Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:The history of the health insurance industry in the U.S.
Slide content:Self-Funded Employer Plans Health benefit plans regulated by federal law Created by employers, employee organizations, or a combination Employer assumes risk for workers and pays for care directly Employer may choose to have a third-party administrator administer the plan 22
Slide notes:Self-funded plans are created by an employer, an employee organization, or a combination of the two. They operate under the ERISA rules . In this model, the employer assumes the risk of providing health care insurance to its workers and pays for their care directly. The employer may contract with a third-party administrator, which can be an insurance company, to oversee the plan and manage benefits . The employer may also purchase insurance that covers health care expenditures, or losses, that exceed a certain dollar figure. 22