Stop Loss Coverage and NAIC White Paper
October 28, 2014
Medical stop loss coverage by self-funded insurers is becoming a hot issue, Self-Insurance Institute of America (SIIA) President Michael Ferguson has recently been quoted as saying. This topic warrants an increased focus on captives providing stop loss coverage and self-insured employers that provide medical coverage.
The NAIC ERISA (B) Working Group stop loss white paper draft, titled "Stop Loss Insurance, Self-Funding and the ACA (Affordable Care Act)," was released in August. The white paper and SIIA comments in response to the NAIC stop loss paper provide an excellent primer on stop loss coverage.
Stop loss coverage is liability coverage currently subject to regulation at the state level. However, as SIIA points out, self-insurance plans are extensively regulated at the federal level. The SIIA position on selected white paper issues is outlined on page 5 of its comments.
The NAIC fall meeting is scheduled for November 16-19, 2014, in Washington, D.C.
October 28, 2014
