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The Patient Protection and Affordable Care Act
Provisions Impacting Self-Funded Employers and their Employees
REPORTS AND STUDIES
Report on Self-Insured Health Plans
Prior to 3/23/11, the U.S. Department of Labor is required to issue a report on self-insured health plans. The Department will use information submitted on the Annual Return/Report of Employee Benefit Plan - Form 5500.
The Report will include:
- Plan type
- Number of participants
- Benefits offered
- Funding arrangements
- Benefit arrangements
- Data from the financial filings including:
- Information on assets
- Liabilities
- Contributions
- Investments
- Expenses
Study of Large Group Market
The U.S. Department of Health and Human Services will conduct a study of the fully-insured and self-insured group health plan markets by March 23, 2011, one year after enactment, to:
- Compare:
- The characteristics of employers (including industry, size and others)
- Health plan benefits
- Financial solvency
- Capital reserve levels
- The risks of becoming insolvent
- Determine the extent to which new insurance market reforms are likely to cause adverse selection in the large group market or to encourage small and midsize employer to self-insure
(Please note: This document was produced by the Self-Insurance Institute of America to provide an overview of the Patient Protection and Affordable Care Act, as modified by the Health Care and Education Reconciliation Act. It does not cover every aspect of the legislation, and certain provisions of the law may change or be modified by additional rules and regulations. This document does not constitute legal or tax advice.)