PLAY RECORDING

Overview:

Group health plans are governed by a number of state and federal laws including, but not limited to, Health Insurance Portability and Accountability Act (HIPAA), Employee Retirement Income Security Act (ERISA), and Consolidated Omnibus Budget Reconciliation Act (COBRA). The numerous requirements imposed by these laws and other rules pose significant challenges for employers in administering compliant plans.

Employers and their reliable advisors should be well versed in addressing the compliance issues that may arise.

In this LIVE Webcast, a panel of distinguished practitioners will provide an in-depth discussion of the key developments and significant topics in today’s administration of group health plans. The speakers will also provide focused insight on what practitioners should consider in a COVID-19 era.

Key topics include:

  • ACA Employer Shared Responsibility Update
  • COBRA
    • COBRA Litigation Development
    • COBRA Subsidy
  • Hospital and Group Health Plan Price Transparency Final Rules
  • “No Surprise Act”
    • Surprise Billing
    • Transparency of Deductibles
    • Advance Explanation of Benefits
    • Protections Against Provider Discrimination
    • Accuracy of Provider Directory
    • Continuity of Care
  • Consolidated Appropriations Act Transparency Rules
    • Removing Gag Clauses
    • Broker and Consultant Fee Disclosure
    • Annual Medical and Drug Cost Report
    • Mental Health Parity Disclosure

Credit:

Course Level:

Intermediate

 

Advance Preparation:

Print and review course materials

 

Method of Presentation:

On-Demand Webcast

 

Prerequisite:

General knowledge of health plans

 

Course Code:

149259

 

NY Category of CLE Credit:

Areas of Professional Practice

 

Total Credits:

1.5 CLE


How to Claim CLE Credits Per State:

https://knowledgewebcasts.com/how-to-claim-cle-credits-per-state/


CLE State Requirements:

https://knowledgewebcasts.com/cle-state-requirements/

Speaker Panel:

Thomas C. Senter, Partner
Greenbaum Rowe Smith & Davis LLP

Thomas C. Senter is as partner at Greenbaum, Rowe, Smith & Davis LLP where he is co-Chair of the Employment Law Department, a member of the Tax, Trusts & Estates Department and Chair of the Employee Benefits & Executive Compensation Practice Group. His practice focuses primarily on all aspects of employee benefits and executive compensation. He provides counsel to employers, senior executives, Boards of Directors and Board Committees. Mr. Senter has extensive experience related to equity and non-equity based qualified and non-qualified retirement and compensation plans, stock option and deferred compensation arrangements, fiduciary issues under ERISA, plan qualification and administration issues, and employee health and welfare plans. He also advises clients on compliance with Section 409A of the Internal Revenue Code, the Affordable Care Act, HIPAA and COBRA, and assists in the negotiation and drafting of employment and separation agreements. Mr. Senter serves on the Board of Trustees and is immediate Past Chair of Englewood Hospital and its parent System Board. He is a Fellow of the American College of Employee Benefits Counsel and is listed in Best Lawyers and Super Lawyers in the employee benefits practice area.

Hristina Bojadzieva Bartlett, CFA, ABV, Vice President
Analysis Group, Inc.

Hristina Bojadzieva Bartlett specializes in applying financial, accounting, and statistical analyses to various types of cases, including commercial disputes, finance, insurance, intellectual property, and valuation matters. She has worked on numerous cases involving the calculation of lost profits, accounting investigations, liquidity/solvency analyses, and the valuation of domestic and international companies. Her insurance-related work includes claims data analysis, evaluating payment rates, assessing billing practices, assessing damages from breach of contract terms pertaining to payment, calculating the reasonable value of provider services, calculating lost profits, and benchmarking the profitability, payor mix and quality of services of health institutions. She is a Chartered Financial Analyst (CFA) charterholder and is Accredited in Business Valuation (ABV). Ms. Bartlett has been retained as an expert on numerous cases.

Bret Busacker, Partner
Holland & Hart LLP

Bret Busacker is a tax and benefits partner with Holland & Hart. He works with clients that have complex organizational and management structures, advising them on a wide spectrum of topics regarding equity and incentive compensation, benefit plan design, plan administration, compliance, and governance concerns. Bret’s clients include public and private businesses, governmental entities, nonprofit organizations, human resources executives, compensation committees, and benefit committees, among others. In this capacity, he assists his clients with compliance matters in connection with tax, labor, and securities regulations.

Agenda:

Thomas C. Senter, Partner

Greenbaum Rowe Smith & Davis LLP

AND

Hristina Bojadzieva Bartlett, CFA, ABV, Vice President

Analysis Group, Inc.

AND

Bret BusackerPartner

Holland & Hart LLP

A.  ACA Employer Shared Responsibility Update

B.  COBRA

    • COBRA Litigation Development
    • COBRA Subsidy

C.  Hospital and Group Health Plan Price Transparency Final Rules

D.  “No Surprise Act”

    • Surprise Billing
    • Transparency of Deductibles
    • Advance Explanation of Benefits
    • Protections Against Provider Discrimination
    • Accuracy of Provider Directory
    • Continuity of Care

E.  Consolidated Appropriations Act Transparency Rules

    • Removing Gag Clauses
    • Broker and Consultant Fee Disclosure
    • Annual Medical and Drug Cost Report
    • Mental Health Parity Disclosure

Date & Time:

Tuesday, June 08, 2021

12:00 pm to 1:30 pm (ET)

Materials:

Download Course Materials

Who Should Attend:

  • Attorneys
  • Insurance and Third-Party Administrator (TPA) Personnel
  • Employers
  • HR Personnel
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SPEAKERS

Thomas C. SenterPartner
Greenbaum Rowe Smith & Davis LLP
Hristina Bojadzieva Bartlett, CFA, ABVVice President
Analysis Group, Inc.
Bret BusackerPartner
Holland & Hart LLP

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