Section 34(2) of PHIPA prohibits persons other than health information custodians or agents of health information custodians from collecting, using and disclosing health card numbers. There are some narrow exceptions, one of which applies when the collection, use or disclosure is “for purposes related to the provision of provincially funded health resources to [the] person [whose health card number is collected…].”
In a decision issued October 10th, the IPC said the following about the exception:
Having regard to the above, I find the proper interpretation of section 34(2)(a) is that a collection or use of a health number will only be “related to the provision of provincially funded health resources” where the health number is collected or used for the purposes of the provincial funding of health resources, or directly obtaining those health resources.
The IPC therefore held that an insurance company could not routinely collect health card numbers on an application form for supplementary health insurance benefits. Although related in the broad sense, the insurance company did not routinely use the number to coordinate benefits. The IPC permitted the company to continue to collect health card numbers to obtain reimbursement for payments made under plans that provide for emergency medical travel coverage.