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Upon completion of the course, students will be able to:
1. Describe the major characterestics of various health plan formats.
2. Determine and describe the cost to the employer of an employee benefits package.
3. Select a health plan that best meets an individual employee's needs.
4. Identify the most common leaves of absence available to employees in California and describe their mandated and optional characteristics.
5. Develop and present a benefits packate suitable for new employee orientation.
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I. Best Practices and Current Trends in Benefits Administration
A. Developing an appropriate benefits package
B. Communicating benefits to employees
II. Legal Requirements
A. Benefits plans including the Affordable Care Act
B. Leaves of absence
III. Costs of Benefits: The Current Dilemma Facing Employers
IV. Benefits Plan Options, Characteristics and Requirements:
A. Medical plans
1. Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Point of Service (POS), Indemnity Plans
2. Structural options Flexible Spending Account(FSA), Health Savings Account (HSA), High Deductible Health Plan (HDHP).
B. Retirement plan options
1. Defined contribution plans
2. Defined benefit plans
3. Retirement plan structural options 401(k), ESOP (Employee Stock Ownership Plan, etc.)
C. Dental, Life, Long-term Disability (LTD), Vision
V. Voluntary Time Off
A. Leaves of absence
1. Vacation
2. Holidays
3. Sick time
B. State mandated leaves of absence
1. Domestic violence, sexual abuse and other California mandated leaves
2. Kin care
3. California Family Rights Act
4. Pregnancy disability leave
C. Federal mandated leaves
1. Family Medical Leave Act (FMLA)
2. Coordination of State and Federal leave provisions
D. Consolidated Omnibus Budget Reconciliation Act (COBRA) and Health Insurance Portability and Accountability Act (HIPAA) Administration
1. Leave of absence implications
2. Benefits information implications
VI. Attendance Policies
A. Reasonable accommodations
B. Employer rights and expectations
VII. State Run Insurance Programs
A. State Disability Insurance
B. Paid Family Leave
C. Unemployment compensation
D. Workers Compensation
VIII. Federally-Run Insurance Programs
A. Social Security
B. Medicare
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing. | Writing 15 - 25% |
Write an opinion paper on selecting the best health plan option. | |
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills. | Problem Solving 20 - 30% |
Prepare a premium statement suitable for presentation to a CEO. | |
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams. | Skill Demonstrations 20 - 40% |
Review the website CoveredCA.com and answer questions about its content; Develop, outline, and present a simulated employer benefits orientation. | |
Exams: All forms of formal testing, other than skill performance exams. | Exams 20 - 35% |
multiple choice exam on legally mandated benefits and leaves of absence. | |
Other: Includes any assessment tools that do not logically fit into the above categories. | Other Category 0 - 0% |
None | |
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Instructor prepared materials