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| Section | Weight | Objectives |
|---|---|---|
| Health & Welfare Plan Design Principles | 25% | - Cost-sharing & benefit levels - Consumer-driven & value-based designs - Eligibility rules & plan structure |
| Strategic Benefits Planning & Business Alignment | 20% | - Gap analysis & competitive benchmarking - Linking benefits to organizational strategy - Workforce demographics & needs assessment |
| Funding, Financing & Cost Management | 20% | - Fully insured vs self-funded arrangements - Reserves, stop-loss & risk financing - Cost modeling & budget forecasting |
| Implementation, Communication & Evaluation | 15% | - Employee communication & engagement - Program measurement & continuous improvement - Plan rollout & vendor selection |
| Regulatory & Compliance Framework | 20% | - ERISA, IRC, ACA & HIPAA requirements - Reporting, disclosure & fiduciary duties - Non-discrimination rules & audits |
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