WASHINGTON, D.C. | February 24, 2014
On Wednesday, February 26 at 10:00 a.m.,
the Subcommittee on Health, Employment, Labor, and Pensions, chaired by Rep. Phil Roe (R-TN), will hold a hearing entitled, “Providing Access to Affordable, Flexible Health Plans through Self-Insurance.”
The hearing will take place in room 2175 of the Rayburn House Office Building.
Employers who manage a self-insured health plan assume the financial risk of providing health benefits to his or her workers. Rather than contract with an insurance company, self-insured employers pay directly for the workers’ health care claims and services. An employer may work with a third-party to help process claims and benefit payments. Self-insured plans are governed by the Employee Retirement Income Security Act;
in 2011 these plans provided insurance to approximately 60 percent of all employees covered by an employer-sponsored health plan.
Many self-insured employers purchase stop-loss insurance to protect against catastrophic claims and high costs. Although stop-loss insurance is regulated by the states, in February 2013 the New York Times reported
Obama administration officials “were considering regulations to discourage small and midsize employers” from using stop-loss insurance. In correspondence with the committee, the administration has refused to confirm or deny whether it will issue a regulation affecting stop-loss insurance.
Wednesday’s hearing will provide members an opportunity to examine the benefits of self-insurance and discuss concerns about regulating stop-loss insurance at the federal level. To learn more about Wednesday’s hearing, visit http://edworkforce.house.gov/hearings
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Mr. Michael Ferguson
President and Chief Executive Officer
Self-Insurance Institute of America
Mr. Wes Kelley
Columbia Power and Water Systems
Maura Calsyn, J.D.
Director of Health Policy
Center for American Progress
Mr. Robert Melillo
National Vice President, Risk Financing Solutions
USI Insurance Services