Tag: self-insured

Question: What is stop loss insurance? Answer: According to the Department of Labor, stop loss insurance protects against health insurance claims that are catastrophic or unpredictable in nature and provides coverage to self-insured group health plans once a certain level of risk has been absorbed by the plan. Stop loss protection allows an employer to…

Question: If a company has a fully insured medical benefit with a self-insured prescription benefit, are they required to pay Patient Centered Outcome Research Institute (PCORI) fees for both plans? Answer: According to the IRS regulations, this situation would require payment of two PCORI fees because the fully insured plan is subject to the fees…