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Insurance Institute of East Africa
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Overview

The Disability Healthcare Professional (DHP) designation pairs two areas of expertise. Across five targeted courses, you’ll gain a solid foundation in both how the health insurance industry works and how disability insurance (DI) protects individuals from the financial losses that often occur from accidents or severe health afflictions. You’ll gain a deeper understanding of health insurance operations management, including cost management, pricing, sales, marketing, claims administration, policy issuance and renewal, customer service, government regulation, and fraud.

Start your path by completing these three courses:

  • Disability, Part I (Primer)
  • Disability, Part II (Advanced Issues)
  • Disability Part III (Group and Work site Issues)

Those first three courses (Disability Income, Parts I, II, and III) earn your Disability Income Associate (DIA) designation. But don’t stop there! To turn your DIA into a DHP, complete these two required courses (for a total of five courses):

  • Fundamentals of Health Insurance, Part A (Basics of Health Insurance)
  • Fundamentals of Health Insurance, Part B (Basics of Company Operations)

Details of electives are available on request.Contact us at Training@iiea.co.ke

Learning Outcomes

On completion of this designation, you’ll gain a deeper understanding of health insurance operations management, including cost management, pricing, sales, marketing, claims administration, policy issuance and renewal, customer service, government regulation, and fraud.

Course Outline

  • 1.1: Recognize the need for DI insurance and how it works
  • 1.2: Identify and evaluate risks and costs associated with disability
  • 1.3: Examine Social Security DI, workers' compensation, and other government programs
  • 1.4: Understand the government programs' limitations and how DI closes the coverage gap
  • 1.5: Differentiate between individual, government, and employer-sponsored plans
  • 1.6: Understand the underwriting process, contract provisions, claims administration, and taxation
  • 1.7: Discover how disability fits into retirement, estate, and long-term care planning
  • 1.8: Learn relevant terms and key concepts
  • 1.9: Examine case scenarios
  • 1.10: Explore emerging trends in the DI field

  • 2.1: Understand the role of standard DI policies in providing basic coverage
  • 2.2: Explore the variety of ways to structure DI programs to meet employee needs
  • 2.3: Examine the role of DI in personal, estate, and long-term care planning
  • 2.4: Acquire detailed knowledge of specialized products, including disability business overhead expense (BOE) insurance, key-person DI, and more
  • 2.5: Review tax and ERISA considerations
  • 2.6: Understand how DI fits into planning with both tax-qualified and non-qualified retirement plans, selective wage continuation plans, and disability buy-sell contracts
  • 2.7: Examine emerging trends in the DI field
  • 2.8: Understand relevant terms and key concepts
  • 2.9: Study case scenarios

  • 3.1: Understand the popularity of group DI coverage among employers and employees
  • 3.2: Explore recent trends toward voluntary plans paid for largely by employees
  • 3.3: Identify and compare the limitations of Social Security, workers' compensation and other government programs
  • 3.4: Differentiate between short-term and long-term DI coverage
  • 3.5: Examine the differences between individual and group plans
  • 3.6: Explore the selection and underwriting processes
  • 3.7: Acquire new strategies for marketing and sales
  • 3.8: Examine regulatory and tax considerations
  • 3.9: Understand relevant terms and key concepts
  • 3.10: Study case scenarios and learn from their real-life experiences

  • 4.1: Get the big picture: understand the importance of the life and health insurance industries
  • 4.2: Develop a practical understanding of how health insurance works
  • 4.3: Pinpoint the differences between types of coverage, including medical expense, supplemental, long-term care, and disability
  • 4.4: Compare different types of health insurance provider organizations
  • 4.5: Define the needs met by health insurance providers
  • 4.6: Assess the advantages and disadvantages of flexible benefit plans
  • 4.7: Explore contract provisions and how individual and group plans are underwritten
  • 4.8: Learn how health insurance products are marketed and sold
  • 4.9: Understand the role of reinsurance in promoting market stability and lower premiums
  • 4.10: Understand the role of reinsurance in promoting market stability and lower premiums

  • 5.1: Explore how group health insurance plans are administered
  • 5.2: Understand the landmark health care reform initiatives that underpin the health care industry
  • 5.3: Gain a solid foundation in policy issuance, installation, and the renewal process
  • 5.4: Get up to speed on premium billing and payment
  • 5.5: Learn how to manage, submit, and process claims
  • 5.6: Identify best practices for controlling operational costs
  • 5.7: Identify best practices for controlling operational costs
  • 5.8: Assess how health insurance providers promote cost-effective health care
  • 5.9: Put the brakes of fraud and abuse: learn how to define, detect, and prevent it
  • 5.10: Nail the concepts behind product pricing strategies
  • 5.11: Learn how to navigate the regulatory process at the state and federal levels
  • 5.12: Understand how advances in health information technology lead to improvements in health care quality and efficiency
  • 5.13: Dive into the concept of medical homes and see how their focus on preventive care lowers costs
  • 5.14: Learn the elements, implementation, and expected return from wellness programs
  • 5.15: Pinpoint who buys and sells health care and at what pricing levels
  • 5.16: Assess the federal government's role in advancing cost and quality transparency

Price: USD1,895


Course Features
  • Modules 5
  • Duration 12 Weeks
  • Content Type Text & media
  • Assessment Yes
  • Pass Percentage 70%
  • Certificate Yes
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