Course Detail

Group Health Plan Eligibility: Design Decisions and Compliance Audits  

CATEGORY: Specialized Knowledge & Applications
2 CPE Credits

Group health plans must define which employees—and family members—are eligible for coverage. How has health care reform influenced plan eligibility design decisions? What flexibility remains? And how can employers, administrators, and their advisors be sure that only eligible individuals participate in the plan? Auditing health plan eligibility data and processes can yield cost savings, enhance compliance, and improve overall plan administration—but audits must be conducted without running afoul of health care reform’s prohibition on rescissions of coverage. Our experts will help plan sponsors, service providers, and advisors evaluate the pros and cons, understand the logistics and legal issues, and implement effective eligibility audits for employer health plans.

Recorded Webinars: If you missed a live webinar, choose the recorded version. The recorded webinar will be available for purchase within 48 hours of the live event. The recorded webinar is viewable as many times as you wish for 60 days. Click here for a listing of all recorded webinars (PDF). Please note: CPE Credit is not granted for webinar recordings. Recordings are accurate as of the presentation date of the live webinar.

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Course outline