Description
Gain an understanding of why group health plans are set up in certain ways and how to stay compliant with legal requirements.When the cost of health care is paid or reimbursed by an employer, a group health plan probably exists, and the employer will be subject to a long list of legal requirements. This program will help you understand the types of arrangements that can constitute a group health plan and walk through the many different legal requirements that can apply to a group health plan. This course will help you understand why your group health plans are set up in the way they are. Learn the questions you may need to ask to determine if your plans comply with these legal requirements.
Date: 2022-04-06 Start Time: End Time:
Learning Objectives
The Legal Framework for Offering a Group Health Plan
• ERISA Requirements
• Internal Revenue Code Requirements
Persons to Whom Coverage Can or Cannot Be Offered Under the Code
• Employees and Former Employees
• Self-Employed Individuals
• Other Nonemployees
• Spouses and Dependents
Laws Giving Individuals the Right to Receive Coverage
• ACA Age 26 Mandate
• Childrens Health Insurance Program (CHIPRA)
• COBRA
• Uniformed Services Employment and Reemployment Rights Act (USERRA)
• Family and Medical Leave Act (FMLA)
• Affordable Care Act (ACA)
Laws Affecting the Terms and Conditions on Which Coverage Is Offered
• HIPAA Nondiscrimination
• Age Discrimination in Employment Act (ADEA)
• Title VII of the Civil Rights Act of 1964/Pregnancy Discrimination Act
• Medicare Secondary Payer
Laws Affecting Coverage for Specific Conditions
• Mental Health Parity and Addiction Equity Act (MHPAEA)
• Newborns and Mothers Health Protection Act (NMPHA)
• Womens Health and Cancer Rights Act (WHRCRA)
ASA ,CLE (Please check the Detailed Credit Information page for states that have already been approved) ,HR Certification Institute ,SHRM ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.
Steven P. Smith-Hinkle Law Firm LLC
