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Life Insur/Health Care Financ (Spring 2009)
| Catalog #: | 7691 | Section: | 10 | Credits (Min/Max): | 3/3 | Satisfy UCWR? | No |
| Class #: | 9258 | Location: | LB422 | Day/Time: | Tuesday 6:30-9:15 | ||
| Instructor: | Charles H. Klippel | Course Type: | Lecture | Enrollment Status: | Closed | Limit: | 18 |
| Final Exam: | Proctored | Tentative Final Exam: | 6-May-09 7:00PM 10:00PM | Grading Basis: | P/F Option | ||
| Subject(s): | |||||||
| Insurance Law | |||||||
| Description: | |||||||
| This course reviews the economics, legal and regulatory principles of individual life and group health and accident insurance. The course examines the similarities and differences between individual and group coverage with respect to key insurance concepts (e.g., insurable interest, anti-selection, and moral hazard), coverage provisions and limitations of each type of insurance (e.g., incontestability, medical necessity, experimental treatment and coordination of benefits), coverage defenses (e.g., misrepresentation, incontestability), regulatory priorities (e.g., disclosure, permitted groups, solvency, and rating options such as community rating), and the relationship of these private coverages to various public insurance programs (e.g., Medicare, Medicaid and Social Security Disability). The course will trace the evolution of traditional health insurance from passive indemnity financing to managed care, the transition from experience-rating to self-insurance and regulatory and judicial and regulatory responses to these changes (e.g., ERISA, DOJ/FTC Provider Network Antitrust Guidelines and State Utilization Review regulation). The remedies available to consumers, employees and health care providers in today's changing health care environment will also be considered. | |||||||
| Course Announcement List | |||||||
The information in this system is a snapshot of data from the official Student Administration System. Please consult the Student Administration System for up-to-date information. This data was last updated on Mon Dec 15 09:51:35 EST 2008

