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Practice Area: Pension & Benefits  Brand: Checkpoint

EBIA Self-Insured Health Plans  
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EBIA Self-Insured Health Plans provides detailed coverage of the legal requirements that apply to self-insured health plans. It also includes practical information to help employers and advisors understand how a self-insured health plan differs from an insured health plan, and how to establish, design, and administer a self-insured health plan
  • Overview of This Manual
  • Overview of Self-Insured Health Plans
  • Why Self-Insure?
  • Governing Law for Self-Insured Health Plans
  • Parties Involved in a Self-Insured Health Plan: Roles and Responsibilities
  • Employer's Roles as Settlor and Fiduciary
  • Selecting, Engaging, and Monitoring Service Providers
  • Plan Design: Benefit Options and Network Arrangements
  • Plan Design: Covered Benefits
  • Plan Design: Eligibility
  • Plan Design: Plan Costs and Cost-Sharing Features
  • Stop-Loss Insurance
  • Funding and Plan Assets
  • The Plan Document
  • Plan Administration: Special Issues
  • Claims and Appeals
  • Nondiscrimination Rules Under Code Section 105(h)
  • Reporting and Disclosure
  • Federal Mandates Applicable to Self-Insured Health Plans
  • Federal Tax Treatment of Self-Insured Health Plans


  • Cancellation Policy

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