a plan where the employer has set aside a pool of money and placed it into an account for the purpose of covering various types of claims
a program which allows a financially secure employer to assume the risk for health care costs instead of transferring the risk to an insurance company
A health plan under which an employer or other group sponsor, rather than a Managed Care Organization or insurance company, is financially responsible for paying plan expenses, including claims made by group plan members. Also known as a self-insured plan.
A self-funded plan is a plan where claims are paid directly by the employer, as opposed to the insurance company paying for claims. Please see also Administrative Services Only.
Plan in which the employer and employees contribute, with contributions going to a trust fund to pay health care claims. In such a plan, a participant's contribution obligation is set forth in a plan document or plan enrollment form, and is periodically deducted form the participant's paycheck.
An arrangement under which all or a portion of the medical costs are accepted and paid by an employer or other entity providing benefits for covered members including, but not limited, to Health & Welfare funds and Labor funds.
The preferred term for a group health plan in which the employer assumes the risk for (or underwrites) the cost of all covered health care services.
Plan of insurance where an employer, which has fairly predictable claim costs, pays the claims rather than an insurance company. See also Administrative Services Only.
Plan that is funded by the employer rather than an insurer.
Plan of insurance where an employer, which has fairly predictable claim costs, pays the claims rather than an insurance company. The services provided by an insurer, such as providing claim forms and processing claims, when the insurer is not the party funding the loss payments. See also Self Funded Plan. (LI,H)
