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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

EBIA's experts guide employers and their advisors through each step of establishing and administering a self-insured plan, including the following:

  • What is a self-insured health plan? How does it differ from an insured plan, what types of employers sponsor self-insured health plans, and what are the potential advantages and disadvantages of self-insuring?
  • Roles and responsibilities of the various parties, including the employer-plan sponsor, actuary, TPA and other service providers, and stop-loss insurer
  • Laws that govern self-insured health plans, including ERISA and the Internal Revenue Code; COBRA, HIPAA, and other federal mandates; health care reform requirements
  • Plan design options, including networks, covered benefits, eligibility, cost-sharing features
  • Plan documents, required disclosures (including SBCs & SPDs), reporting requirements, and claims and appeals
  • Funding, stop-loss insurance, fiduciary responsibilities, nondiscrimination requirements, and more

All the features you've come to expect from EBIA are included in this title: in-depth analysis, examples, roadmaps, charts, tables, checklists, timelines, sample documents, and links to the relevant primary resources.



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