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.