Public register of processing operations
BIG undertakes to publish details about how it handles social data on its members, policyholders and potential customers (Sozialgesetzbuch X § 81 section 4 in conjunction with § 4g and § 4e of the German Data Protection Act (BDSG)). You will find all details of which data BIG stores and for what purpose on this page.
- Responsibilities
- What does BIG collect data for?
- Which data does BIG store?
- Personal details
- Details of membership
- Details of insurance status
- Details of premiums (only for direct payers)
- Details on level of coverage
- Details of carer
- Data on legal representative
- Social data about the recipient of the publication
- Data on employer/disbursing agency, social data for employer and disbursing agencies
- Contractual partner and suppliers
- Social data about potential customers
- Who does BIG pass data on to?
- Provisions for deletion of data
- Transmission of data to third countries
Responsibilities
Name of the office responsible
BIG direkt gesund
Chairman of the board
Frank Neumann
Data protection officer
Andreas Josefowitz
Tel.: 0231.5557-0
Fax: 0231.5557-199
E-mail: andreas.josefowitz(at)big-direkt.de
Appointed head of data processing
Andreas Faltin, head of IT service department
Address of office responsible
Charlotten-Carree Markgrafenstraße 62
10969 Berlin
What does BIG collect data for?
As a statutory health insurance fund BIG ensures that the health of its policyholders is maintained, restored or improved. Data need to be collected, processed and used to this end. In accordance with the legal provisions (§ 284 SGB V, for long-term care insurance with health insurance funds from § 94 SGB XI) BIG collects data for the following aims:
- To establish the status of insurance
- To issue the health insurance card
- To settle issues concerning premiums
- To check and award benefits
- To assist policyholders in the case of malpractice
- Reimbursement
- To establish the status of co-payments, to calculate the assessment ceiling
- To reimburse premiums
- For consultation with the Medical Review Board
- To settle accounts with care providers
- To check the efficiency and quality of care providers
- To settle accounts with other care funding agencies
- To settle claims for refunds and damages with third parties
- To prepare, agree upon and implement morbidity-based compensation structures
- To prepare, implement and assure the quality of pilot projects and integrated forms of health care provision
- To implement the risk structure compensation scheme and monitor the risk pool
- To prepare and implement disease management programmes – DMP
- To conclude and complete agreements for rates for care, arrangements for reimbursement and agreements on services and quality
- For advice on measures for prevention and rehabilitation
- To coordinate nursing aid
- For statistical purposes
- For members’ profits (§ 284 section 4 SGB V)
Which data does BIG store?
Social data for members and policyholders:
BIG stores the following data and/or categories of data for various groups of people:
Personal details
- Criteria for sorting (e.g. membership number)
- Name, first name
- Address
- Date of birth
- Phone number
- Place of birth
- Identification for family members
- Bank details
- Marital status
- Gender
- Nationality
- Membership of organs of the Public Treasury
- State pension insurance number
Details of membership
- Details of previous periods of insurance
- Start and end
- Offices responsible
- To identify benefits awarded (e.g. reimbursement of costs, participation in particular forms of health care provision)
Details of insurance status
- Type of insurance
- Start and end
- Reasons for reporting
- Details of employment
- Class/category of contributions
- Earnings/income/retirement benefits
- Details of exemption from contributions/insurance
- Details of application for a pension/payment of pension
- Employer/disbursement agency
Details of premiums (only for direct payers)
- Required premium
- Actual premium
- Responsible for payment
- Data for collection of contributions
- Details for collection procedures
Details on level of coverage
- Type of coverage
- Diagnosis
- Person prescribing care
- Care provider
- Length of time/eligibility for benefits
- Costs
- Data about breaks, interruption, failures, discontinuation of benefits
- Data about other care funding agencies
- Data about care services provided
- Data about claims for compensation
- Data about claims for treatment
- Deductibles/co-payments
- Data on structured programmes of treatment, integrated provision of health care, pilot projects, bonus programmes
Details of carer
- Master data as under “Personal details”
- Start and end of time spent caring
- Reasons for registration, periods of time
- Details on check of mandatory pension contribution period
- Details on collection of contribution and transfer to pension insurance institute
- Details of qualification
- Data for statistical reporting in accordance with § 109 SGB XI
Data on legal representative
- Name
- Address
- Phone number
Social data about the recipient of the publication
These social data are stored if publications are sent:
- Criteria for sorting (e.g. type, extent of publications and consecutive number)
- Name, first name
- Address
Data on employer/disbursing agency, social data for employer and disbursing agencies
- Criteria for sorting (e.g. employer, company number)
- Name
- Address
- Phone number
- Bank details
- Required premium
- Actual premium
- Responsible for payment
- Data for collection of contributions
- Details for collection procedures
- Offices responsible
- Data for audits
- Data for methods of billing
Contractual partner and suppliers
- Criteria for sorting (e.g. supplier number, reference for organisation)
- Name
- Address
- Bank details
- Data about clearance of payments
Social data about potential customers
- Criteria for sorting
- Name, first name
- Address
- Phone number
Who does BIG pass data on to?
BIG passes data on to the following agencies only in conjunction with the statutory regulations of the SGB or other legal provisions:
- Agencies for pension and accident insurance
- Bundesagentur für Arbeit
- Financial institutes (as part of payment transactions)
- Employers and disbursement agencies
- Pension authorities
- Care provider
- Armed forces administration
- In special cases notification in accordance with §§ 67d ff. SGB X,
- Medical Review Board for Health Insurance Funds (MDK)
Provisions for deletion of data
Social data are deleted in accordance with the statutory regulations for accounting in social insurance (SRVwV) and the relevant provisions of the SGB (e.g. §§ 84 SGB X, 304 SGB V, 107 SGB XI).
Transmission of data to third countries
BIG does not transmit data to third countries.
