Health Care and Insurance Plans—Design and Management Certification Course: B3
Get It Right From the Start
This intermediate-level course gives an overview of the design and management of health and welfare benefits. You’ll cover legal requirements, including recent legislative changes, as well as new trends and emerging issues.
Take a look at the elements, rationale and different types of health and welfare benefits
Learn the dynamics and principles of plan design for health and welfare benefits
General legal requirements for ERISA, COBRA, FMLA and HIPAA are examined
Design and management of medical, behavioral health care, drug, dental, vision and other plans are addressed
Includes an overview of disability, survivor benefits and government sponsored health plans
Identify tax implications, purpose of nondiscrimination rules and developing uses and trends
Who Should Attend
Designed specifically for human resources professionals who need a design oriented overview of health and welfare plans. You can also benefit from this course if you are preparing to assume management responsibility for these plans. It is recommended that participants be proficient in the content covered in course B1 or familiar with health and welfare terminology. If you have extensive knowledge of health and welfare issues, you may find this course too elementary and should consider course B3A.
What You Will Learn
The Basics of Health and Welfare Benefits
Elements of benefits
Health and welfare benefits rationale
Types of health and welfare benefits
General Design Principles
Dynamics of design
Strategic design considerations
Tactical design considerations
Funding methodology
Outsourcing
Laws and Regulations
Legislation
Equal opportunity laws
Employee Retirement Income Security Act of 1974 (ERISA)
Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)
Family and Medical Leave Act of 1993 (FMLA)
Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its amendments
Medicare Prescription Drug Improvement and Modernization Act of 2003
Medical Plan Design
Indemnity plans
Managed Care plans
HMO
PPO
POS
Spectrum of health plan alternatives
Consumerism-driven health plans
• Plan design
Coverage
Limitations
Exclusions
Cost-effective design strategies
Other Health Care Benefits Plan Design
Behavioral health care
Prescription drug plans
Dental plans
Vision care plans
Long-term care insurance
Disability Plan Design
Introduction to disability benefits
Pay continuation plans
Sick leave
Paid time off banks
Short-term disability
Long-term disability
Integrated approach to disability management
Survivor Benefit Plan Design
Purpose of survivor benefits
Employer provided survivor benefits
Plan design
Life insurance provisions and options
Exercise—disability plans and survivor benefits
Government Sponsored Health Plans and Retiree Options
Consider Bringing This Course to Your Location This professional development program and others offered by WorldatWork can be customized to meet the unique needs of your organization and delivered at your location. For more information, contact a Corporate Education Resource Manager at 877/710-5970 or 480/905-5980.
Please note: If you are purchasing course materials for the purpose of self-study or a computer-based exam, it is recommended that you schedule your exam within 45 days of purchase to ensure the course materials and exam are current. These exams must be completed within one year of purchase. Instructions for scheduling your computer-based exam will be provided at purchase. Learn more at www.worldatwork.org/cbt. Self-study binder purchases are nonreturnable.
Many WorldatWork classroom locations are now offering e-binder technology to participants. For these courses, which include all public education options and several Local Network sponsored events and international events, your certification course binder (and BAII calculator, if applicable) will be available for pick up on site the day of the course. The WorldatWork classroom participants will now have the opportunity to access the course binder electronically for two-day courses, as an e-binder PDF. The e-binder will be accessible two weeks prior to the course start date or upon registration if you register within two weeks of the course.
To help you prepare for your course, please visit www.worldatwork.org/seminars to download course book amendments, view class rosters and to find out what to bring to your class.
For Virtual CourseCast and Virtual CourseCast On-Demand, registrants will receive a course binder no sooner than 5-7 days after registration. The CourseCast On-Demand will become available 1 week after the last course day and access will end 90 days from registration.
**Participants attending from the same computer. Limit three per computer connection. If registering more than one attendee, please contact Customer Relationship Services toll-free at 877/951-9191.
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Health and Welfare Plans — Plan Types and Administration Certification Course: B3
Get It Right From the Start
This course provides fundamental information that every practitioner must know in regard to different types of health and welfare benefits available. Key areas that this course focuses on include medical health care benefits, supplemental health care benefits, the concept of choice, disability plans, survivor benefits, pay for time not worked and the administration of these different programs.
Gain an overview of health and welfare plans available.
Focus on the medical component of health care benefits.
Discuss behavioral health care, prescription drug plans, dental plans, vision plans and long-term care options.
Learn about complementary programs to encourage and support employee health.
Explore offering employees choice and flexibility in their benefits.
Learn how to positively influence employee outcomes while staying true to your organization’s cost strategy.
Address disability programs.
Find out how offering employee leave programs can be advantageous to both employer and employee.
Discuss administration of health, welfare and other benefit programs.
Who Should Attend
This is designed for human resources professionals new to the benefits field or individuals who would like to broaden their total rewards perspective.
What You Will Learn
Fundamentals of Health Care Benefits: Medical
Fundamentals: Health care and welfare benefits
Medical plan types
Typical medical plan terms
Characteristics of medical plans
Medical plan coverage
Stabilizing costs
Fundamentals of Health Care Benefits: Supplemental Health Care Benefits
Behavioral health care
Prescription drug plans
Designing programs to result in healthy people
Dental plans
Vision care plans
Long-term care insurance
The Concept of Choice
IRC Section 125 — Cafeteria plans
Concept of consumerism
Supporting consumerism
Welfare Benefits: Disability Plans and Survivor Benefits
Consider Bringing This Course to Your Location This professional development program and others offered by WorldatWork can be customized to meet the unique needs of your organization and delivered at your location. For more information, contact a Corporate Education Resource Manager at 877/710-5970 or 480/905-5980.