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Self-Insured Firm

A company that pays medical claims for their employees rather than holding insurance, usually hiring an insurance company to administer the benefits. Common among large firms. Self-insured plans are not subject to ERISA law or most Affordable Care Act insurance regulations.

Community Rating

Setting premiums the same for all insurance applicants. “Modified community rating” refers to organizations changing premiums based on demographic characteristics, such as age, but cannot…