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 Posted: Sat Aug 30, 2008 7:38 am Post subject: |
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Hi..
The following federal laws would govern the self-insured group health plans-
- ERISA (Employee Retirement Income Security Act)
- COBRA (Consolidated Omnibus Budget Reconciliation Act)
- DEFRA (Deficit Reduction Act)
- Pregnancy Discrimination Act
I guess there are a couple of them more on the list!
Evan |
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evan
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| Posted: Sat Aug 30, 2008 7:47 am Post subject: |
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I think I've got the list completed this time!
* Civil Rights Act
* Health Insurance Portability and Accountability Act (HIPAA)
* Americans with Disabilities Act (ADA)
* Age Discrimination in Employment Act
Evan |
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evan
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| Posted: Sat Aug 30, 2008 8:23 am Post subject: |
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Hi I guess we should also take the budget reconciliation Acts into account. As far as I remember we do have the following laws that have an unique role to play in it.
(1) Tax equity & fiscal responsibility Act (TEFRA) (2) Deficit Reduction Act (3) Economic Recovery Tax act (ERTA)
Regards, ArindamSenIndies |
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ArindamSenIndies
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| Posted: Tue Jan 13, 2009 4:28 pm Post subject: |
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This business is cyclical. Companies come and go from being self insured to fully insured. They go fully insured for a few years until the fully insured companies raise their premiums out of whack, then they go back to self insured to save money, then their costs get out of control and they get a deal from a fully insured company, then they raise their rates, so they go back self insured. Its the nature of the game now. Companies are doing everything and anything to save money and be able to supply their employees with benefits.
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from a TPA employee
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| Posted: Tue Aug 04, 2009 6:28 am Post subject: self-insurance fees |
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Why are there fees levied on self-insurers in the proposed bill? Does that amount to a penalty for not opting for the government plan? What reason is there for imposing those fees?
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luckypuck
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| Posted: Tue Aug 04, 2009 6:42 am Post subject: self-insurance fees |
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| In the new health care bill before congress, why are fees levied for self-insurers? what is the purpose of these fees? Are they an attempt to discourage self-insuring? Is charging a fee in these circumstances a reasonable thing to do? What do the fees pay for? Does that amount to a penalty for self-insuring? |
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puck
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| Posted: Tue Nov 17, 2009 9:35 pm Post subject: self insured plans |
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If an employer "fails" and is closed down and taken over by a bank, what happens to employee claims that have been filed and are pending under his employer's self-insured plans?
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| Posted: Sun Nov 22, 2009 10:20 pm Post subject: Self Insurance |
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Most self insured plans are set up by very large employers or groups of employers. Sometimes it makes sense for a very large company to self insure. The drawback is an adequate amount of reserves to satisfy state requirements. To Fatman: With self insurance, you are setting yourself up as an insurance company and you need to be prepared to pay out claims, as an insurance company would. One big hit could put you out of business and liable for any underfunded losses, as well as put you below minimum reserves for the state.
Thanks for the great topics and keep the good stuff flowing!
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emumbert1
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| Posted: Sat Apr 09, 2011 7:01 am Post subject: lxwfTuUIZSzCE |
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Self plan.. I like it 
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| Posted: Fri Apr 22, 2011 12:37 pm Post subject: Self insured overrides |
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| Assuming the benefits are there. If a Self Insured plan uses a TPA and the TPA denies autorization for an employee or dependant seeking residential substance abuse treatment, can the employer override that denial and require the TPA to autorize the use of those benefits? if not how does that work? |
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daggett
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| Posted: Fri Apr 22, 2011 2:42 pm Post subject: ftqzduauoxQUwiVkIl |
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Self plan.. Outstanding
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| Posted: Fri Jun 03, 2011 1:40 am Post subject: DOEpSCxKGvKRHRnygaZ |
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Self plan.. Tiptop
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