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. 1986 Winter;8(2):1-16.

Self-insured health plans

P McDonnell, A Guttenberg, L Greenberg, R H Arnett 3rd

Self-insured health plans

P McDonnell et al. Health Care Financ Rev. 1986 Winter.

Abstract

Nationwide, 8 percent of all employment-related health plans were self-insured in 1984, which translates into more than 175,000 self-insured plans according to our latest study of independent health plans. The propensity of an organization to self-insure differs primarily by its size, with large establishments more likely to self-insure. In the overwhelming majority of cases, the self-insured benefit was hospital and/or medical. Among employers who self-insure, 23 percent self-administer, and the remaining 77 percent hire a commercial insurance company, Blue Cross/Blue Shield plan, or an independent third-party administrator to administer the health plan.

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Figures

Figure 1
Figure 1. Percent of organizations with self-insured health plans, by size: 1984
Figure 2
Figure 2. Percent of organizations with self-insured health plans, by type of administrative arrangement: 1984
Figure 3
Figure 3. Organizations with health plans, by type of administrative arrangement and size: 1984
Figure 4
Figure 4. Percent of organizations that offer a health maintenance organization option, by size: 1984
See this image and copyright information in PMC

References

    1. Arnett RH, Trapnell GR. Health Care Financing Review. No. 2. Vol. 6. Washington: U.S. Government Printing Office; Dec. 1984. Private health insurance: New measures of a complex and changing industry. HCFA Pub. No. 03195. Office of Research and Demonstrations, Health Care Financing Administration. - PMC - PubMed
    1. Self-insurance. Business Insurance. 1986 Jan.20(4)
    1. Coopers and Lybrand. Employee Medical Plan Costs … A Comparative Study. Dallas, Tex.: 1984. Annual Report.
    1. Cronin C. Self-insured employers face legislative scrutiny on ERISA immunity. Business and Health. 1986 Oct.3(61)
    1. Egdahl RD, Walsh DC. Containing Health Benefit Costs: The Self-Insurance Option. New York: Springer-Verlag; 1978. - PubMed

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