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Eligibility Audits for Health Plans (Including Health FSAs and HRAs)-Protect Your Health Plans by Pruning the Ineligibles Training Class |
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Eligibility Audits for Health Plans (Including Health FSAs and HRAs)-Protect Your Health Plans by Pruning the Ineligibles Training Seminar
Are you paying for an employee's neighbor's doctor visits or OTC medications? Are your clients covering employees' kids who have aged out of coverage? Will an insurer that gets bills for preemie twins investigate and discover that the mother is an employee's ex-spouse who should have been dropped from coverage last year? Just how sure are you that your health plans, or your clients' health plans, cover only those who are eligible? An eligibility audit could find the ineligibles and help fine-tune enrollment processes to make sure that health plans cover the right people.
In this 90-minute web seminar, our experts will help employers and plan service providers understand the pros, cons, whys, and hows of health plan eligibility audits.
Here's some of what we'll cover:- What are the mechanics of an eligibility audit? Can it be done in-house? Should it be done on an annual basis or randomly? What legal issues might arise from an eligibility audit?
- How do you make sure employees and benefits personnel understand who is eligible and who isn't? What do you need to do if the plan documents, any insurance contracts, and the SPDs don't have the same eligibility provisions?
- Should employees be required to submit proof that the family members they enroll are really eligible? Should health FSAs and HRAs require enrollment of family members?
- What should you communicate to employees about eligibility audits? Should you allow an amnesty period for voluntary disenrollment of ineligibles?
- Do you have to offer COBRA to ineligibles who are dropped from coverage?
Speakers: Mark W. Major, Esq. and Brigid Carroll Anderson, Esq.
Ms. Anderson is a Senior Editor at EBIA and is the former Editor and a current Contributing Author of EBIA's ERISA Compliance for Health & Welfare Plans. Mr. Major is a Senior Attorney and principal in Mercer Human Resource Consulting's Denver office, where he leads the Regulatory Resources Group.
Questions: Send your questions on health plan eligibility audits to webseminars@ebia.com by March 16, 2007. We'll also take written questions during the web seminar, and we'll issue a Q&A document with our answers to the questions thatare within the scope of the web seminar.
Handouts: A PDF copy of the slides will be available for download the morning of the seminar.
Seminar Fee: For one registration fee ($235), you and your co-workers can gather in one room to attend the seminar via a single web and telephone connection.
Confirmations:
- A confirmation e-mail will be sent to you from EBIA shortly after you register.
- Live Seminars: A reminder e-mail will be sent to you the day before the seminar with dial-in and login instructions, and a link to download the PDF handout. If you do not receive a confirmation e-mail from EBIA by 5:00 p.m. the day before the seminar, please call EBIA at (866) 775-3242.
- Recorded Seminars: Your confirmation e-mail from EBIA will ask you to identify your 7-day viewing window.
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Price |
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$235.00
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