Health Insurance Answer Book, Ninth Edition

Overview

Health Insurance Answer Book provides the most current information in this rapidly evolving field. It incorporates the latest information on the cafeteria plan regulations, the latest Medicare Part D developments, the latest guidance on health savings accounts (HSAs), the latest court decisions on COBRA, retiree benefits, and other issues.

...

See more details below
Available through our Marketplace sellers.
Other sellers (Hardcover)
  • All (3) from $230.67   
  • New (1) from $585.90   
  • Used (2) from $230.67   
Close
Sort by
Page 1 of 1
Showing All
Note: Marketplace items are not eligible for any BN.com coupons and promotions
$585.90
Seller since 2011

Feedback rating:

(951)

Condition:

New — never opened or used in original packaging.

Like New — packaging may have been opened. A "Like New" item is suitable to give as a gift.

Very Good — may have minor signs of wear on packaging but item works perfectly and has no damage.

Good — item is in good condition but packaging may have signs of shelf wear/aging or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Acceptable — item is in working order but may show signs of wear such as scratches or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Used — An item that has been opened and may show signs of wear. All specific defects should be noted in the Comments section associated with each item.

Refurbished — A used item that has been renewed or updated and verified to be in proper working condition. Not necessarily completed by the original manufacturer.

New
Brand new and unread! Join our growing list of satisfied customers!

Ships from: Phoenix, MD

Usually ships in 1-2 business days

  • Standard, 48 States
  • Standard (AK, HI)
Page 1 of 1
Showing All
Close
Sort by
Sending request ...

Overview

Health Insurance Answer Book provides the most current information in this rapidly evolving field. It incorporates the latest information on the cafeteria plan regulations, the latest Medicare Part D developments, the latest guidance on health savings accounts (HSAs), the latest court decisions on COBRA, retiree benefits, and other issues.

Some of the key questions covered in the Eighth Edition include:

  • What is the Genetic Information Nondiscrimination Act of 2008?
  • What are never events?
  • What are dependent eligibility audits?
  • What did the 2007 cafeteria plan regulations change?
  • When must cafeteria plans be tested for discrimination?
  • What is health and productivity management?
  • What can employers do to improve the open enrollment experience?

Health Insurance Answer Book provides succinct and authoritative answers to questions on the administration of health insurance plans. It also provides some of the latest survey information about dramatic changes in the health insurance marketplace, such as the resurgence in health care inflation, and uses recent case law to highlight hazards others have encountered.

The Eighth Edition of the Health Insurance Answer Book brings the reader up to date on legislative and regulatory developments and on industry changes in this area. Highlights include:

  • A new chapter on Medicare prescription drug plans
  • A new chapter on wellness plans, including a section on health and productivity management
  • Information about the latest regulations on cafeteria plans
  • The latest guidance on HSAs
  • An update on approaches to provider ranking
  • Results from the 2007 United Benefit Advisors (UBA) survey of plan design and plan costs. Unlike many surveys that focus only on large employers, the UBA survey included small and midsized employers, who sponsor most of the health plans in the United States.
Read More Show Less

Product Details

  • ISBN-13: 9780735582187
  • Publisher: Wolters Kluwer Law & Business
  • Publication date: 3/30/2010
  • Edition description: Ninth Edition
  • Edition number: 9
  • Product dimensions: 7.10 (w) x 10.20 (h) x 2.40 (d)

Table of Contents

1. An Overview of Group Insurance


• Group Health Insurance
• The Uninsured
• Group Insurance
• Types of Insurance Professionals
• Intermediaries
• Blue Cross/Blue Shield Plans

2. State and Federal Laws


• Legal Factors Affecting Design
• State Law
• Federal Law
• Pregnancy Discrimination Act
• Family and Medical Leave Act
• Americans with Disabilities Act
• Taxation of Group Health Plans
• Reservists' Benefits

3. Eligibility


• Employees
• Dependents

4. Types of Medical Plans


• Traditional Plans
• Managed Care
• Health Maintenance Organizations
• Adverse Selection
• Legal Standards
• Evaluating HMOs
• Preferred Provider Organizations
• POS
• Managed Care Backlash

5. Factors Influencing Plan Design


• Strategies
• Contributions
• Types of Plans
• Covered Expenses
• Restrictions on Coverage
• Deductibles, Copayments, and Reimbursement
• Cost Containment
• Managed Competition

6. Flexible Benefits


• Tax Advantages
• Cost Control
• Types of Plans
• Flexible Spending Accounts
• Mid-Year Plan Changes
• Flexible Benefit Options
• Implementation

7. Consumer-Driven Health Plans


• Health Savings Accounts
• Health Reimbursement Accounts
• Medical Savings Accounts
• Consumer-Driven Dental Care
• Defined Contribution Health Care

8. Plan Implementation and Administration


• Setting Up the Plan
• Reporting and Disclosure
• Enrollment
• Billing
• Claims
• Coordination of Benefits
• Coverage, Renewal, and Changes
• Termination of Coverage
• Computerized Administration
• Billing Codes
• Third-Party Administrators

9. Health Insurance Portability and Accountability Act (HIPAA)


• Portability
• Electronic Data Interchange
• Privacy
• Security

10. COBRA


• The Basics
• Covered Employers
• Covered Plans
• General Requirements
• Notification Requirements
• Premiums
• Election and Grace Periods
• Qualified Beneficiaries
• Retiree Medical Coverage
• Miscellaneous

11. Form 5500


• Plan Years
• Administration
• Completing the Form
• Electronic Filing
• Summary Annual Report

12. Nondiscrimination Rules


• Accident and Health Plans
• Cafeteria Plans
• Voluntary Employees' Beneficiary Associations
• Nondiscriminatory Classification
• Nondiscrimination Rules for Archer MSAs
• Comparability Rules for health savings accounts (HSAs)
• Controlled Group Rules
• Tax-Exempt Organizations
• Comparisons

13. Plan Rating and Funding


• Plan Funding
• Fully Insured Plans
• Alternatives to Fully Insured Plans
• Deferred Premium Arrangements
• Shared Funding Arrangements
• Retrospective Premium Arrangements
• Reserve Reduction Agreements
• Minimum Premium Plans
• Captives

14. Self-Funding


• Reasons for Self-Funding
• Decision to Self-Fund
• Administration
• Marketplace
• Effect of Self-Funding on Regulations
• Stop-Loss Insurance
• Volunta

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)