HIPAA Portability Procedures Manual & E-Alerts Agenda
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
