HealthcareWebSummit
 
Home Page  | Upcoming Events  |  Past Events  |  Registration  |   Attendees  |  More Info  |  LinkedIn
 
Large Employers and Exchanges: Minimum Standards and Private HIX Considerations 
 
  Download Brochure Need a brochure? Download the event brochure including a registration form you can fax or mail
     
Overview
Most of the focus on health insurance marketplaces during the past six months or more has been on 2014 enrollment  of individuals in public exchanges, and current and upcoming small business participation in the exchanges. But stakeholders also need to plan and position for large employer exchange considerations, particularly with respect to fully-insured large employers that may fall under minimum standards requirements in applicable states, and strategic issues for large employers evaluating private exchange participation.

While fully-insured large group plans are exempt from many of the new insurance standards, the same minimum standards that will apply to fully-insured small group health plans in 2014 will likely apply to fully-insured large group health plans beginning in 2017. This would occur if a State elects to permit the sale of fully-insured large group health plans through the newly created health Exchange. As a result, it is important for large employers that purchase fully-insured plans to understand these new minimum standards – along with why these same minimum standards may apply to fully-insured large group plans – sooner rather than later.

Private exchanges can offer large employers a defined contribution platform; expanded choice of plans and benefits; decision support; and end-to-end transactional services. Private exchanges can help with employer compliance including offering ACA-compliant plans (e.g., offering plans that will meet the “grandfather” rules); employer mandate compliance (e.g., offering plans that provide “minimum value” and structured to meet the “affordability” test); and means of avoidance of the high-cost plan tax.

Stakeholders are well-served to be aware of the strategic considerations for large employers in evaluating private exchange options for purposes of addressing these goals, including specific issues involving: (A) dimensions of a private exchange; (B) fully-insured v. self-insured benefits; (C) the scope of plan choices and number of carriers to be offered; (D) application of risk adjustment v. standardization of plans; (E) decision support system implications; and (F) the level of customer service involved.

Please join Venable's Christopher E. Condeluci, on Thursday, June 5th, 2014 at 1PM Eastern, as he addresses stakeholder considerations for large employers involving fully-insured group plans as well as private exchange evaluation.
 
Learning Objectives
Participants will be able to:
  1. Review the minimum standards provisions that potentially could affect fully-insured large employers.
  2. Understand how and why these minimum standards could apply to such employers.
  3. Explore the implications of private exchange components including a defined contribution platform; expanded choice of plans and benefits; decision support; and end-to-end transactional services
  4. Examine the compliance considerations through a private exchange vehicle including  offering ACA-compliant plans; employer mandate compliance; and means of avoidance of the high-cost plan tax.
  5. Ascertain detailed strategic considerations for private exchanges regarding A) dimensions of a private exchange; (B) fully-insured v. self-insured benefits; (C) the scope of plan choices and number of carriers to be offered; (D) application of risk adjustment v. standardization of plans; (E) decision support system implications; and (F) the level of customer service involved.
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Planning, Strategy and Innovation Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Benefit Administrators
  • Human Resource Executives
  • Actuarial and Underwriting Executives
  • Sales and Marketing Executives and Staff
  • Marketing and Business Intelligence Staff
  • Health Plan Contracting Executives

Attendees would represent organizations including:

  • Health Plans
  • Employers
  • Brokers and Benefit Consultants
  • Provider Organizations
  • Solutions Providers
  • PBMs
  • Third Party Administrators
  • Supplemental Benefit Organizations
  • Health Insurance Exchanges
  • Government Agencies
  • Media
  • Private Equity Firms
  • Associations
  • Other Interested Parties


Registration
Large Employers and Exchanges: Minimum Standards and Private HIX Considerations 
 
  Individual Registration Fee: $195. Post-event materials with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure.
 
 
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
Faculty
Christopher E. Condeluci
Christopher E. Condeluci
Counsel
Venable, LLP
 

Christopher Condeluci focuses his practice on employee benefits and tax policy, with a specific emphasis on healthcare reform, retirement and compensation policy. As former Tax Counsel to the Senate Finance Committee, Chris actively participated in the health reform debate and he is one of the few senior staffers to join the private sector since the enactment of the Patient Protection and Affordable Care Act.

Through his experience on Capitol Hill and the development of this important legislation, Mr. Condeluci helps clients with compliance with the new healthcare law. He can also advise on shaping any future healthcare-related legislative initiatives that may affect his clients. Furthermore, Mr. Condeluci has significant technical experience in retirement planning, more specifically tax-qualified retirement plans.

His experience also includes offshore deferred compensation, payroll taxes, education tax incentives (including 529 plans), cafeteria plans and health flexible spending and dependent care arrangements, health savings accounts, fringe benefit programs, and worker classification.

Prior to joining Venable, Mr. Condeluci served as Tax and Benefits Counsel for the U.S. Senate Finance Committee, where he represented the Senate Finance Committee in negotiating details of legislative policy changes on matters relating to healthcare, retirement, executive compensation, education tax incentives, payroll taxes, insurance tax, S Corporations, and other tax policy issues with Senate Leadership; the Senate Health, Education, Labor and Pensions Committee; the U.S. House of Representatives Committee on Ways and Means; and the U.S. House of Representatives Committee on Education and Labor.

Mr. Condeluci has written articles about retiree medical benefits and the defined benefit pension plan funding rules prescribed under the Pension Protection Act of 2006. He is also the co-author of a chapter on fiduciary issues in welfare plans in an ABA-commissioned book entitled ERISA Fiduciary Law and was a significant contributor to the Health Savings Account Answer Book and the ERISA Fiduciary Answer Book - relating healthcare reform issues. Mr. Condeluci frequently serves as speaker and commentator on a wide variety of healthcare, employee benefits and tax policy topics.



 

 
HealthcareWebSummit events from MCOL  
1101 Standiford Ave. Suite C-3 Modesto, CA 95350
Phone 209.577.4888  | e-Mail
infohws@healthwebsummit.com  |  Fax 209.577.3557
copyright , MCOL All rights reserved. Terms of Use apply to this site and participation in events.