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Size and Role of TPA Market + Stop Loss
Nothing written by SPBA is legal advice.
Size and Role of TPA Market + Stop Loss
Articles and Materials
Numbers: Describing the Number of TPAs & Distortions in Counting
(10/12/20)
Everything You Wanted to Know About TPAs But Were Afraid to Ask
(6/25/19)
Testimony Given by SPBA Board Chair at the DOL Advisory Council
(8/25/14)
Goofy Views On Benefits, ERISA, Fiduciary, TPAs & ASO
(1/23/12)
"Biggest" and "Independent" TPAs
(11/8/11)
Frequently Asked Questions About TPAs
(7/26/11)
What's Allowable Error Rate?
(12/8/06)
What's the Regulatory Status of Government & Religious Plans?
(12/8/06)
Fiduciary Issues
Articles and Materials
What's Allowable Error Rate?
(12/8/06)
Special Types of Plans & Situations
Articles and Materials
What's the Regulatory Status of Government & Religious Plans?
(12/8/06)
Preemption and MEWA
Articles and Materials
What's the Regulatory Status of Government & Religious Plans?
(12/8/06)
Stop Loss
Articles and Materials
2024 SPBA Stop-Loss Application
(5/30/23)
Minnesota Stop-Loss
(2/1/17)
Self-Funding: Myths vs. Facts
(9/2/14)
NAIC White Paper: Stop-Loss & Self-Funding (Attached: White Paper: Stop-Loss Insurance, Self-Funding & ACA)
(8/13/14)
Old Deficit Law Triggers Modern Stop-Loss Misunderstanding
(5/22/13)
SPBA Talking Points for Letters on Stop-Loss Attachment Points
(8/31/12)
California Stop-Loss Legislation Stalled
(8/29/12)
Stop-Loss Model Act
(8/8/12)
Request for Information on Stop-Loss: SPBA's Comments
(6/29/12)
Request for Information on Stop-Loss: SPBA Past President Fred Hunt's Comments
(6/29/12)
Request for Information on Stop-Loss: 13 Questions
(6/5/12)
Stop-Loss Summit Issues
(3/9/11)
Stop-Loss as Plan Asset + Fiduciary Reminder
(2/2/09)
Plan Trends that Reduce Costs & Data to Back-Up the Results
(11/5/08)
What happens when TPA & Stop-Loss disagree on a claim amount?
(11/5/08)
TPA Frustrations with Stop-Loss + Their Insights
(5/8/08)
Future of Stop-Loss in a "Markets" Environment
(10/12/07)
ERISA Clarification re Stop-Loss Ownership
(12/8/06)
ERISA Follows the Plan Money
(12/8/06)
Open Letter to SPBA TPAs & Stop-Loss Service Partners
(12/8/06)
Questionnaire: Stop-Loss TPA Questionnaire
(12/8/06)
STOP-LOSS Fraud
(12/8/06)
Who Owns Stop-Loss Policy
(12/8/06)
Questionnaire: Stop Loss Carrier Approval Info Checklist
(12/8/06)
Disclosure Form Background & Explanation
(10/31/06)
Stop Loss Senior Management & Underwriting
(9/25/06)
Official Source Documents
Report to Congress: 2018 Annual Report on Self-Insured Group Health Plans
(3/20/19)
2017 DOL Annual Report on Self-insured Group Health Plans
(3/1/17)
State of Connecticut Stop Loss Insurance Coverage (Bulletin HC-108 & PC-80)
(12/30/15)
Maryland 2016 Interim Medical Stop-Loss Report
(12/28/15)
White Paper: Stop-Loss Insurance, Self-Funding & ACA
(11/17/14)
Guidance on State Regulation of Stop-Loss Insurance
(11/6/14)
White Paper: Stop-Loss Insurance, Self-Funding & ACA
(8/13/14)
States: Minnesota Stop-Loss Legislation Senate: SF 650
(3/19/13)
States: Minnesota Stop-Loss Legislation House: HF 647
(3/19/13)
States: Rhode Island Stop-Loss Legislation H54459
(3/19/13)
Statistics/Numbers
Official Source Documents
2025 Milliman Medical Index
(6/18/25)
2024 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
(12/12/24)
2024 Milliman Medical Index
(4/20/24)
2023 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
(4/5/24)
2023 Milliman Medical Index
(4/5/24)
2022 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
(5/23/23)
2022 Milliman Medical Index
(5/23/23)
2021 Milliman Medical Index
(4/22/22)
2021 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
(4/22/22)
TPA Forecasts and Reports
Articles and Materials
State of the TPA Industry & Forecast for 2018
(9/20/17)
Answers to the Most Frequent Questions re: TPAs & Their Marketplace
(6/8/17)
State of the TPA Industry & Forecast for 2017
(1/9/17)
State of the TPA Industry & Market – June 2016
(5/24/16)
State of the TPA Industry + Forecast for 2016
(11/3/15)
State of the TPA Industry + Forecast for 2015
(10/27/14)
State of the TPA Industry + Forecast for 2013
(1/8/13)
State of the TPA Industry + Forecast for 2012
(12/21/11)
Year-End 2011 Status Report & Forecast on PPACA
(12/12/11)
What's the Future for Insurers?
(7/27/11)
Boom time for TPAs is Starting
(7/12/11)
State of the TPA Industry + Forecast for 2011
(11/9/10)
State of the TPA Industry & Forecast as of May 2010
(5/20/10)
State of the TPA Industry + Forecast for 2010
(1/19/10)
Mid-2005 TPA Industry Report
(11/3/09)
State of the TPA Industry + Forecast for 2009
(1/1/09)
Mid- 2008 Forecast for 2009 Health Reform
(8/28/08)
Employee Benefits Policies of 7 Presidents: A Historical Perspective
(1/29/08)
No National Health Insurance, but Take Advantage of the Opportunities
(12/17/07)
State of the TPA Industry + Forecast for 2008
(11/2/07)
Planning Your Firm'$ Future
(12/8/06)
State of the TPA Industry + Forecast As of December 2000
(12/8/06)
What's the Size, Role & Future of TPAs' Marketplace?
(12/8/06)
State of the TPA Industry + Forecast for 2007
(11/20/06)
State of the TPA Industry + Forecast for 2006
(11/30/05)
Pollyanna Predictions?
(7/14/05)
TPA Competition Rollercoaster - Ongoing
(12/14/04)
State of the TPA Industry + Forecast for 2005
(12/1/04)
State of the TPA Industry + Forecast for 2004
(12/1/03)
State of the TPA Industry + Forecast for 2003
(1/1/03)
State of the TPA Industry + Forecast as of December 2001
(12/1/01)
State of the TPA Industry & Forecast as of November 1999
(11/30/99)
