This program will survey Social Insurance programs, including Social Security, that are important in the employee benefits marketplace. Social benefits account for nearly one-quarter of the dollars employers spend on employee benefits. For some employees, the social insurance benefits serve as the foundation for the employee's benefits program; for other employees, the social insurance benefits may be their only benefits.
Learning Objectives:
- Understanding the types of welfare benefit plans that are subject to ERISA and the parties involved
- Understanding ERISA plan documents and specifics addressed in the required documents and how ERISA affects claims procedures
- Understand who ERISA fiduciaries are
- Understanding the roles of the federal and state governments in Medicaid programs
- Understanding the eligibility requirements for Medicaid and the scope of services
- Understanding the relationship between Medicare and Medicaid
- Understanding the process of underwriting and its importance to group insurance rates and how premium rates are calculated and used to determine group insurance premiums
- Understanding the process of using experience rating to calculate premiums
- Understand the reasons why social insurance exists and what are the basic features
- The extent of Social coverage and how programs are financed
- The types of benefits available under Social Security and benefit eligibility
- Social Security federal tax laws apply, and Medicare contributions.
CE rules by state
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