Self-Funding Forum: Basic Concepts, Advanced Tactics and Compliance Insights
This all-inclusive, five-hour session begins with the basics of self-funding your health and welfare plan and progresses to more advanced tactics for risk mitigation. The speaker breaks down this funding arrangement into easy-to-understand segments and explains the “plug and play” approach to stop loss protection, claims administration, case management, pharmacy, data analytics, domestic medical travel, direct provider contracting and digital medicine. Gain an understanding of the emerging use of group captives along with the new level-funded and reference-based pricing arrangements. A seasoned employee benefits attorney also provides an overview of key compliance requirements and considerations. Gain insight into the variations of stop loss contracts, including recent hybrid contracts, and how they impact the employer’s risk tolerance and financial goals. Discuss real-world case studies and walk away from this session well-grounded in the concepts of self-funding and partial self-funding.
Self-Funding: What You Need to Know About Stop Loss Contracts and Underwriting
This one-hour session is geared towards benefit managers, chief financial officers HR support staff who are currently experienced the concept of partial self-funding group health plans. This session provides an in-depth review of stop loss “contract types”—12/12, 15/12, 12/15, 15/18—terminal liability. Mr. Hoffman will provide information to smooth out potential gaps and help facilitate the renewal process. Among the topics covered are the selection of appropriate specific and aggregate stop loss funding levels as well as the new and renewal underwriting process, including the use of stop loss lasers. Also discussed is the emerging use of group captives for stop loss along with a review of how actuaries establish COBRA rates and “incurred but not reported” (IBNR) claim liability. Leave this session with a better understanding of the stop loss function, contract variations and how to select the appropriate stop loss funding level.