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 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
	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.