Question: Your Company has been facing financial difficulties and experiencing double increases in health care premiums each year. Thus far, the Company has contributed 80

Your Company has been facing financial difficulties and experiencing double increases in

health care premiums each year. Thus far, the Company has contributed 80

Your Company has been facing financial difficulties and experiencing double increases in health care premiums each year. Thus far, the Company has contributed 80 percent of the premiums for employee health care coverage, but has deckled that it will only pay 70 percent of premiums for individuals who are not taking care of themselvesthose who continue to smoke, are significantly overweight, are not exercising on a regular basis, or are not complying with a disease-management program. You will gain information about employees from the health plan and health risk assessments that employees have completed. Briefly discuss this program and its implementation in light of ERISA and HIPAA provisions. I think that in this case the company should have spun it that they will only pay 70% Of employee medical, however they would up that to if employees take good care Of themselves. The way this is currently worded it seems to get into a grey area. According to HIPPA an employer cannot exclude any employees based on their relative health. However, employers are exploring ways to increase the cost Of insurance for employees that are at a higher risk Of making claims.

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