In this webinar, we will discuss the employee benefits provisions related to surprise medical billing, health plan transparency and mental health under the Consolidated Appropriations Act and the Final Rule on Health Care Transparency, including, but not limited to: Ban on Surprise Medical Bills under the CAA Air Ambulance Emergency Services IDR Healthcare Transparency under the CAA Removal of Gag Clauses Disclosure of Broker Compensation Consumer Price Comparison Tool (CPTT) Advanced Explanation of Benefits Continuity of Care Provider Directory Machine Readable Files Reporting on Pharmacy Benefits and Drug Cost Mental Health Parity – NQTL Health Care Transparency under the Final Rule on Health Care Transparency (TiC) Price and cost-sharing information to participants In-network provider negotiated rates & out-of-network allowed amounts on website

1. Learn and understand the security risk analysis requirement’s role in assuring comprehensive Security Rule compliance assuredness and the development of agency audit related defensive strategies for a covered entity. 2. Distinguish between the risk analysis and risk management phases of the security risk analysis operational process, demonstrating an understanding the underlying elements of both operational phases of the analysis. 3. Learn and understand successful utilization of the Security Risk Analysis Tool, as developed and maintained by the US Department of Health and Human Services. 4. Develop the skills and knowledge necessary to adequately oversee the development of the covered entity’s security risk analysis, including a comprehensive evaluation of the satisfaction of HIPAA’s technological, physical, and administrative safeguards. 5. Learn the security risk assessment lifecycle in order to demonstrate an understating the when, the why, and the how of a successful security risk analysis operation.

A discussion of how the Proposed Rule reorganizes and expands on the 5 elements of a complete NQTL Analysis will include a demonstration of the requirements including: (1) the identification of NQTLs and the MH/SUD and Med/Surg benefits the NQTLs apply to; (2) the factors used to determine application of the NQTLs; (3) the evidentiary standards used to develop the factors; (4) an analysis of processes, strategies, evidentiary standards, and factors demonstrating comparability; and (5) specific findings and conclusions.

During this webcast, you will learn about HIPAA's Privacy Rule, what is Protected Health Information, Principal Uses and Disclosures, Notice Rights, as well as HIPAA's Administrative Requirements.

During this timely session, participants will learn aspects of the most significant employee benefit-related events occurring in 2023 and throughout the first half of 2024. This session is designed as a clearing house for legal and legislative highlights from the most-recent 18-month period. Attendees should expect a fast-paced, summarized digest of benefits-related news and happenings. Although individual coverage of topics presented in this learning module will be summarized into a digest form, supplemental program materials will provide attendees with additional information and further commentary respecting many of the substantive updates offered during the program.

During this presentation, you will learn about HIPAA's Security Rule, General Requirements to Comply, Principals of Risk Analysis & Management, Safeguards and Documentary Requirements.

Medicare is a federal program that pays for covered health care services of qualified beneficiaries. It was established in 1965 under Title XVIII of the Social Security Act to provide health insurance to individuals 65 and older and has been expanded over the years to include permanently disabled individuals under the age of 65. This presentation will discuss individual eligibility for Medicare, as well as the practicalities of individual enrollment. We will explore the four types of Medicare (A, B, C and D) and the benefits offered under each, as well as examine the outcomes associated with an individual’s election to delay or defer Medicare enrollment and participation. Medicare’s interactions with HSA eligibility and privately sponsored employer group health plans will also be detailed, rounding out our one-hour initial survey of the practicalities of Medicare from the individual perspective.

During this presentation, you will learn what a HIPAA Breach is, Notification Requirements, as well as the Administrative Requirements under HIPAA.

In this webinar, we will discuss the high level components of benefits compliance issues that may arise during an M&A, including: Why does it matter if the M&A transaction is a stock or an asset transaction? How do the terms of the Purchase Agreement effect the transition of benefits to the buyer? What are the pros and cons of merging benefits plans? What steps are necessary to avoid forming a MEWA? What are the advantages and disadvantages of terminating a seller’s Health FSA? What are the approaches to continuing a seller’s Health FSA? Who is responsible for sending COBRA Election Notices to the seller’s employees? Who will be responsible for the benefit plan reporting for Form 5500s, Form M-1s, ACA Employer Information Reporting, and other post-transaction closing?