N.J. Examines Stop-Loss Insurance for Self-Insured Small Businesses

May 2, 2012

  • May 2, 2012 at 1:03 pm
    Water Bug says:
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    Health insurance needs to be fixed and this seems like an alternative to massive federal interference. I look forward to seeing posts from all points of view.

  • May 2, 2012 at 3:14 pm
    Wayne says:
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    As soon as the state starts to meddle in the UW process, the rates must go up or the process for premium setting must change.

    I can foresee issuing a stop loss policy based on a more costly workforce and then refunding excess premium in the form of a dividend to employers where costs meet or beat cost estimates. That way employers with employees who develop a higher cost will still be able to buy the coverage while the other employers will still enjoy a lower overall cost.

    It could prove to be a win for the insurance companies, the employers and the employees I just don’t think it will fly under the affordable healthcare act.

  • February 9, 2014 at 1:03 pm
    Anne says:
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    Has any one seen a situation where the employers are providing a self-funded health insurance plan for their employees, but they are not funding the plan? Our employers are discovering that, after they go for a treatment or doctor’s visit, that they are not insured, and that our employers are not funding the plan even though we are paying the premiums through out paychecks. It seems like embezzlement, but maybe I’m missing something. There’s no protection for the employees, and the insurance company needs to be informing the employees that their plan isn’t being funded. There are no protections for the employees who are paying the premiums otherwise. The healthcare providers are now re-billing everything back to the employees, and some of them have $12,000+ bills they thought were covered. Has anyone see anything like this? And if so, what can we as employees do?



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