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Best Practices for Health Plans – From Formation to Administration
Setting up a plan:
- Is Self-Funding Right For You?
- Picking a Processor TPAs vs. ASOs
- To Network or Not to Network?
- The Plan Document
- Stop-Loss: Placement and Conflicts
- Types of Vendors and Innovative Services
Overview of the webinar
We will cover the following for those that fund (or work with) self-funded health plans, as well as those thinking about doing so:
- Funding: Self-Funding vs. Traditional Insurance
- Plan Administration: Insurance Carriers vs. Third Party Administrators (TPAs)
- Getting Your Money’s Worth: Assessing the Claims Processor
- Cost Containment in a Post-ACA World & Planning for the Days to Come
Who should attend?
- Employers – HR, CFO, CEOs
- TPA/ASO – Claim Processors & Plan Builders
- Brokers / Advisors
Why should you attend?
As the cost of healthcare continues to skyrocket, the cost of health insurance follows. For many employers, insurance has become too expensive, and self-funding a health benefit is the last and only option remaining for those that seek to offer these important benefits to their valued employees. Yet, self-funding can be more than just a “last ditch effort” to offer health coverage. If done well, with innovative cost containment methods in mind, an efficient and effective self-funded benefit plan allows an employer to maximize benefits, minimize costs, and turn a burden into a recruitment tool. Any and all employers, and those that service them, cannot afford to miss this one.
Faculty - Mr.Ron E. Peck, Esq
Ron E. Peck has been a member of The Phia Group’s team since 2006. As an ERISA attorney with The Phia Group, Ron has been an innovative force in the drafting of improved benefit plan provisions, handled complex subrogation and third party recovery disputes, healthcare direct contracting and spearheaded efforts to combat the steadily increasing costs of healthcare.
Considered to be not only one of the nation’s top ERISA lawyers, Attorney Peck is also viewed as one of the nation’s premier self-funded health plan consultants and health benefits attorney; lecturing at and participating in many industry gatherings including but not limited to The National Association Of Subrogation Professionals (“NASP”) Litigation Skills Conference, Society of Professional Benefit Administrators (“SPBA”), the Health Care Administrator’s Association (“HCAA”), The Health Plan Alliance, and SIIA. Ron is also frequently called upon to educate plan administrators and stop-loss carriers regarding changing laws and best practices. Ron’s theories regarding benefit plan administration and healthcare have been published in many industry periodicals, and have received much acclaim. Prior to joining The Phia Group, Ron was a member of a major pharmaceutical company’s in-house legal team, a general practitioner’s law office, and served as a judicial clerk. Ron is also currently of-counsel with The Law Offices of Russo & Minchoff.
Attorney Peck obtained his Juris Doctorate from Rutgers University School of Law and earned his Bachelor of Science degree in Policy Analysis and Management from Cornell University. Attorney Peck now serves as The Phia Group’s Senior Vice President and General Counsel, and is also a dedicated member of SIIA’s Government Relations Committee.