Course

Gain a comprehensive understanding of healthcare exchanges. Explore the differences between public exchanges like the ACA Marketplace and private exchanges, including coverage options, tax credits, and eligibility requirements. Learn how the Small Business Health Options Program (SHOP) works for employers, and discover the process of enrolling in both public and private exchanges. This course also provides essential tips for advising consumers, comparing exchange types, and making informed decisions on coverage. Perfect for individuals and professionals navigating the complexities of health insurance exchanges.

Topics Covered

  • Overview of Exchanges
  • Public Exchanges Selling Individual and Family Coverage
  • Small Business Health Options Program (SHOP)
  • Private Exchanges
  • Advising Consumers

Course Outline

View course outline

Introduction

  1. ACA Marketplace and Private Exchanges

Estimated Time to Complete: 5 minutes

Public Exchanges Selling Individual and Family Coverage

  1. Types of Public Exchanges
  2. Consumer Experience Based on the Type of Public Exchange
  3. Functions of a Public Exchange
  4. Certifying a Qualified Health Plan (QHP)
  5. Enrolling in Public Exchange Coverage
  6. Health Premium Tax Credit
  7. Eligibility Exceptions for the Health Premium Tax Credit
  8. Reconciling Tax Credits at Tax Time
  9. Cost-Sharing Reductions
  10. Decreased Out-of-Pocket Maximums
  11. Increased Actuarial Value
  12. Funding Cost-Sharing Reductions

Estimated Time to Complete: 30 minutes

Small Business Health Options Program (SHOP)

  1. Shopping for SHOP Coverage
  2. Eligibility for SHOP Coverage
  3. Coverage Models
  4. Employer Contributions
  5. SHOP Plan Design
  6. Small Business Health Care Tax Credit

Estimated Time to Complete: 25 minutes

Private Exchanges

  1. Types of Private Exchanges
  2. Features of Private Exchanges
  3. Private Exchange Plans vs. SHOP Plans
  4. Enrollment in Private Exchanges
  5. Private Exchanges for Individual Consumers

Estimated Time to Complete: 20 minutes

Advising Consumers

  1. The 4 Ws
  2. WHO Is the Consumer Buying Coverage For?
  3. WHAT Should the Consumer Consider When Picking a Plan?
  4. WHEN Should the Consumer Enroll in Coverage?
  5. WHERE Can the Consumer Find Helpful Resources?
  6. Comparing the Different Types of Exchanges

Estimated Time to Complete: 20 minutes

NOTE: The estimated time to complete each lesson is based on word count and assumes uninterrupted consumption of the course. Actual time to complete each lesson can vary widely based on familiarity with the topics and other factors. Time required to complete the course final exam is not counted in these estimates.

Course Applies To

One-Credit Course

US$65.00

Member

US$95.00

Nonmember

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Questions?

Contact us at (888) 334-3327, option 3 or [email protected].

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