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Provided by: Lorman Education Services Health Insurance Boot Camp |
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This seminar will be presented by Philip J. Gutwein II, Michael J. MacLean,
Mike Miles and Michael J. Nader, Esq.
8:00 am - 8:30 am Registration
8:30 am - 12:00 pm The American Health Insurance System: Incentives and Motivations History
(Break 10:00 am - 10:10 am)
- Insurance Markets
- Employers and Employees
- Government
What Makes Insurance Seem So Complicated?
- Adverse Selection
- Morale Hazard
- Participation
- Contribution
- Group vs. Individual
Types of Health Insurance
- Traditional, HMOs, PPOs and POS
Key Components of Health Plans
- Deductible, Copays, Coinsurance and Out-of-Pocket Maximums
- Drug Plans
- Eligibility and Open Enrollment
Innovative Plan Designs and Options
- HRA, HSA, FSA and Dual Choice
- Medical Tourism
- Specialty Carve-Out Procedures and Services
Self-Funding
- Specific and Stop Loss
- Aggregate
- Discount Network
- TPAs
12:00 pm - 1:00 pm Lunch (On Your Own)
1:00 pm - 4:15 pm How to Manage Change Among Your Employees
(Break 3:00 pm - 3:10 pm)
- Educational Requirements
- Supply and Demand
- The Difficult Employee
More on HSAs
- Limits, Tax Effects and Setup Process
Leaving an Employee Group
- COBRA and HIPAA
- State Continuation
- Creditable Coverage
- Medicare D
Employee Wellness
- Why Wellness? Effects on Health Insurance
- Wellness Program Reward Incentives
Building Your System to Control Costs and Protect Employees
- Renewal Process
- Negotiating Price
- Carrier Selection
- Large Group and Small Group
Tips for Success as a Benefit Manager
Health Care in the Future
- Consumerism, Transparency and Competition
4:15 pm - 4:30 pm Questions and Answers

