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Self-Funded Health Plans: FAQs Self-Funding Success

WEBSelf-funded plans already existed before 1974, but the passage of ERISA (Employee Retirement Income Security Act of 1974) law that year is what formalized them across …

Actived: 9 days ago

URL: http://www.selffundingsuccess.com/self-funding-101/intro-to-self-funding/faqs-about-self-funded-health-plans/

Finding a TPA Self-Funding Success

WEBOpen Communication – A major factor in the long-term employer/TPA relationship is the level of communication. The two need to connect on a regular basis and keep each …

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Employee Wellness Programs Self-Funding in Action

WEBHow Using Benefits Data Led to 16% Lower Health Coverage Costs. Unlike traditional health plans, self-funding offers employers access to benefits data (generic data that in …

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Self-Funded Health Plans & Fiduciary Duty Self-Funding …

WEBThe concept of fiduciary duty is fundamental to self-funding as ERISA was passed to serve as the ultimate consumer protection law. It is meant to ensure that the people who …

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Find a TPA – U.S. Self-Funding Success

WEBConnect with a third party administrator (TPA) in your area to ask questions and get more information about the options for self-funding. Many TPAs provide services in a wide …

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Better Employee Benefits Plans Self-Funding Success

WEBCost Containment & Flexibility. Self-funding has experienced significant growth in the last several years as both private- and public-sector employers search for more affordable …

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Self-Funding: State vs. Federal Mandates

WEBThere are some major advantages that come from having a self-funded plan that is subject to federal mandates instead of the combination of both federal and state. These include: …

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Custom Group Benefits with A TPA Self-Funding Success

WEBSelf-funding allows companies to narrow in on the group benefits that make most sense for their staff and work with a TPA to build the appropriate health plan at a reasonable …

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Controlling Health Plan Claim Costs Self-Funding Success

WEBSelf-funded plans eliminate the all-too-common “process and pay” approach to health claims. Paying for claims as they are incurred and doing so by reviewing charges …

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Self-Funded Plan Examples from TPAs Self-Funding Success

WEBThe examples are plenty. We’ve gathered some real success stories from the third party administrators (TPAs) who manage these plans and also included their varying …

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Health Plan Regulation/ERISA Transparency Self-Funding …

WEBThe Employee Retirement Income Security Act of 1974 (ERISA) is the main law that applies to self-funded plans offered through private (non-government) employers. The Employee …

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TPAs: Understanding the Definitions

WEBThese are among the most common: ASO (Administrative Service Only) – Because TPAs and self-funding were considered competition to traditional insurers in the 1980s, “ASO” …

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Savings with Self-Funded Insurance Self-Funding Success

WEBself-funded insurance eliminates standard, pre-paid rates and focuses on actual costs. self-funded plans allow employers to enjoy the benefit of any savings they realize through …

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The Importance of Workplace Wellness Self-Funding Success

WEBWorkplace wellness programs have become an essential part of self-funding as they can help employers and plan sponsors reduce claim costs by encouraging healthy behaviors …

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Real Examples: Claims Management & Early Detection

WEBWhat can be done to help contain these high costs? Third party administrator (TPA) MedBen explains how two key tactics – claims management and wellness-focused early …

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Small Biz Could Lose Custom Health Plans

WEBA change in the definition of small businesses could cost some employers their custom (self-insured) health plans; read the full article

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An Intro to Stop Loss Insurance Self-Funding Success

WEBThe employer must cover the full $300,000, but will be reimbursed $275,000 through the stop loss insurance purchased. Stop-loss insurance in self-funding is similar to …

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TPAs & Reference-Based Pricing Self-Funding Success

WEBHow Self-Funded Employers Are Saving Up to 30% with Reference-Based Pricing. Searching for a solution that would offset fast-rising healthcare costs and provide more …

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Data Analysis & Self-Funded Plans Self-Funding in Action

WEBA Proactive Approach to Plan Data Lowers Number of ER Visits. Having access to plan data is a unique advantage in self-funding that gives employers the ability to identify cost …

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