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Employer Benefits IQ

Benefits Compliance & Legal Requirements

Compliance & Legal

Benefits Compliance & Legal Requirements

Benefits Compliance & Legal Requirements is the definitive course for benefits professionals who want to master the complex web of federal laws governing employer health plans. Across 16 modules, you will learn every major compliance obligation — from ERISA fiduciary duty and ACA employer mandate to HIPAA, COBRA, MHPAEA, the No Surprises Act, and state law considerations. Built for advisors who want to be indispensable compliance partners and protect their clients from costly penalties and litigation.

16 modules12h of content5.5 certificate hoursCertificate of completion
Preview Course

What You Will Learn

Learning objectives for this course.

Master ERISA fiduciary duties, plan document requirements, and Form 5500 obligations
Implement ACA employer mandate compliance — affordability, minimum value, and reporting
Administer COBRA correctly — qualifying events, notices, election periods, and premiums
Apply HIPAA Privacy and Security Rules to employer health plan administration
Implement MHPAEA parity requirements and conduct NQTL comparative analyses
Navigate the No Surprises Act and Transparency in Coverage requirements
Design ADA- and GINA-compliant wellness programs with appropriate incentive structures
Manage Medicare Secondary Payer rules and Section 111 mandatory reporting
Build a proactive compliance calendar covering all required annual notices
Position and price a compliance advisory practice with recurring retainer revenue

Who This Course Is For

This course is designed for the following roles.

Benefits advisors and brokers who want to add compliance expertise to their practice
HR and benefits leaders responsible for plan compliance and risk management
Consultants building a compliance advisory specialty practice
Self-funded plan sponsors seeking a comprehensive compliance framework

Course Modules

16 modules · 80 lessons

01

ERISA Fundamentals: The Foundation of Benefits Law

Master the Employee Retirement Income Security Act — the federal law that governs most employer health plans.

5 lessons · 45 min

02

ACA Employer Mandate: Compliance and Penalty Avoidance

Navigate ACA employer shared responsibility requirements and avoid costly 4980H penalties.

5 lessons · 50 min

03

HIPAA Privacy and Security for Employer Plans

Understand HIPAA obligations for self-funded plans and the employer's role as plan sponsor.

5 lessons · 45 min

04

COBRA: Administration, Notices, and Common Pitfalls

Master COBRA continuation coverage requirements and avoid the costly penalties of non-compliance.

5 lessons · 45 min

05

FMLA: Leave Administration and Benefits Continuation

Navigate FMLA requirements including benefits continuation, intermittent leave, and return-to-work obligations.

5 lessons · 45 min

06

MHPAEA: Mental Health Parity Compliance

Understand the 2024 MHPAEA final rule and build a defensible comparative analysis for your plan.

5 lessons · 50 min

07

CAA 2021: Transparency, Broker Disclosure, and No Surprises Act

Navigate the Consolidated Appropriations Act's sweeping transparency and disclosure requirements.

5 lessons · 50 min

08

HSA, HRA, and FSA: Tax-Advantaged Account Compliance

Master the eligibility, contribution, and compliance rules for all three major tax-advantaged health accounts.

5 lessons · 45 min

09

ADA and GINA: Wellness Program Compliance

Navigate ADA and GINA requirements for wellness programs and avoid the legal pitfalls of health-contingent incentives.

5 lessons · 45 min

10

PCORI Fee, Reinsurance Contributions, and Other ACA Fees

Master the ongoing ACA fee obligations for self-funded and fully insured plans.

5 lessons · 40 min

11

Section 125 Cafeteria Plans: Design and Compliance

Design compliant Section 125 cafeteria plans that maximize tax savings for employers and employees.

5 lessons · 45 min

12

Medicare Secondary Payer: Coordination and Compliance

Navigate Medicare Secondary Payer rules to avoid costly penalties and ensure proper claims coordination.

5 lessons · 45 min

13

Required Notices and Disclosures: Annual Compliance Calendar

Master the full calendar of required benefit notices and disclosures to avoid penalties and DOL scrutiny.

5 lessons · 45 min

14

DOL Audit Preparation: What to Expect and How to Prepare

Prepare employers for DOL benefit plan audits with a systematic documentation and response framework.

5 lessons · 45 min

15

State Benefit Mandates: Navigating the Patchwork of State Laws

Understand how state benefit mandates interact with ERISA preemption for self-funded and fully insured plans.

5 lessons · 45 min

16

Building a Compliance Advisory Practice

Position compliance expertise as a premium service offering and build recurring revenue from compliance advisory.

5 lessons · 45 min

Earn Your Certificate

Complete all modules, pass the module quizzes, and score 80% or higher on the 50-question final exam to earn your certificate of completion and 5.5 certificate hours.