
There are two types of
self-funded plans. The first is a partially self-funded
health plan in which the employer assumes a portion of the risk
for providing benefits to employees. The second is a fully
self-funded plan in which the employer assumes all the risk. In
either case, the advantage to employers is flexibility in
designing the benefits they offer to their employees and
avoidance of many of the costs associated with traditional
insurance companies.
The most popular form of
self-funded health insurance is the partially self-funded plan.
In these plans, the employer has stop-loss
or reinsurance coverage that protects against large
unpredictable claims. The employer's plan is designed to minimize
risk exposure by providing coverage for large catastrophic
claims, which are reimbursed by the stop/loss reinsurance in
accordance with the plan document.
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