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Employer Benefits IQ

Employee Benefits Foundations

Foundations

Employee Benefits Foundations

Employee Benefits Foundations is the essential starting point for anyone working in employer-sponsored health benefits. This course covers the full landscape — from plan types and funding models to ERISA compliance, pharmacy benefits, stop-loss insurance, and the employer-led healthcare reform movement. Built for advisors who want to move beyond the basics and deliver real value to their clients.

15 modules5h of content5.0 certificate hoursCertificate of completion
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What You Will Learn

Learning objectives for this course.

Explain the difference between fully insured, self-funded, and level-funded health plans
Navigate ERISA, ACA, HIPAA, and COBRA compliance requirements with confidence
Design cost-sharing structures that balance affordability and utilization management
Evaluate PBM contracts and identify hidden revenue streams
Apply stop-loss insurance concepts to protect self-funded employers
Build a year-round benefits communication and engagement strategy
Benchmark employer benefits against industry and regional peers
Articulate the employer-led healthcare reform movement and its key strategies

Who This Course Is For

This course is designed for the following roles.

New benefits advisors and brokers building their foundational knowledge
HR professionals responsible for benefits strategy and administration
Experienced advisors seeking a structured review of core concepts
Consultants transitioning into the employee benefits space

Course Modules

15 modules · 45 lessons

01

What Is Employer-Sponsored Insurance?

The history, structure, and mechanics of employer-sponsored health insurance in the United States.

3 lessons · 24 min

02

Health Insurance Fundamentals

Core insurance concepts every benefits professional must master: premiums, deductibles, cost-sharing, networks, and plan types.

3 lessons · 24 min

03

ERISA and the Federal Regulatory Framework

How ERISA shapes employer health plans, what it requires, and why federal preemption is a strategic advantage.

3 lessons · 24 min

04

Benefits Strategy and Total Rewards

How to align benefits design with business strategy, workforce demographics, and total compensation philosophy.

3 lessons · 21 min

05

Open Enrollment and Plan Administration

Best practices for running open enrollment, communicating plan changes, and managing ongoing plan administration.

3 lessons · 21 min

06

Ancillary and Voluntary Benefits

Dental, vision, life, disability, and voluntary benefits — how they work, what they cost, and how to position them.

3 lessons · 21 min

07

Claims, Utilization, and Cost Drivers

How claims are processed, what drives healthcare costs, and how to use utilization data to manage plan performance.

3 lessons · 22 min

08

Mental Health and Behavioral Health Benefits

Mental health parity, EAP design, behavioral health networks, and the business case for mental health investment.

3 lessons · 21 min

09

Wellness Programs and Prevention

Designing effective wellness programs, HIPAA wellness rules, incentive structures, and measuring ROI.

3 lessons · 20 min

10

Pharmacy Benefits Basics

How pharmacy benefits work, PBM fundamentals, formulary design, and the growing impact of specialty drugs.

3 lessons · 21 min

11

Stop-Loss Insurance and Risk Management

How stop-loss insurance protects self-funded employers, contract terms, and risk management strategies.

3 lessons · 21 min

12

Benefits Communication and Employee Engagement

Strategies for communicating benefits effectively, driving engagement, and measuring communication ROI.

3 lessons · 18 min

13

Benefits Technology and HRIS Integration

Benefits administration platforms, HRIS integration, enrollment technology, and the digital benefits experience.

3 lessons · 18 min

14

The Advisor Role, Compensation, and Transparency

How benefits advisors are compensated, transparency requirements, fiduciary considerations, and building a differentiated practice.

3 lessons · 20 min

15

The U.S. Healthcare System and Reform Landscape

How the U.S. healthcare system works, why it costs so much, and the reform movements reshaping employer benefits.

3 lessons · 21 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 5.0 certificate hours.