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HIPAA Portability Procedures Manual & E-Alerts

Online Course: ID# 1000028

Agenda

Introduction To HIPAA

  • Portability And Availability Regulations
  • Group Market Provisions
  • Regulatory Matrix
  • Regulatory Penalties
  • Purpose Of HIPAA
  • Benefits Subject To HIPAA: Group Health Plans
  • Benefits Not Subject To HIPAA: Excluded Benefits
  • Benefits Not Subject To HIPAA: Excepted Benefits
  • Benefits Not Subject To HIPAA: Section 125 Health Flexible Spending Arrangements
  • Benefits Not Subject To HIPAA: Other Benefits
  • Benefits Not Subject To HIPAA: Non-Federal Government Plans

Preexisting Conditions And Creditable Coverage

  • Pre-Existing Conditions
  • Enrollment Date And Waiting Periods
  • Elimination Of The Prudent Person Rule
  • Maximum Periods For Pre-Existing Condition Exclusions
  • HMO Affiliation Periods
  • Other Restrictions On Pre-Existing Condition Exclusions
  • Definition Of Creditable Coverage
  • Application Of Creditable Coverage
  • Significant Breaks In Coverage
  • Methods For Counting Creditable Coverage
  • Types Of Certificates Of Creditable Coverage
  • Delivery Of Certificates Of Creditable Coverage
  • Lack Of Certificates Of Creditable Coverage
  • Responsibilities For Providing Certificates Of Creditable Coverage
  • Form And Content Of Certificates Of Creditable Coverage
  • Processing Certificates Of Creditable Coverage

HIPAA Special Enrollments

  • Introduction To HIPAA Special Enrollments
  • Special Enrollments
  • Special Enrollments: COBRA Qualified Beneficiaries
  • Special Enrollments: QMCSO

HIPAA Notice Requirements

  • Introduction To HIPAA Notices
  • Notice Of Plan's Pre-Existing Conditions Exclusions
  • Notice Of Determination Of Pre-Existing Condition Exclusions
  • Notice Of Special Enrollment Rights
  • Notice Of Use Of The Alternative Method

Nondiscrimination

  • Nondiscrimination: Health-Related Factors
  • Nondiscrimination: Eligibility Rules
  • Nondiscrimination: Bona Fide Employment Classifications
  • Nondiscrimination: Nonconfinement
  • Nondiscrimination: Actively-At-Work Clauses
  • Nondiscrimination: More Favorable Treatment
  • Nondiscrimination: Bone Fide Wellness Programs

HIPAA And Other Laws

  • HIPAA's Impact On COBRA
  • Other Heath Care Mandates

Insurance Market Provisions

  • Insurance Market Provisions: Guaranteed Availability Of Small Group Plans
  • Insurance Market Provisions: Guaranteed Renewability
  • Insurance Market Provisions: Individual Market Requirements

Sample Forms & Notices

  • Model Certificate Of Coverage From HIPAA Regulations
  • Model Certificate For Use In Determining Categories of Benefits
  • Sample Notice Of Plan's Pre-Existing Condition Exclusions
  • Sample Notice Of Determination Of Pre-Existing Condition Exclusions
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HIPAA Portability Procedures Manual & E-Alerts
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