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Insurance Institute of East Africa
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Overview

In a competitive work environment, employers depend on key performers. When you earn your Health Insurance Associate (HIA®) designation, you’ll be among 20,000+ professionals who have joined the industry’s elite by mastering this challenging, but rewarding, professional program.

To earn this career-driving designation, start by completing the following required courses:

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

Then complete two electives. Select from the following options:

  • Disability, Part I (Primer)
  • Disability, Part II (Advanced Issues)
  • Disability, Part III (Group and Worksite Issues)
  • Fraud, Part I (Introduction)
  • Long-Term Care, Part I (Needs and Options)
  • Long-Term Care Professional (LTCP) - Combined Course

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Learning Outcomes

On completion of this course you’ll demonstrate to your colleagues and partners that you’ve achieved a thorough knowledge of all aspects of health insurance.

Important Notice: If Long-Term Care Professional (LTCP) - Combined Course is one of the electives selected, fees charged will vary.Enquire before enrollment.

    Course Outline

    • 1.1: Develop a practical understanding of how health insurance works
    • 1.2: Pinpoint the differences between types of coverage, including medical expense, supplemental, long-term care, and disability
    • 1.3: Compare different types of health insurance provider organizations
    • 1.4: Define the needs met by health insurance providers
    • 1.5: Explore contract provisions and how individual and group plans are underwritten
    • 1.6: Learn how health insurance products are marketed and sold
    • 1.7: Understand the role of reinsurance in promoting market stability and lower premiums
    • 1.8: Define relevant terms and key concepts

    • 2.1: Explore how group health insurance plans are administered
    • 2.2: Understand the landmark health care reform initiatives that underpin the health care industry
    • 2.3: Gain a solid foundation in policy issuance, installation, and the renewal process
    • 2.4: Get up to speed on premium billing and payment
    • 2.5: Learn how to manage, submit, and process claims
    • 2.6: Identify best practices for controlling operational costs
    • 2.7: Assess how health insurance providers promote cost-effective health care
    • 2.8: Put the brakes of fraud and abuse: learn how to define, detect, and prevent it

    • 3.1: Explore the impact of court decisions on healthcare reform, including the Supreme Court
    • 3.2: Assess the different ways Americans obtain their health insurance coverage
    • 3.3: Discover how and why some health insurance providers leverage alternate organizational structures
    • 3.4: Gain a deeper understanding of what health insurance exchanges are and how they operate in a post-reform environment
    • 3.5: Explore the concepts behind accountable care organizations (ACOs) and their role in bending the cost curve
    • 3.6: Explore the concepts behind accountable care organizations (ACOs) and their role in bending the cost curve
    • 3.7: See how the Affordable Care Act (ACA) has impacted Medicare Part D's out-of-pocket costs
    • 3.8: Acquire new planning tools for fraud detection and deterrence
    • 3.9: Take a closer look at the interplay of the ACA and recent court decisions that had an impact on Medicaid expansion

    • 4.1: Gain a detailed understanding of critical illness insurance and how it protects against financial risk
    • 4.2: Better-serve your members and clients by learning how to identify gaps in the insurance they already have
    • 4.3: Sort through the facts and features of major supplemental products in the marketplace, including hospital indemnity coverage, specified disease insurance, Medicare supplements, accident coverage, dent
    • 4.4: Understand the impact of the most recent Medigap legislation
    • 4.5: Learn how supplemental products protect individuals from financial risk
    • 4.6: Know the operational side, including policy administration
    • 4.7: Get a clearer picture of what's ahead for the supplemental health insurance market

    Price: USD2,150


    Course Features
    • Modules 4
    • Duration 12 Weeks
    • Content Type Text & media
    • Assessment Yes
    • Pass Percentage 70%
    • Certificate Yes
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