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Self-insured health plans.

P McDonnell, A Guttenberg, L Greenberg

Health Care Financing Review

|December 6, 1986

Summary

This summary is machine-generated.

In 1984, 8% of employment health plans were self-insured, totaling over 175,000 plans. Larger organizations were more likely to self-insure, primarily for hospital and medical benefits.

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Area of Science:

Health Economics
Health Services Research
Employee Benefits

Background:

Self-insured health plans represent a significant portion of employer-sponsored healthcare.
Understanding the characteristics and administration of these plans is crucial for policy and management.

Purpose of the Study:

To analyze the prevalence and characteristics of self-insured employment-related health plans in 1984.
To identify factors influencing the decision to self-insure and the administrative arrangements chosen.

Main Methods:

Analysis of a study on independent health plans nationwide.
Examination of data from 1984 to determine self-insurance rates and plan details.

Main Results:

8% of employment health plans were self-insured in 1984, totaling over 175,000 plans.

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Plan size was a primary determinant, with large establishments more prone to self-insuring.

Self-insured plans predominantly covered hospital and/or medical benefits.

Conclusions:

Self-insurance was a notable feature of employer health plans in 1984, particularly for large organizations.
A majority of self-insured plans utilized external administrators, highlighting the complexity of plan management.