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