A Wealth of Knowledge for TPAs

As news in the employee benefits industry happens and regulatory developments occur, SPBA’s team springs into action to provide a big-picture look, along with consolidating and distilling large amounts of information into user-friendly formats. We provide educational insights to keep our TPA members informed. Here is a sampling of some of the articles, insights and special resources we’ve prepared. This is just a small fraction of the pieces you’ll receive as an SPBA member.

Special Resources

• The SPBA Manual to the Pay or Play Rules 
  This special 75-page manual is a step-by-step guide to understanding and applying the Employer Shared Responsibility Requirements, prepared by attorney Ashley Gillihan of Alston & Bird, LLP
• Model Documents for HIPAA Privacy Standards
  HIPAA Form Business Associate Agreement and HIPAA Form Business Associate Subcontractor Agreement prepared by attorney Dot Powell-Woodson

Topic-Specific Resources

Here is a sample list of some of the topics in our extensive library for members. For each sub-topic, there are articles and official source documents.

 

 

ACA Health Reform

Sub-Topic list of articles and official source documents:

 

• 90-Day Waiting Period
• Administrative Simplification
• Annual and Lifetime Limits
• Auto Enrollment
• Cadillac Tax
• Cases
• Claims and Appeals/External Review
• Clinical Trials
• Cost Sharing
• Dental Plans
• Dependent Coverage
• Employer Shared Responsibility
• Essential Health Benefits
• Excepted Benefits
• Exchanges
• FAQs implementation
• FSAs
• Grandfathered Plans
• Hospital Transparency
• HRAs
• HSAs
• Mandated Claims Appeals
• Medical Loss Ratio
• MHPAEA
• Minimum Essential Coverage
• Minimum Value
• Model Notices
• Opt-Out
• Over the Counter Drugs
• PCORI
• Penalties
• Preventive Services
• Reporting 2016
• Rescissions
• Sample Speeches
• SCOTUS
• Summary of Benefit & Coverage
• Tax Credits for Premiums
• Tax on Plans
• Transitional Reinsurance Program
• W-2 Health Care Value Reporting
• Wellness

 

ERISA, Fiduciary Issues, and Types of Plans

• A Handy Way to Remember Who is "Administrator" & "Fiduciary"
• A Quick Refresher on Who & What is ERISA Fiduciary
• ERISA & Fiduciary explanation for the Medical Community
• ERISA Follows the Plan Money
• And Many More!

 

Regulatory Issues

• Americans with Disabilities Act
• Cafeteria Plans
• Cases
• CHIPRA
• COBRA
• Defense of Marriage Act
• Disclosure of Fees
• DOL Claims Procedures Rules
• DOL Electronic Disclosure Rules
• Drugs & FDA
• EDI
• EEOC
• FMLA
• FTC
• HRAs
• HSAs
• HIPA Opt-Out
• IRS Excise Requirements
• IRS Allowable Plan Reserves
• IRS
• Medicare Part D
• Medicare Secondary Payer
• Mental Health Parity
• Nondiscrimination - HIPAA/GINA
• Portability- HIPAA
• Privacy- GLBA
• Privacy- HIPAA
• Security
• State Licensing
• State News
• Stop-Loss
• Subrogation
• USERRA/Veterans

 

Tips for Members

• Disaster Planning Strategies for Your Firm
• Overpayment Refunds from Providers
• Passing Info from TPA to TPA during Client Change
• States Taxing TPAs?: Talking Points & Strategy
• Why 99% of Plans Should have a Formal Trust
• Bill Collector Woes: PPO, Providers and Old Higher Charges
• Funding:  Practical Hints to Protect Yourself If You Think a Client Isn’t Going to Fund Claims