What Do You Mean the Stop Loss Claim is NOT Covered?
If you are self-insured with stop-loss coverage in place, also known as Administrative Services Only (ASO), you may be considering unbundling your stop-loss (also known as “reinsurance”)…
Benchmark Surveys are Overrated
Over the years, many benefit professionals have waited anxiously for the release of an annual benchmark survey and invariably compare the figures contained within to their own numbers.
Self Funded vs. Fully Insured
Under an insured health benefit plan, an insurance company assumes the financial and legal risk of loss in exchange for a fixed premium paid to the carrier by the employer.
Mind the Gap!
Recently, an employer with approximately 3,500 employees covered by its self-funded health plan asked us to assist with two large claims that “needed to be paid by March 31.”