Presentations, workshops and tutorials available

Dean M. Hoffman, LLC facilitates industry workshops, keynotes and "train the trainer" sessions for agents, brokers or consultants and insurance carrier, TPA sales/service staff nationally.  Dean is a regular speaker for the University of North Carolina's Kenan-Flagler Business School via the University Conference Services, the International Foundation of Employee Benefit Plans and the National Association of Health Underwriters.  Workshops and keynotes are specifically tailored to the specific audience and may include case studies.  Workshops are approved by state regulators in most states for agent continuing education credits.  Below are few of the most popular workshops.
 
Partial Self-Funding, Level Funding and Reference Based Pricing; are they right for your clients?

This one (1) hour session is geared towards employee benefit, consultant, financial advisors, accounting professionals and their support staffs who are either new or seasoned in the concept of self-funding group health plans and advise plan sponsors/employers.  This session begins with the basics of self-funding a health and welfare plans and progresses to more advanced topics. Mr. Hoffman breaks down Third Party Administrative (TPA) and Administrative Services Only (ASO0, Level Funding (LF) and Reference Based Pricing (RBP)  funding models into easy-to-understand segments and explains the “plug and play” approach to claims administration; stop loss, disease management, pharmacy plan, direct provider contracting and data integration tools. He also provides a review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18—terminal liability. Mr. Hoffman will provide information to smooth out potential gaps and help facilitate the renewal process. Self-funding group health plans is not a new concept for larger employers; however many smaller employers with 10 employees or more  are seeking this funding method as result of healthcare reform and the Affordable Care Act.  Those new small group stop loss contracts and Level Funded and Reference Based pricing products will be addressed. During this session you will:

 

  • Consider the pros and cons of a partial self-funded, level funded and Reference Based Pricing plan

  • Learn the differences between TPA, ASO, Level funded and Reference based pricing hybrid models

  • Learn what the liability issues are and how they work with the employer’s financial goals

  • Review the surge in small group level funding products and their specialty stop loss contracts

  • Review market conditions that are driving level funding and reference based plans to small employers.

  • Understand the cash flow requirements of self funding

  • Consider implications of partial self-funded plans in a post ACA environment.

  •  
Self-Funding 202 ~ Advanced Concepts

 

This session of advanced self-funding concepts is geared towards Agents, Brokers, consultants, Benefit Managers and Chief Financial Officers who currently are currently self-funded or have working knowledge of self funded group health plans.  Mr. Hoffman provides an in-depth review of stop loss “Contract terms”, 12/12, 15/12, 12/15, 15/18, terminal liability and how they work with, not against the employer’s risk tolerance and financial goals.  The self funding of group health plans is certainly not a new concept for larger employer groups however many smaller employers are seeking this funding method as result of the healthcare reform and those small group stop loss contracts will be addressed.  The Affordable Care Act impacts self-funded plans and this will be reviewed. Subtleties in the coordinated use of contracts can lead to liability issues for the employer; Mr. Hoffman will provide information with which to smooth out potential gaps and help facilitate the renewal process.

 

Learner Objectives/Outcomes:

 

  • Deep dive review of stop loss contract types.

  • Consider fiduciary and legal responsibilities   

  • Understand the newer small group self-funded products.

  • Emerging trends and ACA implication’s for self-funded plans.

Self-Funding Tutorial ~ Basic concepts through advanced strategies, with case studies

 

This information-filled three (3) hour session is geared towards Agents, Brokers, Consultants, Chief Financial Officers and HR Benefit Managers who are either new or seasoned in the concept of self-funding group health plans. This session begins with the basics of self-funding a health and welfare plan and progresses to more advanced concepts. Mr. Hoffman breaks down Third Party Administrative (TPA) and Administrative Services Only (ASO) funding models into easy-to-understand segments and explains the “plug and play” approach to claims administration, stop loss, disease management, pharmacy plans and data integration. He also provides an in-depth review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18—terminal liability and how they work with the employers risk tolerance and financial goals, including the emerging use of group captives for stop loss. Mr. Hoffman will provide information to smooth out potential gaps and help facilitate the renewal process. Self-funding group health plans is not a new concept for larger employers; however many smaller employers are seeking this funding method as result of healthcare reform and the Affordable Care Act.  Those new small group stop loss contracts and products will be addressed. Time will be allotted for several real life case studies to provide a “hands on” experience for workshop attendees.

 

Learner Objectives/Outcomes:

 

  • Consider the pros and cons of a self-funded plan

  • Learn the differences between TPA and ASO models

  • Understand the stop loss function and contract variations with a deep dive into stop loss contract variations

  • Learn what the liability issues are and how they work with the employer’s financial goals

  • Review the surge in small group self-funding products and their specialty stop loss contracts

  • Consider implications of self-funded plans in a post ACA environment.

  • Review the emerging use of Stop Loss Captives for group plans.

 

 

Partial Self-Funding; is it right for you or your clients? (agent version)
 

This session is geared towards employee benefit agents, brokers, consultants and support staff who are either new or seasoned in the concept of self-funding group health plans. This session begins with the basics of self-funding a health and welfare plans and progresses to more advanced topics. Mr. Hoffman breaks down Third Party Administrative (TPA) and Administrative Services Only (ASO) funding models into easy-to-understand segments and explains the “plug and play” approach to claims administration; stop loss, disease management, pharmacy plan, lifestyle/wellness plans and high cost carve out features. He also provides an in-depth review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18—terminal liability. Mr. Hoffman will provide information to smooth out potential gaps and help facilitate the renewal process. Self-funding group health plans is not a new concept for larger employers; however many smaller employers are seeking this funding method as result of healthcare reform and the Affordable Care Act.  Those new small group stop loss contracts and Level Funded products will be addressed. During this session you will:

 

  • Consider the pros and cons of a self-funded plan

  • Learn the differences between TPA and ASO models

  • Understand the stop loss function and contract variations with a deep dive into stop loss contract variations

  • Learn what the liability issues are and how they work with the employer’s financial goals

  • Review the surge in small group self-funding products and their specialty stop loss contracts

  • Consider implications of self-funded plans in a post ACA environment.

  

Self-funding ~ what you need to know about Stop Loss Contracts and Underwriting

 

This session is geared towards agents, brokers or consultants some personal knowledge or seasoned in the concept of self-funding group health plans.  Mr. Hoffman provides an in-depth review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18, terminal liability features and stop loss contract variations that are available to plan sponsors who choose to partially self-fund their group health plan.  The selection of appropriate specific and aggregate stop loss funding levels will be reviewed along with the new and renewal underwriting process, including the use of stop loss lasers. The emerging use of group captives for stop loss will be considered along with a review of just how your favorite actuary establishes COBRA pricing and “incurred but unreported” claim liability.

 

  • Understand the stop loss function and contract variations
  • Selection of appropriate stop loss funding levels that work with not against the plan sponsor’s financial goals
  • Establishing aggregate stop loss attachment points
  • Review the emerging use of Stop Loss Captives for group plans
 
 
 

Partial Self-Funding; is it right for you or your firm? (employer version)
 

This session is geared towards business owners, chief financial officers or benefit managers who are either new or seasoned in the concept of self-funding group health plans. This session begins with the basics of self-funding a health and welfare plans and progresses to more advanced topics. Mr. Hoffman breaks down Third Party Administrative (TPA) and Administrative Services Only (ASO) funding models into easy-to-understand segments and explains the “plug and play” approach to claims administration; stop loss, disease management, pharmacy plan, lifestyle/wellness plans and high cost carve out features. He also provides an in-depth review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18—terminal liability. Mr. Hoffman will provide information to smooth out potential gaps and help facilitate the renewal process. Self-funding group health plans is not a new concept for larger employers; however many smaller employers are seeking this funding method as result of healthcare reform and the Affordable Care Act.  Those new small group stop loss contracts and Level Funded products will be addressed. During this session you will:

 

  • Consider the pros and cons of a self-funded plan

  • Learn the differences between TPA and ASO models

  • Understand the stop loss function and contract variations with a deep dive into stop loss contract variations

  • Learn what the liability issues are and how they work with the employer’s financial goals

  • Review the surge in small group self-funding products and their specialty stop loss contracts

  • Consider implications of self-funded plans in a post ACA environment.