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Group Health Plan Laws: Compliance Alphabet Soup

Gain a better understanding why group health plans are set up in certain ways and how to stay compliant with legal requirements.

When the cost of health care is paid or reimbursed by an employer, a group health plan probably exists and the employer will normally be subject to a long list of legal requirements. This program will help you to understand the types of arrangements that can constitute a group health plan and will explain and walk through the many different legal requirements that can apply to a group health plan. It will help you to understand why your group health plans are set up in the way they are and to know the questions you may need to ask to determine if your plans are in compliance with these legal requirements.

89 minutes
Course Exam
Certificate of Completion
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

The Legal Framework for Offering a Group Health Plan

  • ERISA Requirements
  • Internal Revenue Code Requirements

Persons to Whom Coverage Can or Cannot Be Offered Under the Code

  • Employees and Former Employees
  • Self-Employed Individuals
  • Other NonEmployees
  • Spouses and Dependents

Laws Giving Individuals the Right to Receive Coverage

  • Michelle's Law
  • ACA Age 26 Mandate
  • Qualified Medical Child Support Orders (QMCSOs)
  • National Medical Support Notices (NMSNs)
  • Children's Health Insurance Program (CHIPRA)
  • COBRA
  • Uniformed Services Employment and Reemployment Rights Act (USERRA)
  • Family and Medical Leave Act (FMLA)
  • Affordable Care Act (ACA)

Laws Affecting the Terms and Conditions on Which Coverage Is Offered

  • HIPAA Nondiscrimination
  • Age Discrimination in Employment Act (ADEA)
  • Title Vii of the Civil Rights Act of 1964 / Pregnancy Discrimination Act
  • Medicare Secondary Payer Paying for Coverage

Laws Affecting Coverage for Specific Conditions

  • Mental Health Parity and Addiction Equity Act (MHPAEA)
  • Newborns' and Mothers' Health Protection Act (NMPHA)
  • Women's Health and Cancer Rights Act (WHRCRA)
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

Applications have not yet been submitted for Delaware, Idaho, Kentucky, Maine, New Hampshire, Ohio, Oklahoma, South Carolina, and Wyoming CLE for this course. However, if you are interested in obtaining CLE for any of the listed states or have any additional credit questions please email us at [email protected] or call us at 866-352-9540.

This course was last revised on May 30, 2019.

Call 1-866-352-9540 for further credit information.

  • CA MCLE 1.5
     
  • Lorman Business Center, LLC. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
     
  • WA CLE 1.5
     
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.5 hours of A/V credit under the Law & Legal Procedure category.
     

To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Steven P. Smith

Steven P. Smith

Hinkle Law Firm LLC

  • Member of the Hinkle Law Firm LLC
  • Practice is focused on the benefits that employers provide to their employees, including 401(k) plans and group health plans, and on the laws governing those plans, including ERISA, HIPAA, COBRA, and the Internal Revenue Code
  • Frequent public speaker on employee benefits-related topics
  • Contributing author to the book, Group Health Plans: Federal Mandates Other Than COBRA and HIPAA (published by the Employee Benefits Institute of America, a division of Thomson Reuters), 2003 – present; Traps for the Unwary: Avoiding Problems with Employee Benefit Plans in Divorce, Kansas Bar Association Journal, February 2011
  • Admitted to the Kansas Bar, member of the Gulf Coast Area IRS TE/GE Council and the Kansas Bar Association
  • Recognized in The Best Lawyers in America
  • Adjunct Professor, University of Kansas School of Law
  • J.D. degree, University of Kansas
  • Can be contacted at 316-267-2000 or [email protected]
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
  • Audio Recordings*
  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 404916
Published 2019
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