eolesen
Veteran
- Jul 23, 2003
- 15,959
- 9,374
Cost and regulation.
For larger companies, it's still cheaper to pay the claims at cost than it is to pay premiums. Premiums are money spent regardless if there are claims. If there are fewer claims in a given year for an employer, they're keeping that money in their pockets.
Anyone remember flex benefit holidays? Those were months where employees didn't pay their monthly contributions because claims were under contribution rates. That hasn't happened in probably six or seven years, but it's possible.
Traditional health plans thru an insurer are often regulated state by state, whereas self-funded plans are only regulated at the federal level. That works both ways -- by having a single set of rules to follow at the federal level, coverage won't change as employees move about the country. With plans regulated at the state level, it's possible that coverage could change during a relocation.
For larger companies, it's still cheaper to pay the claims at cost than it is to pay premiums. Premiums are money spent regardless if there are claims. If there are fewer claims in a given year for an employer, they're keeping that money in their pockets.
Anyone remember flex benefit holidays? Those were months where employees didn't pay their monthly contributions because claims were under contribution rates. That hasn't happened in probably six or seven years, but it's possible.
Traditional health plans thru an insurer are often regulated state by state, whereas self-funded plans are only regulated at the federal level. That works both ways -- by having a single set of rules to follow at the federal level, coverage won't change as employees move about the country. With plans regulated at the state level, it's possible that coverage could change during a relocation.