This seminar is designed for human resource and payroll managers, benefits administrators, finance directors, controllers, accountants, insurance professionals and attorneys.
Choosing a health insurance plan is a complicated and important decision. This seminar will provide expert information on how to evaluate the advantages and disadvantages of various types of policies. Business owners and managers, accountants and human resource professionals will benefit from the insights offered at this seminar.
Topics to be discussed include:
• HIPAA Privacy Update
• Department Of Labor Audits For Employee Welfare Benefit Plans
• COBRA Compliance For Employers
• Self-Funding An Employee Benefit Plan
8:30 a.m. - 10:00 a.m.
I. HIPAA Privacy Update
A. Genesis Of Federal Privacy Laws
B. Medical Records Privacy
C. Definition Of Covered Entities And Their Sub-Parts
D. Small Plan vs. Large Plan Compliance
E. Role Of The Privacy Officer
F. Role Of The Plan Sponsor
G. Plan Document Updates And Recordkeeping
10:00 a.m. - 10:10 a.m.
10:10 a.m. - 12:15 p.m.
II. Department Of Labor Audits For Employee Welfare Benefit Plans – An Overview In Preparation
A. Why Increased Audit Presence?
B. Who’s Being Audited? Audit Triggers
D. Plan Documentation
E. Fiduciary Liability
F. Proper Handling Of Plan Assets
G. HIPAA Portability Compliance
12:15 p.m. - 1:15 p.m.
Lunch (On Your Own)
1:15 p.m. - 2:20 p.m.
III. COBRA Compliance For Employers
A. What We Will Discuss Today
B. Which Employers Are Subject To COBRA?
C. Who Is A “Qualified Beneficiary”?
D. What Is A “Qualifying Event”?
E. Initial COBRA Rights Notice
F. The COBRA Election Notice
G. Election Notice Deadlines
H. Independent Rights To Elect COBRA
I. Timelines For Electing COBRA
J. COBRA Recordkeeping And Documentation
K. Duration Of COBRA
L. Changes To The Initial COBRA Duration
M. Special Rule: Anticipation Of A Qualifying Event
N. COBRA Premiums – How Much And When Are They Due
O. Premium Payments Of Less Than The Amount Due
P. Changes To COBRA Coverage And Open Enrollment
Q. Early Termination Of COBRA
R. FMLA And COBRA
S. Maximum Continuation Notice
T. Other Correspondence – IRS 98-12 And Loss Of Coverage
U. Penalties For Noncompliance
2:20 p.m. - 3:20 p.m.
IV. Self-Funding An Employee Benefit Plan
A. Understanding Insurance And Risk
B. Which Employee Benefits Can Be Self-Funded?
C. What Are The Advantages Of Self-Funding?
D. Are There Disadvantages To Self-Funding?
E. How Do I Protect The Plan From Catastrophic Loss?
3:20 p.m. - 3:30 p.m.
3:30 p.m. - 4:30 p.m.
IV. Self-Funding An Employee Benefit Plan (Continued)
F. Can I Go Back To A Fully-Insured Plan?
G. How Do I Compare A Self-Funded Quote To A Fully-Insured Quote?
H. What Information Do I Need To Obtain A Self-Funded Quote?
I. What Services Can I Expect From A TPA?
J. Choosing And Evaluating TPA Services