Category Archives: Considering Self Funding

Where’s Our Check? Getting Stop Loss Claims Paid Quickly

With stop loss coverage, claims costs depend on the services you need, as well as the actual costs of those services. This can be tricky to navigate, and reimbursement for claims can also be a pain to receive in a timely manner. But, what you may not know is that there's actually a lot on the back-end that goes into claim reimbursement. Continue Reading >

A New Bill Could Raise the Stakes for Self-Funded Insurers

Self-funded insurers may be negatively affected in a newly drafted bill titled “Protecting Patients from Surprise Medical Bills Act” back in September. Though its goal is to minimize unexpected medical bills and prevent medical bankruptcies, self-funded insurers and covered employees, might not garner any savings from this proposed legislation. Continue Reading >

Keeping Millennials on Your Self-Insured Health Plan: Why It Matters and How to Do It

If some news outlets are to be believed, Millennials only care about avocado toast and Netflix. But while this generation isn’t well respected by some older Americans, Millennials take health insurance seriously. Considering that they have lived through a period when health insurance has been a hotly contested issue, it shouldn’t be a surprise that Millennials are invested in their coverage. Continue Reading >

Chronic Kidney Disease: A Major Hurdle for Self-Insured Employers

Many Americans worry that they or their loved ones will suffer from cancer, stroke, heart disease or dementia. Kidney disease isn’t as high-profile a condition, and the average person probably doesn’t give it much thought. Self-insured employers don’t have that luxury. Chronic kidney disease is common, deadly and hugely expensive to treat. Continue Reading >

A New Era: Association Health Plans

For small businesses that have struggled under the Affordable Care Act, a new proposal has been introduced that would expand health insurance options afforded to small employers. The new proposal, known as the Association Health Plans, would help small businesses unable to afford employee health coverage to join together and increase their bargaining power. This proposal is expected to see the addition of self-funded plan options in the coming years, but the effects are currently unclear. Continue Reading >

How HRAs, FSAs and HSAs are Administered in Self-Funded Plans

At a time when many people feel powerless over their own health care, giving your employees choices about how they manage their own medical costs is a good thing — both for them and for you. With Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs), and Flexible Spending Accounts (FSAs), self-funded plans are possible for employees to utilize. Continue Reading >

Pros and Cons of Pooled Stop-Loss Insurance

Pooled stop-loss insurance has its pros and cons, depending on your business structure and employee needs. It's essential to take the time to carefully weigh these pros and cons of pooled stop-loss insurance before committing to a policy. Obtaining coverage with a large group of fellow sponsors can garner your company with additional benefits, but also less overall control of the process. Continue Reading >