Cebs gba rpa 3 - Study guides, Class notes & Summaries

CEBS: GBA/RPA 3 (new curriculum)

CEBS: GBA/RPA 3 (new curriculum) 2023 ERISA SOC Reports SOC 1 SOC 2 SOC3 Tribble V Edison SPD-renewals QLAC Plan document should include: Plan Document Summary of Material Modification (SMM) Social Insurance-Fully Insured Currently Insured Disability Insured FASB ASC 960 FASB ASC 960-which plans

CEBS: GBA/RPA 3 (new curriculum) with Question and answer 2023ERISA Employee Retirement Income Security Act 1974 SOC Reports Service Organization Controls: for external vendors SOC 1 Internal Controls & Financial reports; used by auditors SOC 2 Security, availability, processing integrity, confidentiality and privacy controls;used by management, regulators, and others under an NDA SOC3 Same as SOC2, but available for public use. Tribble V Edison Landmark ...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define predicti...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Exam Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define pre...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define predicti...

ERISA - Answer- Employee Retirement Income Security Act 1974 SOC Reports - Answer- Service Organization Controls: for external vendors SOC 1 - Answer- Internal Controls & Financial reports; used by auditors SOC 2 - Answer- Security, availability, processing integrity, confidentiality and privacy controls;used by management, regulators, and others under an NDA SOC3 - Answer- Same as SOC2, but available for public use. Tribble V Edison - Answer- Landmark court case re fiduciary resp...

ERISA Title I - Answer- Intended to provide protections to plan participants and beneficiaries. Includes certain pension funding and vesting provisions ERISA Title Ii - Answer- Amended the IRS Code. Primarily includes various requirements that must be met so a plan can be tax favored or designated as a qualified plan. ERISA Title Ii - Answer- Includes a provision that created individual retirement accounts. IRA - Answer- Savings accounts that offer large tax breaks. ERISA Title III -...

GBA/RPA 3 Tibble v Edison ?? DOL Audit % of Unacceptable-Major deficiencies that affected overall quality of audit = 40% 00:15 01:41 SPD Initial distribution Must be distributed within 120 days after plan becomes subject to ERISA disclosure requirements. Skilled nursing facility benefits under M-care Part A Only if there has been a hospitalization of 3 days Typical costs of an administrative claims audit Cost for self-funded health plan is typically les...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Exam Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define pre...