Training Course
Syllabus:
As a business professional, you know that complying with Cafeteria Plan regulations and legally required communications is an important and challenging issue. In 2002, the IRS approved HRAs as an additional tool to address health insurance concerns. This comprehensive and dynamic one-day seminar is designed to provide you with a better understanding of the statutory and regulatory framework of these important federal regulations, and will prepare you and your business for meeting compliance requirements and avoiding costly penalties. The day will provide a walk-through of what an employer has to do EVERYDAY to be in compliance with those confusing and ever-changing laws.
Seminar highlights:
- Health Reimbursement Arrangement (HRAs)
- Health Savings Accounts (HSAs)
- Plan compliance
- Employee communication
- Consumer tools
Learning objectives:
- The attendee will be able to discuss common plan design features.
- The attendee will be able to identify consumer choice and control.
- The attendee will be able to review adjudication and funding issues.
8:30 a.m. - 8:40 a.m.
I. Overview
8:40 a.m. - 10:10 a.m.
II. Health Reimbursement
Arrangements (HRAs)
A. HRA 101: The Basics
1. Background
2. HRA Components
3. Account Details
4. Medical Plan Details
5. Decision Support Tools
6. How The HRA Product Works
7. Common Plan Design Features
8. Coordination With FSA
B. Employer Considerations
C. Factors Driving Success
D. Results
E. Evolving Marketplace Trends
10:10 a.m. - 10:20 a.m.
Break
10:20 a.m. - 12:10 p.m.
III. Health Savings Accounts (HSAs)
A. Health Savings Accounts – The Basics
B. Eligibility Requirements
C. Who Can Contribute
D. Employer Contributions
E. High Deductible Health Plan Changes The Rules
F. IRS Plan Requirements
G. Embedded Deductible Exceptions
H. Eligible Expenses
I. Consumer Choice And Control
J. Save Or Spend
K. Program Elements To Consider
L. Recap Of HSA Features
M. Value To The Healthcare Consumers
N. HSA Or HRA? It Depends
12:10 p.m. - 1:10 p.m.
Lunch (On Your Own)
1:10 p.m. - 3:10 p.m.
IV. Differences Between FSAs, HRAs,
HSAs (Including Non-Discrimination
Rules And Ethical Considerations)
A. Health Flexible Spending Accounts – The Basics
B. Comparison Of FSAs, HRAs And HSAs
1. Eligibility
2. Expenses Qualified For Payment Or Reimbursement
3. Adjudication Issues
4. Funding Issues
5. Carryovers
6. Nondiscrimination Rules 7; Other Rules And Compliance Requirements
C. Considerations For Employers In Choosing One Or More Consumer – Driven Health Plans
D. Questions And Answers
3:10 p.m. - 3:20 p.m.
Break
3:20 p.m. - 4:30 p.m.
V. Engaging The Consumer: Tools And
Communication Strategies
A. Preparing The Workforce
1. Developing Multi-Year Strategies
2. Developing Custom Communication Strategies
B. Engaging Members
1. Benefit Coaching
2. Online Consumer Tools/ Information: Provider Directory, Wellness Articles, Health Risk Assessments
C. Selecting Optimal Providers
1. Selecting The Most Appropriate Provider And Service Setting
2. Providing Quality And Outcome Based Specialty Provider Networks
3. Workplace Communication
4. Online Cost And Quality Information
D. Partnering With High Cost Consumers
1. Identifying Consumers For Whom You Can Have The Greatest Impact
2. Deploying Patient Centered Approach To Medical Management
3. Providing Condition Specific Communication Pieces
4. Online Consumer Tools: Health Information, 'Ask A Medical Director,' etc.
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