Workers Compensation Data Confidentiality Agreement I. This
Contents
1. S RM State Office of Risk Management Workers Compensation Data Confidentiality Agreement I This paragraph constitutes information security training for the purposes of this document Electronic data maintained by the State Office of Risk Management and stored on the mainframe computer at the Office of the Attorney General is sensitive information It must be given a reasonable degree of protection to ensure that only individuals who specifically need to work with it can have access to it Your access to this information will be controlled by means ofa User Name and a Password Both will be unique to you You will be required to change your password periodically Your User Name will remain the same as long you require access to this data and will be inactivated when your need for access ends It is vital that you keep your User Name and Password secure Do not share them with anyone Do not write them down and leave them where there is even a slight possibility they will be found If you forget your Password SORM can easily reset it The same security principles apply to the information itself as well Do not access information you don t need to see Take precautions to insure that information you have in your possession stays among people who have a reason to see it Do not access information dealing with any case involving yourself or any of your relatives friends or business associates In summation any information obtained about emp2. e conditions or any attempt to circumvent the computer security by using or attempting to use any transaction software files resources or passwords that I am not authorized to use may constitute a Breach of Computer Security as defined in the TEXAS PENAL CODE Chapter 33 Section 33 02 B and that such an offense is a Class A Misdemeanor Similar federal statutes may also be applicable Copies of the TEXAS PENAL CODE Chapter 33 Section 33 02 are available from the Information Security Officer The following should be filled out and signed by the person requesting access and authorized by the agency s designated Primary Claims Coordinator User Information Agency Name Agency Number Location Code Name of Person Requesting Access Title Function Email Address SSN Requestor s Signature Date Primary Claims Coordinator or Authorized Representative Name Please Print Please fax the completed form to Will Boiney at 512 370 9194 Be sure to include all 3 pages
3. loyees is strictly confidential any disclosure of this information is a violation of SORM policy and may be a violation of state or federal law Information obtained about individual workers compensation claims is for the official use of Texas state agencies and should not be disclosed to anyone else including the injured employee Any inquiry from an injured employee should be directed to the SORM adjuster handling the case II By signing this statement I certify that I Agree to abide by all written information security policies imposed by SORM Understand the following responsibilities as a user of SORM information resources 1 Use the resources only for the purpose specified by its owner 2 Comply with controls established by the owner 3 Prevent disclosure of confidential information Am not permitted to access information on or in any way deal with any case involving myself or any of my relatives friends or business associates Have received the User s Manual for the Claims Management System and will comply with the procedures established Notify SORM of any change in my email address Notify SORM of any change in my employment status which would result in my no longer requiring access to this My failure to comply with the information security policies of SORM may result in denial of my access or my agency s access to the data concerned as well as possible disciplinary actions within my own agency Failure to observe the abov
Download Pdf Manuals
Related Search