Resource Library

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• SIIA's Appeal in Michigan
• SIIA Response to Stop-Loss RFI Filed June 21, 2012
• SIIA Comment Letter to NAIC July 12, 2012
• SIIA Response to Stop-Loss Critics in the District of Columbia
• SIIA’s Letter on Clarifying Language to AHRQ’s Employer Survey Stop-Loss Question
• SIIA Reply Brief Michigan - February 11, 2013

• Utah HB 160
• Rhode Island H5459
• Minnesota HB 647
• California SB 161

• A Model Self-Funded Health Plan
  A reference guide detailing suggested approaches to setting up and operating self-funded group plans.
• SIG Trustee White Paper
• Workers' Compensation TPA Selection Process White Paper
• Stop Loss Definition White Paper
• Solvency White Paper
• Adverse Selection White Paper
• Management Guidelines for Self-Insured Workers' Compensation Groups (SIGS)
  As the leading national association for SIGs, SIIA offers insight as to how SIGs can improve their overall program management and retention of members.
• Financial Solvency of Self-Insured Workers' Compensation Groups (SIGS)
  SIIA outlines important financial solvency issues specific to Self Insured Workers’ Compensation Groups (SIGs).

• Group Health Plan Report
  Abstract of 2008 Form 5500 Annual Reports
• ACA Self-Funded Health Plan Report
• ACA Report to Congress

• HHS Report to Congress on Large Group Market
• SIEF Stop-Loss Report - February 2013
• SIEF "Policy Characteristics in the Employer Stop-Loss Market" - Abstract
• Golden Gate Restaurant Association vs. City and County of San Francisco
  A Landmark ERISA Preemption Case pending before the Ninth Circuit. A ruling is expected in the summer of 2008, which may have significant implications for the self-insurance industry.

• Model Language for Health Insurance Exchange Notice
  The Department of Labor (DOL) issued model language for the “Exchange Notice” that most self-insured group plans will be required to send to plan participants.
• Stop-Loss/Reinsurance: Disclosure and Reporting
  Industry accepted guidelines to improve the accuracy and timeliness of disclosure and reporting of claims for self-funded employer health benefits programs.
• Employers Liability Publication
• Stop-loss (Excess) Insurers and Managing General Underwriters (MGUs) Questionnaire
  Endorsed as an Industry Standard Form for Assistance in the Evaluation of Stop-loss (Excess) Insurers and Managing General Underwriters (MGUs).
• TPA Questionnaire
  Endorsed as an Industry Standard Form for Assistance in the Evaluation of Third Party Administration Companies (TPAs) by Stop-loss (Excess) Insurers and Managing General Underwriters (MGUs).
• A Blueprint For Sensible Health Care Reform
  As the country enters the latest round of intense debate over health care reform, it is important to remember that the U.S. health care system works well for the vast majority of people. Nevertheless, there are several challenges that the current system has not adequately addressed.
• Understanding Group Self-Insured Workers' Comp Funds (SIG Publication)
  Providing Workers' Compensation Solutions for Small and Mid-Sized Employers
• The PPO Value Proposition
  A Roundtable Discussion to help Plan Sponsors understand the issues and raise awareness of the complexities surrounding “discounts,” pricing, and access fees (whether direct or indirect, per employee per month or contingency).
• Self-Insured Workers' Compensation Employers and Group Listings by state
  Information on how to access the directory of self-insured workers' compensation employer and self-insured funds in various states.
• A Self-Funded Employer's Guide to Compensation Transparency
  A Discussion Document designed to provide a guideline for plan sponsors / administrators and their service providers to discuss compensation practices and to develop a model for making the amount and sources of compensation transparent.
• PPACA - SIIA's In-Depth Overview
  As part of its ongoing effort to educate its members about the recently-passed Patient Protection and Affordable Care Act of 2010 (PPACA), SIIA is now making available a comprehensive reference document detailing how the legislation affects self-insured group health plans.
• ERISA Special Report
  This SIIA Special Report will review how and why ERISA came about and explain the value of its federal protections for employee benefit programs.

• Policy Paper - Improving America's Health Care
  SIIA’s recommendations for a partnership effort of Government, Employers, Providers, Health Plans, Insurers, Third Party Administrators and Individual Consumers to improve our Nation’s health insurance, health care and personal health.

• SIIA Bylaws

• US Airways vs. McCutchen