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Important Resources On Self-Funding

Important-resources-self-funding

1.) The Self-Insurance Institute of America (SIIA): Has a great amount of trusted resources, but largely limited to the U.S. market

http://www.siia.org/i4a/pages/Index.cfm?pageID=4546

 

2.) Centers for Medicare and Medicaid Services (CMS.gov): The Affordable Care Act and how it impacts Self-funded insurance plans/HIPAA opt-out and exemption forms

http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/non_federal_governmental_plans_04072011.html

and:

http://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/index.html#Self-Funded%20Non-Federal%20Governmental%20Plans

 

3.) U.S. Department of Labor (SIIA): Understanding your fiduciary responsibilities under a group health plan, report on Self-funding in 2013, report on stop-loss from SPBA,

http://www.dol.gov/ebsa/publications/ghpfiduciaryresponsibilities.html

http://www.dol.gov/ebsa/pdf/ACASelfFundedHealthPlansReport033113.pdf

http://www.dol.gov/ebsa/pdf/StopLoss0001.pdf

 

4.) Society of Professional Benefit Administrators (SPBA): Resources on stop-loss, on self-funding, and on Third-party administrators (TPAs)

http://www.spbatpa.org/stop-loss

http://www.spbatpa.org/node/1639

http://www.spbatpa.org/about#About%20TPAs

 

5.) Health care Administrators Association (HCAA): A .pdf guide for administrators of self-insured plans on the impact of PPACA on self-funded insurance

http://www.hcaa.org/pdfs/Legislative/PPACA_ADMINISTRATORS_710.pdf

 

6.) On PCORI and the Internal Revenue Service: IRS Form 720 for self-insured groups

http://www.irs.gov/uac/Patient-Centered-Outcomes-Research-Trust-Fund-Fee:-Questions-and-Answers

http://www.irs.gov/pub/irs-pdf/f720.pdf

http://www.mondaq.com/unitedstates/x/246940/tax+authorities/New+Fee+For+SelfInsured+Employers+Due+On+Form+720+By+July+31

 

7.) Employee Benefit Research Institute (ebri.org): .pdf report on the Employee Retirement Income Security Act (ERISA) as it relates to health plans and self-funding

http://www.ebri.org/pdf/briefspdf/1195ib.pdf

 

8.) Understanding Stop-Loss Insurance (IMG): .pdf and online resources on one of our carriers reinsurance products

http://www.img-stoploss.com/forms-library.aspx

 

9.) Understanding Self-Insured Group Health Plans (HCC): .pdf from one of our carriers explaining the basics of self-funding and its advantages.

http://www.hcc.com/portals/0/subsites/hcclife/downloads/HealthCareSuccessPublicationl.pdf

 

10.) Self-funding Conference by Self-funding Magazine: A Self-funding 101 Guide

http://www.selffundingmagazine.com/

http://www.selffundingconference.com/employer-guide.html

 

11.) Society for Human Resource Management (SHRM): Guide on self-funding health insurance

http://www.shrm.org/hrdisciplines/benefits/Articles/Pages/SelfFunded.aspx

 

12.) American Academy of Actuaries: Draft on reserves, liabilities and assets

http://www.actuary.org/files/Draft_Large_Group_Medical_Business_Practice_Note_Jan_2013.pdf

 

13.) National Association of Insurance Commissioners (NAIM): Health Reserves Guidance Manual on sale for $50.00 at this link.

This manual provides guidance regarding the calculation and documentation of health reserves as described in the Health Insurance Reserves Model Regulation (MDL-10). It is designed to encompass all health coverages, including medical, dental, disability and long-term care.

http://www.naic.org/store_pub_supplementary.htm#health_reserves_guidance

 

14.) AM Best: A Comprehensive Directory to find a good Third Party Administrator

http://www3.ambest.com/dpsdirectorysearch/CompanySearch.aspx?nid=71

 

15.) Cypress University: A Good Forum Discussion on Stop Loss Reinsurance

http://www.youtube.com/watch?v=NrZkflvAqH0

 

16.) Employer-Sponsored Health Insurance: Recent Trends and Future Directions, NIHCM, October 2013 (.pdf) – http://www.nihcm.org/images/pdf/Employer-Sponsored-Health-Insurance-v2-data-brief.pdf

 

17.) See our Self-funded Health Insurance channel on YouTube:Including Cypress University 2012: Best Practices for Self-Funded Health Plan, The Affordable Care Act and Advantages to Self-funding, Council on Foreign Relations Forum on: The Costs of U.S. Healthcare and more.

http://www.youtube.com/playlist?list=PLNLs4yRPBGxRCprfUWgjgAHSRuMVWqPvm

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