خطط التأمين الصحي الأمريكية (AHIP)

AHIP

• Health Insurance Associate
• Managed Healthcare Professional
• Healthcare Customer Service Associate
• Business Process Advisor

Health Insurance Associate

This designation, offered since 1990, is held by more than 19,500 professionals. It signifies that participants have acquired the knowledge and skills needed to advance their understanding of the health insurance industry. Upon completion of this course of study, students will have gained a thorough knowledge of the marketing, administration, and evaluation of various kinds of health insurance, and will have examined the principles, contracts, underwriting, and marketing of various coverages. They will also have an understanding of cost management, pricing, claims administration, policy issue and renewal, government regulation, and fraud.

• Fundamentals of Health Insurance, Part A (Basics of Company Operations)
• Fundamentals of Health Insurance, Part B (Nuts and Bolts)
• Medical Expense Insurance
• Supplemental Health Insurance
• two of the following electives:
• Disability, Part I, II, or III
• Fraud, Part I (Introduction)
• Long-Term Care, Part I (Needs and Options)
• HIPAA Primer

Managed Healthcare Professional

The MHP® designation was established in 1996; there are now more than 6,500 designees. An MHP® means that participants have acquired the basic knowledge and skills to pursue a management position in the health insurance industry. Upon completion of this course of study, students will understand the broad management role and organizational structures of managed care, as well as its operation and administration. Students will have gained an understanding of the unique developments and trends generated by the rapid growth of managed care. They will also become familiar with the policies and processes of the regulatory arena and evaluation measurements that determine the quality of managed care plans.

• Fundamentals of Health Insurance, Part A(Basics of Company Operations)
• Fundamentals of Health Insurance, Part B(Nuts and Bolts)
• Managed Care Part A (The Basics)
• Managed Care Part B (Management Structure)
• Managed Care Part C (Trends)
• One of the following electives:
• Medical Expense Insurance
• Dental Benefits, Part A: An Overview of Dental Benefits and Dental Plans
• Fraud, Part I (Introduction)

Healthcare Customer Service Associate

To stay truly competitive in today’s health care environment, providers of health care services and products need to emphasize customer service. The HCSA designation signifies that participants have completed practical studies that sharpen their problem-solving skills and deepen their appreciation of the value customers bring to an organization. Students also learn about the accreditation process and what major accrediting agencies look for in customer service. The intent is to help professionals from all parts of the health care industry improve their relationships with internal and external customers and improve the performance of their organizations. Students will acquire proven strategies for solving customer service problems; learn the basics of managing, training, and hiring customer service staff; and discover ways to achieve quality service and create customer-driven organizations.

• Fundamentals of Health Insurance, Part A(Basics of Company Operations)
• Fundamentals of Health Insurance, Part B(Nuts and Bolts)
• Customer Services Strategies for the Health Care Environment
• One of the following six electives:
• HIPAA Primer
• HIPAA:Insurers
• Long-Term Care, Part I (Needs and Options)
• Managed Care, Part A (The Basics)
• Medical Management, Part III (Call Centers)
• Medcial Management, Part VI (Quality Management)

Business Process Advisor

The Center’s newest designation, Business Process Advisor (BPA), is all about fast-tracking. Designed as a training tool for companies that provide customer solutions to local and international clients, offer back office support, or work with overseas support services, this program gets managers and staff up to speed quickly. To earn the BPA, students must complete a six-course series aimed at orienting newcomers to insurance principles and operations. Students start with required courses covering the fundamentals of health insurance, learn customer service strategies, and master the basics of care management terminology and organizational structure. Electives provide options for more advanced-level studies focusing on medical management, call centers, and HIPAA.

• Fundamentals of Health Insurance, Part A (Basics of Company Operations)
• Fundamentals of Health Insurance, Part B (Nuts and Bolts)
• Managed Care, Part A
• Customer Services Strategies for the Health Care Environment
• Two of the following electives:
• HIPAA Primer
• HIPAA Advanced Issues
• Medical Management, Part I (An Overview)
• Medical Management, Part III (Call Centers)

LOMA

Financial Services Institute Designations (FFSI and AFSI)

A ground-breaking educational program for financial services professionals, the Fellow, Financial Services Institute (FFSI) is a rigorous, 10-credit designation program that provides broad contextual information through seven core courses and customized, job-specific learning through the FFSI’s unique Professional Achievement Credits (PACs).

Recently, LOMA revised the structure of the FFSI program to recognize students at the half-way point of program requirements. This recognition is the five-course Associate, Financial Services Institute (AFSI) designation. The AFSI/FFSI Program allows you to take courses in any order, although the recommended course progression begins with Level I, which is designed to give students a solid introduction to

■ Financial services and products

■ Concepts and tools involved in personal financial planning

The FFSI’s seven “core” courses and three PACs provide a comprehensive study of the

■ Legal, economic, and business environment of financial services organizations

■ Marketing of financial products to individuals and organizations.

The requirement of three PACs provides the opportunity to customize the FFSI Program for students’ needs. PACs are credits granted by LOMA for demonstrated professional achievement in such financial services product areas as annuities, mutual funds/brokerages, retirement plans, and banking. Students earn PACs by passing courses, obtaining licenses, or earning designations offered by LOMA and other organizations around the world.

Grandfathering

Certain LOMA courses are grandfathered toward the FFSI designation. Students who earned the AFSI designation by December 31, 2007, and who earned credit for LOMA 280, LOMA 310/315, or LOMA 320 by December 31, 2004, may use these credits toward the FFSI courses as shown below.

LOMA 280          credit for LOMA 286

LOMA 310          credit for LOMA 311

Or

LOMA 315

LOMA 320          credit for LOMA 326

Associate, Financial Services Institute (AFSI)

Fellow, Financial Services Institute (FFSI)

Level I Level II

1 Students who earned credit for LOMA 280 before Dec. 31, 2004, and have earned the AFSI designation by Dec. 31, 2007, will automatically receive FFSI credit for LOMA 286.

2 Students who earned credit for LOMA 310/315 before Dec. 31, 2004, and have earned the AFSI

Designation by Dec. 31, 2007, will automatically receive FFSI credit for LOMA 311/316.

3 Students who earned credit for LOMA 320 before Dec. 31, 2004, and have earned the AFSI

Designation by Dec. 31, 2007, will automatically receive FFSI credit for LOMA 326

Life Management Institute Designations (FLMI and ALMI)

The Fellow, Life Management Institute (FLMI) Program is a rigorous, 10-course, professional development program that provides a comprehensive business education in the context of the insurance and financial services industry. Established in 1932, the FLMI Program is the world’s largest university level education program in insurance and financial services. LOMA introduced the Associate, Life Management Institute (ALMI) designation to recognize students at the half-way point of completing the FLMI program requirements. Courses in the FLMI Program provide

■ A solid introduction to industry terms, functional areas, processes

■ Area and product-specific knowledge in marketing, financial reporting, and more

Credit for Courses Previously Passed but Which Are No Longer Offered by LOMA

In some cases, students may receive credit for courses that are no longer offered by LOMA. Most of these situations are explained in footnotes to the tables in this section. However, students should check their LOMANET record for the most up-to-date information regarding program requirements. Visit www.lomanet.org for more information.

Associate, Life Management Institute (ALMI)

Required Courses Elective Courses—Select Two

Fellow, Life Management Institute (FLMI)

1 Students who already have credit for LOMA 310 or LOMA 315, which are no longer offered, will automatically receive ALMI/FLMI credit for the Law course.

2 Students who already have credit for LOMA 340, which is no longer offered, will automatically receive FLMI credit for the Investing course.