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What does a self-insured plan mean?
Sep 24, 2002

Could you explain to me exactly what is meant by self-insured medical coverage? I have heard this tossed around my office lately since my company is possibly changing insurance carriers. How would this effect my coverage since I am HIV positive?

Response from Ms. Franzoi

A self-insured plan is one that is not insured by an insurance company. In an insured plan, the employer pays a premium to the insurance company and the insurance company has the liability for all claims. In a self-insured plan, the employer pays the insurance company or a third party administrator to administer the plan but the employer pays all of the claims, i.e., the administrator charges the employer an administrative fee plus the cost of actual claims.

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Disability Denial of Claim

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