Training Course
Syllabus:
This seminar will review the pros and cons of considering self-insuring health, dental, vision and other benefits. After this seminar employers will know what factors to consider. The speakers have extensive experience in assisting employers.
Topics to be covered include:
- Trends In Health Care
- Types Of Plans And Programs – Range Of Options
- Fully Insured vs. Self-Funded
- Eligibility And Enrollment Issues
- Claims Procedures And Named Fiduciaries
- Funding, Budgeting, Reserves, Sweep Accounts
- Stop Loss Issues
- Drafting The Plan
- Legal Issues
- Future Developments
8:30 a.m. - 9:00 a.m.
I. Trends In Health Care
A. Inflation In Premiums And The Causes
B. Consumer-Driven Health Care
C. Health Reimbursement Accounts
9:00 a.m. - 9:30 a.m.
II. Types Of Plans And Programs – Range Of Options
A. How Do They Work?
B. Vendors
9:30 a.m. - 10:30 a.m.
III. Fully Insured vs. Self-Funded: Why Should An Employer Consider Self-Funded?
A. Which Employers Can Benefit?
B. Advantages
C. Disadvantages
D. Risk Reward
10:30 a.m. - 10:40 a.m.
Break
10:40 a.m. - 11:15 a.m.
IV. Eligibility And Enrollment Issues
A. Pre-Existing Conditions
B. Retirees
C. Job Classification
11:15 a.m. - 12:00 p.m.
V. Claims Procedures And Named Fiduciaries
A. Requirements
B. Liability
12:00 p.m. - 1:00 p.m.
Lunch (On Your Own)
1:00 p.m. - 1:45 p.m.
VI. Funding, Budgeting, Reserves, Sweep Accounts
A. Proper Amounts
B. Legal Requirements
C. Trust Issues
1:45 p.m. - 2:15 p.m.
VII. Stop Loss Issues
A. Recommended Terms
B. Recommended Levels
C. Other Issues
2:15 p.m. - 2:25 p.m.
Break
2:25 p.m. - 3:00 p.m.
VIII. Drafting The Plan
A. Employer Control
B. Specific To Your Needs And Budget
3:00 p.m. - 4:00 p.m.
IX. Legal Issues
A. ERISA Requirements
B. Internal Revenue Code Requirements
C. Contact Issues
4:00 p.m. - 4:30 p.m.
X. Future Developments
A. Single Payer Health Care
B. Federal Mandated Benefits
C. State Mandated Benefits |