Health Insurance Answer Book, Sixth Edition / Edition 6

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This easy-to-use guide will help you manage a cost-effective health insurance plan and ensure that your decisions are in compliance with constantly changing health care legislation. Health Insurance Answer Book offers instant access to information on everything from HMOs, PPOs, COBRA, HIPAA, OBRA, and flexible benefits to plan rating, funding, cost containment, and administration. Its question-and-answer format speeds you to realistic strategies and solutions in seconds.

Because the book is updated annually, you'll be sure to stay informed on newly enacted and pending legislation. For example, you'll get concise, jargon-free coverage of dramatic changes in the health insurance marketplace, such as the resurgence in healthcare inflation, changes in the Medicare payroll tax, pharmacy benefit management, reduced reimbursements for physicians and hospitals, workers' compensation, Medigap policies, self-insurance, and third-party administration.

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Product Details

  • ISBN-13: 9780735514690
  • Publisher: Wolters Kluwer Law & Business
  • Publication date: 9/29/2000
  • Edition description: 6TH
  • Edition number: 6
  • Pages: 1040

Table of Contents

• An Overview of Group Insurance
• The Health Insurance Marketplace
• Factors Influencing Insurance Plan Design
• State and Federal Laws
• Plan Rating and Funding
• Plan Implementation and Administration
• Managing Health Insurance Costs
• Managed Care Plans
• Flexible Benefits
• Medicare
• Nondiscrimination Rules
• Dental, Vision, and Other Benefits
• Form 5500
• Retiree Health Benefits
• Pharmacy Benefit Management
• Self-Funding
• Third Party Administration
• Quality Assurance
• Home Health Care and Long-Term Care
• Communication
• Mental Health

• Appendix A: Health Information Resources
• Appendix B: DOL Model COBRA Initial Notice
• Appendix C: DOL Model COBRA Initial Notice Incorporating Revisions
• Appendix D: Sample COBRA Notice Upon Occurrence of a Qualifying Event
• Appendix E: Model Certificate of Coverage
• Appendix F: Internet Resources
• Internet Resources
• Index

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