...Accounting for Health and Welfare Benefit Plans Kayla Helms Abstract Health and welfare benefit plans include many types of plans. These different plans can fall under one if two categories: defined benefit plans and defined contribution plans. These plans differ in how contributions to the plans are made. Overall Employee benefit plans can be separated into three different topics. These topics are: defined benefit pension plans, defined contribution pension plans, and health and welfare benefit plans. There are different rules for accounting for each different type of plan. This paper will focus in accounting for health and welfare benefit plans, specifically presentation of financial statements. Health and welfare benefit plans include plans that provide any of the following: 1) Any of the following: a) Medical, dental, visual, psychiatric, or long-term health care b) Life insurance (separate from a pension plan) c) Certain severance benefits d) Accidental death or dismemberment benefits 2) Benefits for unemployment, disability, vacations, or holidays 3) Other benefits, such as apprenticeships, tuition assistance, day care, dependent care, housing subsides, or legal services.(ASC 965-10) Health and welfare plans can also be divided into two subtopics: defined benefit health and welfare plans and defined contribution health and welfare plans, Defined benefit health and welfare plans specify a determinable benefit. In the private...
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...components will include mental support, medical support, nutritional support and healthy life style assistance. Mental support will include personal, one on one counseling, group therapy with a psychologist and other members in the program. Nutritional support will begin with regular sessions, meeting with the nutritionist and registered dieticians. Health care or medical support will be provided by the patient’s Primary Care Physician, Bariatric Surgeon, nursing staff, surgical team and hospital staff after surgery. Office staff and local business will also lend a hand to support the patients in their community. 2 Physical activity and life style changes will be guided by Exercise Physiologists, personal trainers and community gyms. Obesity is the #1 health issue in our country today with so any Americans suffering from morbid obesity. There are multiple health risks associated with obesity that can improve with any of the surgical treatments offered where there is successful weight loss. Treating the obese patient and reducing the weight offers not only physical health benefits, but will reduce the patient’s health care costs and give them a better quality of life. Implementing a dynamic “Total Support System” from the beginning, when the patient first discovers the desire to lose weight and work toward a healthier lifestyle is necessary for success. “Nurses partner with...
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...Features of Health Plans Andrea Muller HCR/220 July 23, 2014 Jessica Ellis Features of Health Plans The American health Insurance (AHIP) provides patients and employers with two options of purchasing of health care plans, individual or group health care plans and/or policies. Through these plans and/or policies are services that are covered, noncovered, disability/automotive insurances and worker’s compensation. Covered services are treatments and/or procedures that are provided by you health insurance plan and services by your primary physician, emergency care, specialist visits or specific surgeries. Noncovered services are treatments and/or procedures that your health insurance plan does not cover such as cosmetic surgery, dental, or vision services. (Please note: dental and vision are separate kinds of health care plans that are purchased separately by individual or group). Disability/Automotive insurance is another health care service provided as well. For instance, if a person is disabled and unable to work a healthcare plans can be provided to them with covered and noncovered services, if applicable. Automotive insurance is health care coverage provided through an automotive insurance plan and when a claim is made because of a car accident etc. Through these health plans is a determination of a preexisting condition. This condition is known as a diagnosis before a policy holder plan took effect and medical services can be denied during some of the health care laws...
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...Features of Health Plans Donna Kimble HCR/220 October 16th, 2013 Harry Holt A health plan is an organization that provides and pays for medical care. Either to an individual or group. There are different kinds of health plans, major which are the more known plans. Some examples would be HIP Ins. Group, Cigna health group, and Aetna group. Next would be state plans, such as Medicaid or child health plus. With state health insurance an individual and family are covered either according to what they make annually or if they have no income at all. Concerning major health plans, most of the time people pay monthly and have full coverage. People also can be covered by their employer, which can have full or limited coverage. Health plans can be very tricky and everyone should know the policy, and services covered for their health plan. Without full knowledge of your health plan you could result in having to pay a large amount of money for medical care you assumed was covered. Providers and consumers are both covered by these plans. Both financial and benefits but I believe that a providers coverage is a little more in depth than a consumers. A consumer will be covered for routine exams, if they fall, etc. under their plan. Sometimes certain things are not covered by a consumers plan, such as mammograms, and pap smears. Which are only covered every nine-twelve months. With a provider coverage is more detailed, for instance a doctor will have coverage in case of accidental...
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...Executive Summary Southeast Health Plans, Inc. is a service company that will provide health plan administrative services to self-insured employers. The company will concentrate on employers with 50 to 500 employees. Many of these employers have current HMO, PPO, or major national insurance carrier health plans. While the majority of employers with 500 or more employees have at least some element of self-insurance incorporated into their health care programs, our target market is often ignored by the major national insurance companies. While more than 80% of companies with 500 or more employees are self-insured, the management of Southeast Health Plans has identified that less than 25% of Atlanta area companies with 50 to 500 employees have self-insured plans. The market for self-insured and administrative services consist of those companies that are currently self-insured and companies that have other types of health plans that will be encouraged to shift to self-insurance. One factor in the transition to self-insurance is the availability of quality administrative and consultative services. Southeast Health Plans, Inc. is led by experienced management and has formed a strategic alliance with Blair Mill Administrator, a wholly-owned subsidiary of Blue Cross/Blue Shield of Pennsylvania, for the purpose of providing first class benefits management services to its target market. The key to success for Southeast Health Plans, Inc. will be the ability to attract the initial capital...
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...Features of Health Plans Three major types of health care plans include consumer-driven health plans, preferred provider organizations, and health maintenance organizations. Each of these have various stipulations such as their deductibles, premiums, networks, and so on, and may also have similarities as well. Health maintenance organizations design a network of providers that their by creating contracts with them, and then the members that enroll in their health plans, in order to be covered, must use the providers that are within the HMO network. PPOs may also create contracts or agreements with providers, but the contracts with PPOs focus primarily under discounts. Members have more provider freedom when they have PPO coverage. Consumer-driven health plans are pans that are primarily operated under a PPO. Within these health plans, the member may have the same freedom when it comes to choices in providers and facilities, but the premiums tend to be more costly. The idea behind CDHPs, is that if the consumer is to pay a higher cost, that they will be more careful and in turn have less health visits. CDHPs are commonly used by employers where they pay a percentage, and the other percentage can come from the employees earned wages. PPO plans are explained to be the most favorable type of health coverage due to the freedom the members have when it comes to choosing facilities and providers. Although their premiums may be higher than many HMO plans, there is greater range...
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...Features of Health Plans University of Phoenix 7/25/2012 HCR/220 Features of Health Plans There are several different major types of healthcare plans available and some of them of different and some of them are similar. Knowing which one is best for you, the consumer, is very important because you want to get the best coverage for your money while making sure it is affordable you. Deductibles and co-pays are a huge part of healthcare plans and you always want to exactly what is covered and what is not. Features of Health Plans There are several different types of healthcare plans available today that can help meet the needs of many different consumers. The types of plans that are available are, Indemnity Plan, Health Maintenance Organization (HMO), Point of Service (POS), Preferred Provider Organization (PPO), and Consumer-Driven Health Plan. Some of these plans are similar in some ways while others are completely different. When you are trying to decide which one is best for you, it is always good to compare them. The Indemnity Plan lets you choose any provider unlike the others where you either have only HMO providers or you have to select a network or out of network provider like you have to with a PPO, POS, and the Consumer-Driven Health plan. With the Indemnity Plan you do have higher costs just like you would with a PPO but you also have deductibles, coinsurance and preventative care is not covered unlike the PPO, HMO, POS, and Consumer-Driven...
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...Features of Health Plans HCR/220 12/14/14 When looking for different health care plans that’s offered there are five different kinds. Everyone just have to search and find what healthcare plan is right for them. Indemnity, Managed Care, Point of Service, HMO, and PPO are all five health care plan. Indemnity healthcare plan. Indemnity the patient choses the healthcare provider they wishes to see, with no limit. There is a deductible that a patient must pay before the insurance starts to pay. Managed care doesn’t have an open policy where you can see whatever health care provider you want. Managed care offers lower deductible to patients. Health maintenance organization also known as HMO have a network of providers. The people who enroll in HMO only use the providers within the HMO network. Point of service plans is part of the, it gives patient an option to choose a provider outside the HMO network. When patient do this they have to pay a fee to see other providers. Preferred provider organization also known as PPO is one of the popular insurance plans. PPO offers a discounted price to its patients from the providers, when the patient have an office visit they will have to pay a co-payment of $20 and PPO will pay the remainder balance. I don’t think that any one plan is great, I think that all of the plans are great. When you do the research on them they are great for the person who can afford them or for the person that it’s right for. But if having to choose one I think...
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...Oregon’s Outline for Health Care Access “We have now just enshrined, as soon as I sign this bill, the core principle that everybody should have some basic security when it comes to their healthcare”. Barack Obama Here in Oregon we have the Oregon health plan (OHP) this is our state’s Medicaid program. Our Governor John A. Kitzhaber MD was an Emergency room doctor before going into public service and becoming the governor of Oregon. So he knows first hand the need for accessible health care here in Oregon. Although, we do have the Oregon health plan set in place, it did have some serious problem with accessibly and coverage. Then with the help of other of Oregon’s governors our Oregon health plan, started to grow and succeed into a better deliver system of a public health care access point. Oregon has made remarkable progress when it comes to health care access for local children through the Oregon healthy kids program, which is a feed off program from the Oregon health plan (OHP). The Oregon health authority with the help of Frist Governor Kulongoski then Governor Kitzhaber, Oregonians have made sure that kids in our state have full access to the health care they need when they need it. However, over the next few years the Oregon health authority’s next step along with Governor Kitzhaber is to not only work into the Affordable care Act, but to expand our Medicaid program, to extend health care access to cover everyone below 133% of the federal poverty line (Kliff, 2013)...
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...Features of Health Plans Features of Health Plans There are two types of health care plans. Indemnity and managed care. Indemnity plans utilize the fee-for-service approach, which means that the service is rendered before the fee is paid. Indemnity plans are often higher in cost than other insurances have higher deductibles that must be met before the insurance begins to cover some, but not all medical care. Preventive care is not normally covered. Even after the deductible has been met the insured will still need to pay the coinsurance which is usually 20 % of the total bill. Managed care plans (MCPs) are somewhat different, as they combine finance and health care management with the provision of service. Managed care organizations (MCOs) were first established in 1929, and today almost all employees that have insurance are enrolled in an MCP. The most common forms of MCPs are: Health maintenance organizations (HMOs) plans; point of service (POSs) plans; preferred provider organizations (PPOs); and consumer directed health plans (CDHPs). In an HMO there is a network of providers that the insured must go to obtain services; if the insured were to go outside of the network the service would not be covered. Also the patient must choose a primary care physician (PCP) to manage their care. Since many people did not like being told that they could only see certain providers, POS’s and PPO’s were created to compete for those peoples memberships. In a POS plan patients still must...
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...For someone that is looking for healthcare plans, they need to know about all of the many different plans to choose from. There are a total of five different healthcare plans to choose from. They consist of the Indemnity Plan, Health Maintenance Organization (HMO), Point of Service (POS), Preferred Provider Organization (PPO), and the Consumer Driven Health Plan. Between these five healthcare plans there are many differences and similarities. For example some of the plans allow you to use any provider of your choice. Other plans suggest that you use out of network providers or network providers. Some of them have low deductibles and others have higher ones. Just about all of them with the exception of one offers preventative care. It is important to do your research before you settle with the healthcare plan the representative is trying to sell you. Everyone might not look for the same features in their healthcare plan as others. There is no need to pay for something you will not use or need. Another thing to look out for is if you can still qualify for the healthcare plan of your choice if you have a pre-existing condition. There is a lot to think about when choosing a healthcare plan that is just right for you. It is easy for me to say which healthcare plan “I” feel offers greater coverage but it all depends on what the individual is looking for. To be totally honest, I feel that all of the healthcare plans listed above offer great coverage and features. If I could...
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...Health Promotion Program & Evaluation Introduction Obesity is a disease that is affecting a great number of Americans at an alarming rate. CDC reports that 35% of men and woman are currently obese in the U.S. Even though the prevalence of obesity is not significantly different between sexes. Female obesity was found in 42% of the women that were 60 and older compared to 32% of woman at the age range of 20-39 years of age (CDC.gov, 2012). In considering these statistics for the years 2009-2010, what are the chances that the number has risen dramatically over these last three to four years. In looking at the percentage in obesity in women, the percentage increases in obesity after 60 years of age. Making women aware of the current issues in obesity and lowering weight at an early age is very important. As they women age, if obese, the trends show that they have a harder time of losing the weight. The CDC reports that for Tennessee specifically adults ages 18 and over, 67% of our population is obese (CDC.gov, 2012). What are the ramifications of this? Women in the southern states are more prone to being obese and carrying it into their later years than most other American woman. Obesity can be a stepping stone to severe health problems later on in life. Issues such as HTN, cardiac problems, diabetes, orthopedic problems, the list goes on and on. Obesity is something that can be changed first; by creating awareness of the existing problem, second; by identifying what needs to...
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...Health & Safety Plan 1: Organisational Safety Plan Editor’s note: PR Smith’s SOSTAC® can be used, as you will see, in many different formats and styles. Here is an outline Health & Safety plan for an organisation. New Organisational Safety Plan A safety professional has recently joined a new organisation and has been tasked to develop a new safety plan for the next 5 years. Situational Analysis Data Reviewed Employee engagement scores Accident reporting rates Audit trends Employee retention rates What you have seen Accidents and near misses going undetected / reported Detailed safe systems of work that are unnecessarily onerous Generally people are positive about the firm What you’ve been told People don’t report incidents because they think they’ll get blamed for them Too many rules in place that hinder working efficiency and safely People quite like working here, there are worst places SWOT Strengths Employee commitment to the firm Understanding that working safely is important Management desire to improve things Well defined basic processes and good levels of legal compliance Generally improving accident frequency and severity rates Weaknesses Some safety rules are too onerous for the risk they are designed to manage Perceived blame culture amongst front line employees and managers Poor reporting rates Opportunities Threats Readdress the balance between risk and No horizon...
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...Action Plan for Optimal health and Wellness Josue Ramirez SCI/163 May 23, 2013 Dr. Sara Love Action Plan for Optimal Health and Wellness To achieve optimal health and wellness we must be able to incorporate and balance the six dimensions and/or elements of health; Physical, spiritual, social, intellectual, emotional and environmental. We must change our attitudes, beliefs and our unhealthy behaviors. Change is never easy, in fact the majority it is quire difficult, taking at least five tries before succeeding in changing the unhealthy behavior (Donatelle, p. 17, 2011). Increasing society’s awareness about the effects of these elements puts us on a path to optimal health and wellness. Top Three Elements Three elements we would increase in society are physical, spiritual and environmental. Although we agreed social wellness was is important we believed that taking care of our environment would impact both our physical and spiritual elements, especially if we committed ourselves to actively cleaning up our neighborhoods and communities. As we should be exercising at five days a week for at least twenty minutes a day and eating well balanced meals, learning more about taking care of our environment would produce the knowledge of creating a healthier environment to live in. Like taking on the physical aspect of walking through our neighborhoods picking up trash or going door to door letting our neighbors know of the benefits...
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...Running head: UNIVERSAL HEALTHCARE PLAN Universal Healthcare in America Name NUR 109 Fundamentals in Nursing Front Range Community College Universal healthcare is a controversial, yet important topic facing our country today. According to the author, Marleise Rashford there are approximately 300 million people living in the United States and one sixth of them are uninsured.(2007,p.5) That is approximately 50 million without insurance in our country today. Is this number so large because people are unable to afford it, is healthcare not important to them, or are they not using the government’s current medical systems that are put in place for them to use? These are all valid concerns that need to be addressed. The controversy at hand is putting together plan that will be effective, low cost to Americans and a fair reimbursement for working physicians. One huge advantage of universal healthcare program is that each individual no matter their income or pre-existing condition would be covered. That means everyone in the United States would be able to receive affordable benefits including preventative, surgical, specialists visits, rehabilitative services, hospitalizations, long term care and prescription medications. (Rashford, 2007, p.4) The universal healthcare system works through the primary care physician. The physician would be the patient’s overseer and they help plan routine health screens, early interventions, or any...
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