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Self-Funded Health Care

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A self-funded health care plan is an arrangement under which an employer helps finance the health care costs of its employees, taking on some of the risk of loss. The employer can reduce its risk by contracting with a reinsurer to pay amounts in excess of a certain threshhold. In this way, the employer and the reinsurer share the risk for potential catastrophic claims experience.

The employer typically contracts with a Third Party Administrator (TPA) or Administrative Services Organization (ASO) to administer many aspects of the plan. These administrative procedures often are handled by health companies with familiar names.

References

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Self-Funded Health Care Could Lower Costs - Milwaulkee Biz Journal [1]

Is Self-Funded Health a Path for Small Firms? - HR Magazine [2]

Self-Funding of Health Care Benefits [3] by Carlton Harker


TBA: Category:Insurance:Business

Carlton Harker

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Carlton Harker is an Actuary and an authority on all aspects of self-funded health care plans. He is a practitioner who has served as a consultant, an insurance company employee, a risk manager, a marketer, and a founder of a Third Party Administrator. He is a fellow of the Society of Actuaries, a member of the American Academy of Actuaries and president of Self-Funding Actuarial Services, Inc.. He has been actively involved with health care plans since 1950 [1]

Harker has written a book "Self-Funding of Health Care Benefits" [2] which is popular among those involved in self-funded health care plans.

References

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History of ACS Benefit Services, Inc.

Biography from ExpertWitness.com

Carlton Harker at Society of Actuaries