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