Compare cost control strategies of

Question

employer-sponsored (employers buy from insurance companies) to self-funded
(employers cover costs of benefits) health plans. Include the following factors:

Riders
Enrollment periods
Provider networks
Third party administrators

Also discuss how the following affect cost control within group health plans:

Portability
Creditable coverage

Answer 1

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Answer 2

Self-funding is an alternative to fully insured group health insurance plans. Instead of an insurance company collecting premiums and paying your claims, the company funds the program, sets the rules and has control over paying claims. More than 60 percent of U.S. companies offering benefits use a self-funded program.