Health Insurance Law

Health Insurance Law


Welcome to Lawshelf’s video course on health insurance law. This course looks at the complex regulatory framework under which the primary driver of the healthcare industry, which accounts for almost 1/5 of the American economy, operates. This is a beginner-level course, and no prior knowledge or experience is necessary to take this course.

The course starts by defining health insurance and going over the types of health insurance plans. We’ll also look at standard policy terms and provisions and their effects.

Module 2 focuses on risks and coverage. All insurance policies are tools for spreading risks and coverage rules are functions of that principle. State and federal laws, including and especially the Affordable care Act, govern what policies must cover.

In Module 3, we’ll focus on pre-existing conditions and the Affordable Care Act’s mandate requiring these to be covered in most cases. We’ll also look at grounds for rescission of health insurance policies, such as fraud and misrepresentation. Finally, the module covers portability of health insurance policies, including the role of the federal HIPAA law.

Module 4 turns to claims. We’ll look at notices of claims and the necessary proofs of loss before insurance companies are required to pay claims. We’ll also look at the timing of claims and notice requirements.

Finally, in Module 5, we’ll turn to a potpourri of miscellaneous topics relevant to health insurance. These include characteristics of group coverage, coordination of benefits when a patient is covered by more than one policy, continuing health coverage under COBRA and the evolving field of healthcare fraud.

This course should familiarize you with the landscape of health insurance law and how the industry operates.

Best of luck and we welcome your feedback.

What is a video-course?

A LawShelf video-course is an in-depth series of presentations on a discreet legal topic. LawShelf video-courses focus on practical legal information and applications and are each designed to familiarize the viewer with a legal topic quickly and efficiently.

Who should take a video-course?

Our video courses are designed for professionals such as attorneys, paralegals, corporate officers and financial professionals, as well as laypeople looking to deepen their knowledge of particular areas of law. The courses allow you to acquire the specific knowledge and skills that you need without the expense and time commitment of going “back to school” for a degree. 

How do I learn?

Video courses are divided into 5 or 6 modules.  Each module contains a video lesson (usually about 15 minutes long) and a series of self-test questions that you can use to practice and make sure that you understand the material.

How do I complete a video-course?

To complete a video-course, you must pass a 10-question multiple-choice examination by scoring 70% or higher.  The questions on the exam are randomly selected from the self-test question sets for the various modules. You can retake an exam as many times as you need to, though you will not get the same questions each time since the questions are drawn from an exam bank.

How long will it take me to complete a video-course?

Between watching the modules, doing the self-test practice questions, reviewing the material and taking the final exam, we estimate that completing a video-course requires a time investment of 4-5 hours.  The courses are designed to get straight to the point. We’re cognizant that your time is valuable, and we condense the information you need to know to comprehensively cover a subject into as little time as practical.

Is there limit to how many video-courses I can take or complete?

No. A LawShelf subscription enables you to access any and all LawShelf content, including all video-courses. You can take courses as quickly or slowly as your time allows.

Do I receive any recognition for completing a video-course?

Once you complete the course by passing the final exam, you will be awarded a digital badge to display as evidence of your training and accomplishment.

How will a digital badge help me? 

Modern educational trends are moving away from traditional classroom-based course completion models and towards skills-based education. Employers today care more about skills than ever before. LawShelf digital badges conform to the Open Badge standard and are verifiable records of your skills that can easily be shared online.

How long do I retain access to the course materials?

You retain access the modules and take the final exam as long as you are a subscriber to LawShelf.

Introduction to Health Insurance Policies - Module 1 of 5

Health Insurance Coverage - Module 2 of 5

Pre-Existing Conditions, Bad Faith and Health Insurance Portability - Module 3 of 5

Health Insurance Claims and Denials - Module 4 of 5

Special Topics in Health Insurance - Module 5 of 5

Final Exam only needs to be taken by those seeking to earn the Digital Badge credentials for this course.