What is HIPAA Compliance for Group Health Plans and TPAs?

Health Plans are forms of insurance to cover the costs of Medical Care. The HIPAA Rules define "Health Plan" broadly because the United States has many different types of health insurance.

Most privately employed Americans obtain health insurance through employers - called a Plan Sponsor - as a benefit subject to HIPAA and another Federal law, ERISA.

Often these employer-sponsored Health Plans are administered by a HIPAA Business Associate - a Third Party Administrator (TPA). The intersection of HIPAA and ERISA rules, variations among types of Health Plans and administration structures complicate Health Plan HIPAA compliance.

Group Health Plans, Plan Sponsors and Administrators are commonly unaware of their potential liability or the level of their HIPAA and ERISA compliance.

This webinar covers private Health Plans and TPAs subject to HIPAA and explains their operation, administration, and interaction with Health Insurance Issuer and HMOs.

Areas Covered in the Session:-

• HIPAA Compliance interweaved with ERISA obligations
• Definition of Health Plans subject to HIPAA compliance
• HIPAA required amendments to Health Plan Documents
• Group Health Plans - Fully-insured ("Hands Off PHI") and Self-insured ("Hands-On PHI") defined
• Plan Administration Functions
• Responsibilities and duties of a TPA Business
• Associate - special HHS guidance
• Plan Sponsor obligations
• Health Plan Fiduciaries
• Health Insurance Issuers and Health Maintenance Organizations (HMOs)

Why you should Attend:- 

HIPAA and ERISA are a one-two punch. Health Plans, TPAs, Plan Sponsors and employers must understand their respective legal obligations or face severe consequences. This webinar will explain those obligations clearly and concisely.

Who Will Benefit:-

• Employers - Group Health Plan Sponsors
• Group Health Plan Administrators
• Employee Benefit and HR Managers
• Health Insurance Brokers
• Third-Party Administrators
• Health Insurance Issuer Marketing Personnel
• Health Insurance Issuer Plan Administration Personnel
• HMO Marketing Personnel
• HMO plan Administration Personnel
• Employer in-house Counsel
• Attorneys specializing in HIPAA or ERISA
• Health Benefit Consultants