Frequently Asked Questions

What is Stop-Loss Coverage?

Why is self-insurance better than a fully-insured plan?

Is self-insuring safe?

Will self-insuring cause the employer extra work?

Who is insured?

What is the role of the employer’s plan document?

What happens if an employee has a very large claim – like a $50,000 heart bypass surgery, for example?

What if several employees have large claims? Won’t it hurt the employer’s cash flow?

Can an employer pay more than the accumulated aggregate liability plush the fixed costs during a plan year?

Does a self-funded plan like PGU create more administrative work for the employer?

Shouldn’t only large employers (500 or more employees) consider self-funding?