintain any Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act, other than Summary Health Information. Protected Health Information is defined as an individual’s individually identifiable health information, including demographic information collected from the individual or created or received by a health care provider, his/her employer’s health plan, or the health insurance carrier which provides coverage. 

Any inquiry regarding a plan participant’s personal services and insurance claims under the provisions of the plan should be directed to Blue Cross Blue Shield of Nebraska. Any dispute regarding coverage or unpaid claims will be handled by Blue Cross Blue Shield consistent with that company’s appeal procedure and the Nebraska Health Carrier Grievance Procedure Act.