Featured Video: What Employers Need to Know When Going from Fully Insured to Self-Funded

November’s Feature Video

This webinar will:

  • Describe the terms fully insured and self-funded
  • Briefly describe the laws and regulations that govern self-funded plans
  • Discuss the main differences between fully insured plans and self-funded plans from a compliance perspective
  • Discuss who is responsible for HIPAA obligations, nondiscrimination testing, fees, ACA obligations, and documents such as the SBC
  • Discuss state mandates regarding level funding, including exceptions granted by state laws
  • Describe due diligence in level funding
  • Discuss claims appeal issues
  • Describe the timeframe for transitioning from fully insured to self-funded, including the documents that should be drafted or amended to complete the transition

DISCLOSURE

The information provided herein is intended solely for the use of our clients. You may not display, reproduce, copy, modify, license, sell or disseminate in any manner any information included herein, without the express permission of the Publisher or Publishers of articles within.

The information provided is for informational purposes only and does not constitute legal advice. The information above contains only a summary of the applicable legal provisions and does not purport to cover every aspect of any particular law, regulation or requirement. Depending on the specific facts of any situation, there may be additional or different requirements. This is to be used only as a guide and not as a definitive description of your compliance obligations.