Course 4 (7-8 Credit Hours)
HRAs, Defined Contribution, and Other New Options for Group Employer Health Plans
by Professor Paul Zane Pilzer
Course Description
How employers can now give each employee a fixed monthly tax-free allowance (i.e. Defined Contribution) to purchase their own health insurance, and how you can then help each employee obtain their own individual or family policy.
Upon completion of this course, you will be able to advise your employer clients how to implement Defined Contribution (HRA) Health Benefits plans with you, as the licensed agent, assisting each employee in obtaining his or her own individual or family health policy.
Employers utilize Defined Contribution Health Benefit Plans to reimburse employees tax-free for the premiums on their own individual or family health insurance policies. This allows healthy employees to purchase their own individual or family health policies for 1/2 the price of expensive group employer plans, and employees with preexisting conditions to obtain new State-Guaranteed coverage.
With most individual or family policies, the policy may not be cancelled once in force, nor may the premium be increased based on the individual’s claim history—premiums increase only with general medical inflation and age of the insured.
You will learn:
- How to explain to employers the difference between traditional employer-sponsored Defined Benefits programs (group policies) and the new Defined Contribution programs.
- How to help your employer clients analyze what is the best situation for their business and their employees.
- How to advise your client on designing and implementing his/her defined contribution health benefits program so that is meets the employer’s and employees’ needs.
- About the numerous types of HRAs that are available to employers who choose to keep their traditional defined benefits program in place, like a COBRA Alternative HRA, Early Retiree HRA, New Hire HRA (waiting period coverage), Supplemental HRA, and Wellness HRA.
- The regulations that govern Health Savings Accounts and how to explain employer-sponsored HSAs to your clients.
- How to advise employee clients with preexisting medical conditions about new state-guaranteed coverage that is now available in all 50 states for people who lose their employer-sponsored health insurance.
- For clients that have, and wish to keep, an employer-sponsored group
plan, you will learn how to advise them on new high deductible options,
disability coverage, cafeteria plans, FSAs, HRAs, and other new
developments in employer-sponsored plans.