Insurance Exam Prep

[Health Insurance] 57, ERISA Federal Regulation of Employee Benefits

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - That a fiduciary's primary duty under ERISA is to act solely in the interest of plan participants and beneficiaries. - Key details about the Summary Plan Description (SPD), including that it must be provided automatically to new participants within 90 days of coverage. - The distinction between fully insured and self-insured plans regarding ERISA's preemption of state insurance laws. - The required timelines for deciding claim appeals, such as within 72 hours for urgent care claims. - That ERISA establishes a formal grievance and appeals process that must be exhausted before legal action can be taken in federal court.

[Health Insurance] 56, HIPAA Portability and Privacy Rules

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How HIPAA limits pre-existing condition exclusions using a 6-month look-back period and a maximum 12-month exclusion. - The role of creditable coverage in reducing or eliminating pre-existing condition exclusion periods. - What qualifying life events trigger a special enrollment period outside of open enrollment. - The key components of the HIPAA Privacy Rule and its protection of Protected Health Information (PHI). - The differences between the Privacy Rule and the Security Rule, which safeguards electronic PHI (ePHI). For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 55, COBRA Qualifying Events and Election Timelines

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The employer has 30 days to notify the plan administrator of qualifying events like termination or reduction in hours. - The employee or beneficiary has 60 days to notify the plan administrator of qualifying events like divorce or a child losing dependent status. - A qualified beneficiary has a 60-day period to elect to continue their COBRA coverage after receiving the election notice. - The initial COBRA premium payment is due within 45 days of electing coverage. - Subsequent monthly premium payments have a 30-day grace period. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 54, COBRA Continuation Coverage

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - That COBRA is a federal law applying to employers with 20 or more employees. - The difference in qualifying events for employees (termination, reduced hours) versus dependents (death, divorce, Medicare eligibility). - The standard continuation period is 18 months for termination or reduction in hours. - Dependents are eligible for a longer, 36-month continuation period for events like death of the employee or divorce. - Beneficiaries must pay up to 102% of the premium, which includes the full cost plus a 2% administrative fee. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 53, Group Health Insurance Fundamentals

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The distinction between the master contract held by the employer and the certificate of insurance provided to employees. - Common eligibility requirements for group coverage, including waiting periods for new hires. - The key differences between contributory and noncontributory plans, including their required participation percentages. - The function and importance of the annual open enrollment period for making coverage changes. - How experience rating is used for large groups to determine premiums based on their specific claims history. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep