Paper enrollment form & HIPPA

[alexa]

A question has come up as to what HIPAA disclosures are necessary on a paper enrollment form

We are also thinking about utilizing a survey tool to capture the enrollment information for 2007.

The employee would log on to a website from either work or home and enter their info , name , ee#, benefit elections and then hit submit. The online tool does not require a userid or PIN

Do we need to worry about adding any sepific HIPAA disclosures ?

We are including HIPPAA Special Enrollment rights language in our benefits guide