Employee Health Schedule

Note: Part II courses can be taken before Part I courses.

Part I

Day One

Governance

• Role and purpose of public employee health plans
• Governing documents
• Duties and responsibilities of fiduciaries
• Overview of strategic planning process
• Ethical decision making
• Establishing best practices

Legal Environment

• Fiduciary liability
• ERISA applicability
• Litigation
• Legal representation

Day Two

Legislative/Regulatory

• Overview of recent and proposed federal legislation
• Impact of increased state health care legislation
• Integrating legislation and regulations into the strategic planning process
• Oversight agencies

Actuarial/Financial Principles

• Basic methods and assumptions
• Prefunding concepts (retiree health)
• Benefit costing: relevant data
• Data analysis
• Rate setting
• Short-/long-term projections

Part II

Day One

Administrative Strategies

• Identifying and satisfying customer expectations
• Staff competencies and training
• Reporting procedures and data dissemination
• Integrating advanced technology
• Request-for-proposal process

Concepts of Group Health Plans

• Health plan design
• Retiree health plan design
• Plan performance management strategies
• Advantages/disadvantages of designs
• Financial/funding options
• Tomorrow’s models

Day Two

Employer Strategies/Options

• Key trends
• Design options
• New assessment systems
• Discretionary areas
• Risk reduction strategies
• Strategic responses to new models

Emerging Issues

• Data-based decision making and purchasing evaluation
• Changes in workforce demographics
• Workers’ compensation/24-hour coverage
• Voluntary benefits
• Work life benefits
• Demand management strategies

Registration Information