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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

Fiduciary Issues

Special Types of Plans & Situations

Preemption and MEWA

Stop Loss

Articles and Materials

2022 SPBA Stop-Loss Application (1/25/22)
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)

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)
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)
Minnesota Stop-Loss (2/1/17)
Maryland 2016 Interim Medical Stop-Loss Report (12/28/15)
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)
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)

Statistics/Numbers

Official Source Documents

2021 Milliman Medical Index (4/22/22)
2021 Kaiser Family Foundation: Annual Employer Health Benefits Survey + Summary (4/22/22)

TPA Forecasts and Reports

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)