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Human resources and labor relations

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Ethical considerations in health care benefits administration

Article Abstract:

Ethical issues arising from health care insurance coverage exclusions are likely to alter the decision making process. Case-by-case determinations by third-party utilization reviewers can be viewed as unfair, as coverage is denied in one instance and extended in another. Future decision panels may consist of the patient, the insurer, the provider, and an ethicist.

Author: Singer, Steven E.
Publisher: International Society of Certified Employee Benefit Specialists
Publication Name: Benefits Quarterly
Subject: Human resources and labor relations
ISSN: 8756-1263
Year: 1998
Ethical aspects

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Employee contributions for dependent medical coverage: balancing cost, compensation and society

Article Abstract:

The increasing cost of medical benefits has heightened equity issues for managers faced with subsidizing employees with numerous dependents. A possible solution is to create three premium rates that cover children under age 18, adults between 18 and 65, and adults eligible for Medicare, and then multiplying the premium rate by the number of dependents.

Author: Orth, Beverly J.
Publisher: International Society of Certified Employee Benefit Specialists
Publication Name: Benefits Quarterly
Subject: Human resources and labor relations
ISSN: 8756-1263
Year: 1998
Economic aspects, Prices and rates

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Subjects list: Health insurance, Employee benefits, Health insurance industry
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