Stop Loss and Contract Review: Protecting Your Plan and Your Bottom Line
Online
2.00 Credits
Member Price $89.00
Non-Member Price $119.00
Overview
Go in-depth to understand the three main components of self-funded plans: Stop Loss, Third Party Administrators (TPA), and Pharmacy Benefit Managers (PBM). This section will review both Specific and Aggregate Stop Loss as a concept while also providing in-depth knowledge of contract terms and risk management. It will discuss the key components of a TPAs/PBMS and show examples of admin agreements. The instructor will also use real world examples to show how to avoid common pitfalls and use cost savings tools to ensure that waste, fraud, and abuse are eliminated from your plan structures. The end of this unit will also introduce point solutions and how they can be used to ensure peak plan performance and claims savings.
Objectives
- Stop Loss
- Third Party Administrative Structures
- The role of Pharmacy Benefit Managers
- Common plan design mistakes and how to avoid them
- Point Solution 101
Highlights
- Stop Loss
- TPA
- PBM
- Point Solutions
Designed For
HR and Finance professionals
Prerequisites
None
Preparation
None
Notice
Your webinar can be accessed via https://ctcpas.acpen.com/. If you do not have an ACPEN account, please sign up for an account using the email address you have on file with CTCPA.
Leader(s):
Leader Bios
William Minick, MBA, GBA, QEBS, Summit Financial Group
William Kyle Minick, MBA, GBA, QEBS
Kyle Minick, MBA has a diverse work experience spanning over several years. Kyle is currently working as the Vice President of Employee Benefits at Summit Financial Group, Inc. Kyle is responsible for leading employee benefits initiatives and focusing on diversity, equity, inclusion, and belonging. Kyle is also a thought leader, public speaker, and healthcare advocate, where they speak to organizations about the importance of healthcare coverage.
Prior to their current role, Kyle worked at Arthur J. Gallagher & Co. as an Associate Benefits Producer, Account Manager, and Benefits Support Specialist. During their time there, they gained valuable experience in sales and problem-solving, specifically in the benefits industry. This experience prompted him to pursue an MBA with a focus on Healthcare Administration.
Before joining Gallagher & Co., Kyle worked as an Executive Recruiter and IT Talent Specialist at Modis. Kyle developed a strong skill set in cold-calling and sales, but ultimately decided to return to Dallas to pursue their MBA.
Additionally, Kyle has experience as a Sales and Marketing Specialist at Checkers Industrial Safety Products, where they gained an understanding of compliance and safety concerns in various industries.
Lastly, Kyle’s early work experience includes being an Eagle Scout at the Boy Scouts of America, where they developed a mindset that they apply in their professional and personal life.
Overall, Kyle Minick, MBA has a broad range of experiences in the employee benefits industry, sales, recruiting, and advocacy.
Kyle Minick earned their Master of Business Administration (MBA) with a focus in Health Care Administration from Abilene Christian University. Kyle attended the university from 2017 to 2019. Prior to that, they completed their Bachelor of Science in Business Administration and Marketing at Colorado State University, where they studied from 2008 to 2013.
In addition to their degrees, Kyle has obtained several certifications. In 2022, they earned the Group Benefits Associate (GBA) 1 certification from the International Foundation of Employee Benefit Plans (IFEBP). In 2020, they obtained the General Lines Agent - Property and Casualty certification from the Texas Department of Insurance. In 2016, they obtained the General Lines Agent - Life, Accident, Health, and HMO certification from the same institution. Furthermore, in 2007, they completed the Cursos de Lenguas - Spanish B1.2 program at Universidad de Salamanca.
Non-Member Price $119.00
Member Price $89.00