Life Insur/Health Care Financ

  • Class number: 12397
  • Term: Spring 2006
  • Instructor: TBA

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 Schedule

  • Date: Tuesday 6:30-9:15PM
  • Location: LB422

Course Information

  • Catalog number-Section number: 691-10
  • Course Type: Lecture
  • Prerequisites: None
  • Credits (min/max): 3/3
  • Notes: Instructor: Charles Klippel
  • Subjects:

Enrollment

  • Enrollment status: Open
  • Current enrollment/capacity: 16/18
  • Reserve population/capacity: 0/0
  • Waitlist enrollment/capacity: 0/30

Grading

  • Grade basis: Student option
  • Satisifies Writing Requirement: No
  • Exam type: PROCTORED