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HIPAA, COBRA And Health Plan Issues For New Jersey Employers  

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Training Course Syllabus:


This seminar is designed for human resource and payroll professionals, benefits managers, business owners and managers, accountants, controllers and attorneys.

Recently promulgated regulations under the Health Insurance Portability and Accountability Act of 1996 will potentially impact, on some level, almost all employers. It is important for employers maintaining group health plans for their employees, as well as employers engaged in or doing business with the health care industry, to be generally familiar with this legislation and aware of their obligations and potential for liability exposure thereunder.

It is also important for employers maintaining group health plans for their employees to be familiar with their obligations both under federal law (i.e., COBRA) and New Jersey state law to make health care continuation coverage available for their employees, former employees, and other individuals covered under their group health plans. While COBRA has been in effect since 1986, many employers, both large and small, remain unfamiliar with the legislation and the obligations it imposes on them.

The seminar will provide attendees with a working knowledge of these important pieces of legislation and will also provide them with the information needed to develop and maintain an appropriate compliance program.

8:30 a.m. - 9:00 a.m.

I. Introduction To HIPAA And Background

9:00 a.m. - 10:15 a.m.

II. Who Is Covered Under HIPAA And Effective Dates For Compliance

A. Coverage

1. Covered Entities

2. Group Health Plans

3. Business Associates

B. Effective Dates

1. Electronic Data Interchange Rules

2. Privacy Rule: For Employers With Under $5 Million And For Employers With Over $5 Million In Annual Receipts In Their Health Plan

3. Security Standards

C. Penalties For Noncompliance

10:15 a.m. - 10:25 a.m.

Break

10:25 a.m. - 12:00 p.m.

III. HIPAA Process

A. Completing A HIPAA Assessment

B. Classification Of Employers As:

1. Employers Involved In Plan Administration

2. Employers Not Involved In Plan Administration

3. Employers Who Are Not Involved In Plan Administration, But Which Will Periodically Obtain Authorization Forms From Employees To Assist In Responding To Questions Regarding Claims

C. Determining If An Employer Will Or Will Not Have Access To Protected Health Information (“PHI”) And Issue Its Own Privacy Notices

D. Create And Issue Privacy Notices

E. Prepare Plan Amendments

F. Prepare Certification To Plan Amendments

G. Create Various Forms

H. Develop A Privacy Policy

12:00 p.m. - 1:00 p.m.

Lunch (On Your Own)

1:00 p.m. - 1:50 p.m.

IV. Business Associate Agreements And Issues

A. What Should Be Covered

B. Negotiating The Agreement

1:50 p.m. - 2:00 p.m.

Break

2:00 p.m. - 2:50 p.m.

V. COBRA Update

A. Overview

B. Related New Jersey Legislation

C. Current Developments

2:50 p.m. - 3:40 p.m.

VI. Health Plan Issues

A. Cafeteria Plans

B. Current Developments

3:40 p.m. - 4:30 p.m.

VII. Questions And Answers

Seminar Summary:

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