Self-Insured Health Plan

In this type of plan, an employer will pay for employees’ health care costs out of a fund that the company has set aside for medical expenses. Employers may contract with an outside organization, often an insurance company, to administer the plan. Under a federal statute known as ERISA, the U.S. Department of Labor has authority over self-insured employer health plans. Therefore, New York’s consumer protection and insurance laws do not apply

See Also: Third-Party Administrator (TPA); Utilization Review (UR); Usual and Customary Charge;

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