Last Updated: Aug 14, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health & Welfare Plan Design Principles | 25% | - Consumer-driven & value-based designs - Eligibility rules & plan structure - Cost-sharing & benefit levels |
| Topic 2: Implementation, Communication & Evaluation | 15% | - Program measurement & continuous improvement - Plan rollout & vendor selection - Employee communication & engagement |
| Topic 3: Regulatory & Compliance Framework | 20% | - Non-discrimination rules & audits - ERISA, IRC, ACA & HIPAA requirements - Reporting, disclosure & fiduciary duties |
| Topic 4: Strategic Benefits Planning & Business Alignment | 20% | - Linking benefits to organizational strategy - Gap analysis & competitive benchmarking - Workforce demographics & needs assessment |
| Topic 5: Funding, Financing & Cost Management | 20% | - Reserves, stop-loss & risk financing - Fully insured vs self-funded arrangements - Cost modeling & budget forecasting |
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