Course Details

Controlling Health Care Costs With Self-Funded Plan Options

Webinar: ID# 1018035
Recorded CD
About This Course:
The Patient Protection and Affordable Care Act creates incentives for certain employers to self-insure health care coverage. For example, self-insured plans are not subject to the small-group rating regulations, risk adjustment policies, and essential health benefits provisions newly imposed by PPACA. Self-insured businesses are also exempt from many state insurance regulations.

This topic examines the factors that may motivate employers to self-insure, and the ways incentives to self-insure might change after PPACA becomes effective. The topic also will discuss how self-insurance influences benefit design, benefit claims decisions, and financial exposure.

Finally, the program will offer practical tips to employers facing this certain uncertainty in the group health care context.


Self-Insurance Overview
  • Dispelling Myths
  • PPACA's Large Group Market Study
PPACA's Impact on Self-Funded Plans
  • Specific Exceptions
  • Reinsurance Requirements
  • 2012 DOL Report
Factors Impacting Decisions to Self-Fund
  • Regulatory Factors
  • Financial Exposure
  • Administrative Concerns
  • Advantages and Disadvantages
  • Stop Loss Issues and Case Studies
  • Practical Considerations
Cost Containment Strategies for Self-Funded Plans
  • Alternative Risk Arrangements for Small Groups
  • Wellness Programs and Incentives
  • Paying Instead of Playing
About The Presenter

Kristopher R. Alderman
  • Attorney with Lewis Brisbois Bisgaard & Smith LLP
  • Represents group health plans, plan sponsors, participants and beneficiaries, insurers, plan fiduciaries, third-party administrators, and employee benefits consultants in a wide variety of matters related to plan administration
  • Practice focuses on clients engaged in disputes related to health care reimbursement, including claim audits and reinsurance matters, and ERISA litigation
  • J.D. degree, magna cum laude, Georgia State University College of Law; B.A. degree in English, cum laude, University of Georgia
Controlling Health Care Costs With Self-Funded Plan Options
Available on CD format
Course Details
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