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B3: Health and Welfare Plans — Plan Types and Administration (U.S.)
  • 2008 Course
  • 2009 Course

Learning Options

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

  • Government sponsored plans
    • Workers’ compensation
    • Social Security and Medicare
    • Medicaid
  • Retiree options to supplement government plans
    • Medicare and Choice HMOs
    • Medigap
  • • Retiree benefit plan design

Tax Implications and Nondiscrimination Rules

  • General tax advantages
  • Nondiscrimination rules
  • Internal Revenue Code tax implications
    • Section 105(h)—self-insured medical
    • Section 125—cafeteria plans
    • Section 129—dependent care assistance
    • Section 79—group life plans
  • Other tax implications
    • Group life insurance benefits
    • Long-term care benefits
    • Disability benefits
    • Postretirement benefits

Developing Issues and Trends

  • Technology
  • Complementary and alternative medicine
  • Health promotion and wellness programs
  • Coalition activity

Credits
• CBP: Required
• Certificate in Benefits
Administration: Required
• Certificate in Health/Welfare
Programs Design and
Administration: Required
• Recertification: 2 course,
.5 exam
• CEUs: 1.5 course, .3 exam
• CPEs: 16
• CFP: 16 credits
• CPIM/CFPIM/CSCP: 14 points
• PHR/SPHR/GPHR
recertification hours: 16



Credits
CBP: Required
Certificate in Benefits Administration: Required
Recertification: 2 course, .5 Exam
CEUs: 1.5 Course, .3 Exam
CPEs: 16
CFP: 16 credits
CPIM/CFPIM/CSCP: 14 points
PHR/SPHR/GPHR recertification hours: 16
Faculty
Course book amendments
Test your knowledge

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.

Fees and Registration Registration Policies

Classroom
Course & Certification Exam:  $1,585 USD *  |  Member $1,080 USD
Schedule/Registration
Course Only: $1,480 USD * | Member $990 USD
Schedule/Registration
CourseCast
About this option
CourseCast (live) & Computer-Based Certification Exam
Single Participant $1,810 USD | Member $1,300 USD
Each Additional Participant** $960 USD | Member $725 USD
Schedule/Registration
CourseCast (live) Only
Single Participant $1,700 USD | Member $1,220 USD
Each Additional Participant** $900 USD | Member $705 USD

Schedule/Registration
CourseCast On-Demand
About this option
CourseCast On-Demand & Computer-Based Certification Exam
Single Participant $1,810 USD | Member $1,300 USD
Each Additional Participant** $960 USD | Member $725 USD
Add to Cart
CourseCast On-Demand Only
Single Participant $1,700 USD | Member $1,220 USD
Each Additional Participant** $900 USD | Member $705 USD
Add to Cart
Course Binder and Exam
About this option
Course Binder Only: $690 USD * | Member $460 USD (Plus shipping & handling.)
Add to Cart
Course Binder and Computer-Based Certification Exam:
$1,225 USD * | Member $850 USD (Plus shipping & handling.)
Add to Cart
Computer-Based Certification Exam Only: $645 USD * | Member $500 USD
Add to Cart

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.

*Join now and receive the best value. This includes both a one-year WorldatWork membership and course registration. Add the course to your cart and then click "Join Now" before proceeding to check out.

 

 

Learning Options

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

  • Introduction to disability benefits
  • Disability income programs
  • Integrated approach to disability management
  • Survivor benefits
  • Life insurance provisions

Other Benefits: Pay for Time Not Worked

  • Overview of pay for time not worked
  • Common paid time off programs
 

Administration

  • Benefits administration
  • Benefits administration: partners
  • Key decisions affecting administration
  • What does administration entail?


Credits
CBP: Required
Certificate in Benefits Administration: Required
Recertification: 2 course, .5 Exam
CEUs: 1.5 Course, .3 Exam
CPEs: 16
CFP: 16 credits
CPIM/CFPIM/CSCP: 14 points
PHR/SPHR/GPHR recertification hours: 16
Faculty
Course book amendments
Test your knowledge

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.

Fees and Registration Registration Policies

Classroom
Course & Certification Exa