Course Description:

LIFE LONG LEANING

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Understand how people learn

Identify own learning style preference

Identify and apply learning techniques in order to become better students

Identify ways to successfully manage study time

Describe strategies for effectively preparing for an assessment

Recognize the importance of continually learning

Identify the importance of taking responsibility for one’s own learning

Construct a plan for one’s future professional development

Learn how internalizing the desire for learning, and continuous training in a field of interest to take charge of one’s life

Understand how taking control on one’s professional development will maintain competitiveness and enjoy one’s leisure time

LIFE AND HEALTH INSURANCE OVERVIEW

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Industry and products

Describe why insurance companies are organized as corporations

State the difference between stock insurers and mutual insurers

Describe the connection between an insurance company and the financial services industry

List and describe major types of life and health insurance products

Government regulations

Describe the US Federal Government’s role in regulating the insurance industry

Describe the state government’s role in regulation the insurance industry

Define solvency regulation

Explain the difference between domestic insurer and foreign insurer

Describe the role of National Association of Insurance Commissioners (NAIC)

Risk management

Give examples of pure risks and speculative risks

Describe the characteristics of an insurable risk

Determine of insurable interest requirement is met in life and health insurance instances

List and describe the people involved in the application and issuance of an insurance policy

Define types of risk covered in this lesson

The insurance policy

List and define types of insurance contracts covered in this lesson

List the requirements of an insurance contract

Describe a policyholder’s property rights

Describe the difference between individual policy and group policy

Life insurance

Identify reasons an individual or business would purchase life insurance

List and briefly describe types of life insurance and the coverage provided by each

List and briefly describe types of supplemental benefits that life policies may provide

List and briefly describe standard provisions for individual life insurance policies

List and describe common life insurance exclusions

Given examples of claims, determine who is entitled to receive benefits from applicable life insurance policy

Annuities, pensions & retirement savings plans

Define annuity, pension plan and retirement savings plan and distinguish between each

Name three types of retirement plans and identify each

Differentiate between a defined contribution and defined benefit pension plan

Health insurance

Describe the benefits of medical expense coverage and disability income coverage

Identify the most commonly covered expenses of health insurance policies and most common exclusions

Explain the difference between Medicare and Medicaid

Identify provisions common to most group health insurance plans

Identify provisions common to most individual health insurance plans

Identify morbidity risk factors for group and individual health insurance plans

Distinguish between an HMO and a PPO

Define coordination of benefits and calculate benefits payable under this provision

Distinguish between total and partial disability

Recognize causes of disabilities that may be excluded from coverage under a disability policy

Supplemental insurance

Identify the general characteristics that distinguish supplemental life and health insurance policies from other plans

List types of supplemental policies covered in this lesson

Distinguish between benefits of supplemental and traditional or managed care health programs

BUSINESS PROCESS OPERATIONS

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Given an organizational chart, identify the major functional areas and the chain of command

Identify primary responsibilities of each functional area within a representative insurance company

Define and identify internal and external customers

Define customer service and identify who provides customer service in an insurance company (customer touch points)

Describe how decisions in one functional area impact customer service in other areas

SUCCEEDING IN THE CORPORATE ENVIRONMENT

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Explain the importance of attendance, dress code, work ethic and other expectations in the workplace

Understand the role of corporate culture and how it impacts workplace expectations and behavior

Explain the importance of professional behavior and appearance in a corporate environment

Describe the importance of trust and confidentiality in a fiduciary relationship

Describe the standards for ethical conduct in the workplace, including the principles and codes, which govern the insurance industry

INTRODUCTION TO MEDICAL TERMINOLOGY

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Medical terms

Name and define the roles of the four word parts that form medical terms

Identify types of word parts from medical terms

Explain guidelines for defining medical terms

Define medical terms based on word parts

Define basic medical terms introduced in this lesson

Describe the steps in locating a term in a medical dictionary

Describe the importance of accuracy in spelling and correct use and interpretation of abbreviations

Locate medical terms in medical records; define the terms with the use of a medical dictionary  (book or on-line).

Human body structure

Name and define levels of organization in the human body

Name and define the body planes

Define directional terms

Define terms related to the organization of the human body with use of references

Evaluate medical records with the use of medical dictionary (book or on-line).

Human body systems

Name and briefly describe the functions of the systems of the body

Define terms related to the systems of the body with use of references

Evaluate medical records with the use of medical dictionary (book or on-line).

INTRODUCTION TO MEDICAL CODING

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Use the current coding reference manuals: ICD9 for medical; ADA for dental; CPT for procedures, and HCPCS for Medicare codes

Identify the ranges of various codes and their associated diseases or procedures

Understand the concept of modifiers and their impact on payments for medical services