Nothing written by SPBA is legal advice.
Size and Role of TPA Market + Stop Loss
Articles and Materials
Testimony Given by SPBA Board Chair at the DOL Advisory Council
Goofy Views On Benefits, ERISA, Fiduciary, TPAs & ASO
What's Allowable Error Rate?
What's the Regulatory Status of Government & Religious Plans?
Fiduciary Issues
Articles and Materials
What's Allowable Error Rate?
Special Types of Plans & Situations
Articles and Materials
What's the Regulatory Status of Government & Religious Plans?
Preemption and MEWA
Articles and Materials
What's the Regulatory Status of Government & Religious Plans?
Stop Loss
Articles and Materials
Minnesota Stop-Loss
NAIC White Paper: Stop-Loss & Self-Funding (Attached: White Paper: Stop-Loss Insurance, Self-Funding & ACA)
SPBA Talking Points for Letters on Stop-Loss Attachment Points
California Stop-Loss Legislation Stalled
Stop-Loss Model Act
Request for Information on Stop-Loss: SPBA's Comments
Request for Information on Stop-Loss: SPBA Past President Fred Hunt's Comments
Request for Information on Stop-Loss: 13 Questions
Stop-Loss Summit Issues
Stop-Loss as Plan Asset + Fiduciary Reminder
Plan Trends that Reduce Costs & Data to Back-Up the Results
What happens when TPA & Stop-Loss disagree on a claim amount?
TPA Frustrations with Stop-Loss + Their Insights
Future of Stop-Loss in a "Markets" Environment
ERISA Clarification re Stop-Loss Ownership
ERISA Follows the Plan Money
Open Letter to SPBA TPAs & Stop-Loss Service Partners
Questionnaire: Stop-Loss TPA Questionnaire
STOP-LOSS Fraud
Who Owns Stop-Loss Policy
Questionnaire: Stop Loss Carrier Approval Info Checklist
Disclosure Form Background & Explanation
Stop Loss Senior Management & Underwriting
Official Source Documents
Report to Congress: 2018 Annual Report on Self-Insured Group Health Plans
2017 DOL Annual Report on Self-insured Group Health Plans
State of Connecticut Stop Loss Insurance Coverage (Bulletin HC-108 & PC-80)
Maryland 2016 Interim Medical Stop-Loss Report
White Paper: Stop-Loss Insurance, Self-Funding & ACA
Guidance on State Regulation of Stop-Loss Insurance
White Paper: Stop-Loss Insurance, Self-Funding & ACA
States: Minnesota Stop-Loss Legislation Senate: SF 650
States: Minnesota Stop-Loss Legislation House: HF 647
States: Rhode Island Stop-Loss Legislation H54459
Statistics/Numbers
Official Source Documents
2025 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
2025 Milliman Medical Index
2024 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
2024 Milliman Medical Index
2023 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
2023 Milliman Medical Index
2022 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
2022 Milliman Medical Index
2021 Milliman Medical Index
2021 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary
TPA Forecasts and Reports
Articles and Materials
State of the TPA Industry & Forecast for 2018
Answers to the Most Frequent Questions re: TPAs & Their Marketplace
State of the TPA Industry & Forecast for 2017
State of the TPA Industry + Forecast for 2016
State of the TPA Industry + Forecast for 2015
State of the TPA Industry + Forecast for 2012
What's the Future for Insurers?
Boom time for TPAs is Starting
State of the TPA Industry + Forecast for 2011
State of the TPA Industry & Forecast as of May 2010
Mid-2005 TPA Industry Report
State of the TPA Industry + Forecast for 2009
Mid- 2008 Forecast for 2009 Health Reform
Employee Benefits Policies of 7 Presidents: A Historical Perspective
No National Health Insurance, but Take Advantage of the Opportunities
State of the TPA Industry + Forecast for 2008
Planning Your Firm'$ Future
State of the TPA Industry + Forecast As of December 2000
State of the TPA Industry + Forecast for 2007
State of the TPA Industry + Forecast for 2006
Pollyanna Predictions?
TPA Competition Rollercoaster - Ongoing
State of the TPA Industry + Forecast for 2005
State of the TPA Industry + Forecast for 2004
State of the TPA Industry + Forecast for 2003
State of the TPA Industry + Forecast as of December 2001
State of the TPA Industry & Forecast as of November 1999