Employee Benefits: A Guide for Health Care Professionals

Employee Benefits: A Guide for Health Care Professionals

by Deborah Rosenbloom (Editor)

Paperback(1E)

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Overview

Employee Benefits: A Guide for Health Care Professionals by Deborah Rosenbloom, Aspen

As health systems divide and conquer, health care professionals are fi nding themselves in new employment situation — working for larger org anizations or supervising new groups of employees. With this change co mes a need to take a new look at the laws that affect employee benefit s — including ERISA, group health plans, COBRA, and more. Here's a co ncise briefing on the legal issues involved in health care employee be nefits administration, with specific references to statutes and court rulings that are relevant in the health care setting. A practical over view of a complex legal area.

Product Details

ISBN-13: 9780834211582
Publisher: Jones & Bartlett Learning, LLC
Publication date: 03/09/1998
Edition description: 1E
Pages: 120
Product dimensions: 9.00(w) x 6.00(h) x 0.25(d)

Table of Contents

Prefaceviii
Introduction1
Discrimination Rules3
Employee Retirement Income Security Act4
Summary Plan Descriptions5
Amendments to Plan10
Preemption11
Fiduciary Issues12
Design/Administration Distinction14
Pensions17
Qualified Retirement Plans17
Vesting18
Funding and Eligibility19
Reporting Requirements for Qualified Plans19
Nonqualified Plans20
Effect of Merger on Pensions21
Group Health Plans Insurance21
Group Life Insurance21
Group Accidental Death and Dismemberment21
Group Disability Insurance22
Health or Medical Insurance22
Pharmacy Benefit Management22
Long-Term Care23
Financing Group Health Plans23
ERISA Requirements24
State Laws24
Federal and State Regulation25
PDA26
NMHPA26
FMLA26
ADEA27
MHPA27
ADA28
OBRA '9328
HIPAA29
Crediting Time29
Waiting Period30
Preexisting Conditions30
Certificate of Creditable Coverage31
Alternative Method33
Health-Based Exclusion33
Special Enrollment34
Renewal of Group Health Plans34
Disclosure35
Effective Dates35
States' Options35
COBRA36
Maintenance of Group Health Plan36
Small Employer Exemption37
Qualifying Events38
Notice39
Revision of COBRA Notice Requirements42
Election of COBRA Benefits43
Continuation Coverage43
Significant Gap45
Fiduciary Liability46
State Coverage48
Cafeteria Plans48
Types of Cafeteria Plans49
Administering Cafeteria Plans50
Prepaid Legal Services50
Dependent Care Assistance51
Educational Assistance Benefits51
Record-Keeping Requirements52
Personal Services Benefits53
Work/Family53
Flex Time54
Convenience Benefits54
Mergers and Acquisitions55
Conclusion55
Appendix ASelected Provisions--Health Insurance Portability and Accountability Act65
Appendix BMental Health Benefit Parity Act88
Appendix CThe Newborns' and Mothers' Health Protection Act93
Index104

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