COURSE DESCRIPTION: Self-funding health insurance plans have been a godsend for some companies. You hear anecdotally about firms that cut their skyrocketing health costs in half. But you also hear about self-funders that incurred catastrophic losses when surprise! — too many employees got sick.
Are you fully insured and thinking about going self funded? Are you concerned about the risks? Or are you currently self-funded and wondering whether you should become fully-insured? Or perhaps partially funded? The bad news is that there's no simple answer. The "right" choice depends entirely upon the specifics of your business. The good news is that you're more likely to get it right if you really understand your choices.
With so much at stake — big savings if you make the right choice, big losses if you make the wrong one — it pays to arm yourself with the right decision-making tools. This course will provide them. It will cover:
- What the following look like, and their pros and cons:
- Fully insured plans
- Partially funded plans
- Self-funded plans
- The importance of analyzing cash flow, utilization rates and employee demographics when deciding upon a plan
- Key factors to consider when deciding "How much risk can we take?"
- The importance of benchmarking
- What is your claim cycle and the importance of knowing how your claims cycle
- The choice between bundled (administrative services only) vs. the unbundled (TPA) approach
- The role of stop-loss insurance to reduce the risk of self-funded plans
- The difference between "specific" and "aggregate" stop-loss coverage
- What Specific level and Aggregate levels are right for you
- State Laws versus ERISA (Federal Law)
- How do Dental and/or Vision plans fit in the self funded world
ABOUT THE SPEAKER: Yvonne Waterman is an Account Executive with Power Group Companies. She has over 16 years of experience with Self Funded and Fully Insured Plans. She has been on the Consulting side of the business for 11 years and on the Carrier side of the business nine years prior. Yvonne has recently spoken at the Savvy Self-Funded Conference in Kansas City, Missouri.
HRCI CERTIFICATION: This program has been approved for 1.0 recertification credit hour toward PHR and SPHR recertification through the Human Resource Certification Institute (HRCI). For more information about certification or recertification, please visit the HRCI homepage.
MONEY-BACK GUARANTEE: We're so confident you'll get what you want out of this conference that we'll refund your full fee if you're not satisfied. It's risk-free.
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