Self-funded health plan.

An employer-sponsored health plan in which the employer assumes financial risk for medical claims directly, typically with stop-loss insurance to cap catastrophic exposure.

In the context of EHP

Self-funded employers benefit most from the EHP SIMERP. Every primary care, urgent care, or routine prescription claim that moves to the SIMERP-side stays off the self-funded plan's loss ratio, which directly reduces stop-loss premiums and renewal pricing.

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In the context of EHP

Related terms

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