Way, way OT GoodRx
jmcquown wrote:
> On 10/7/2015 9:00 AM, Cindy Hamilton wrote:
>> On Wednesday, October 7, 2015 at 7:57:42 AM UTC-4, Gary wrote:
>>>
>>> It's not just his co-workers on the same policy, it's all the people
>>> worldwide that use the same company and don't claim much. Insurance
>>> companies make a fortune overcharging everyone for health insurance.
>>> Some customers develope large and expensive health problems and they
>>> win. Most people pay each year and don't claim much. They pay for the
>>> sicker ones.
>>
>> Not exactly. His company is self-insured. There's an outfit that
>> administers claims, but the company pays the claims directly, out
>> of the pool of money that is filled up by the premiums that they
>> and we pay.
>>
>> Cindy Hamilton
>>
>>
> Yep, self-insured plans are a different animal. There is usually
> reinsurance which will kick in when the self-insured retention (SIR)
> hits a certain level (say, $200,000 in claims). Often additional
> reinsurance is added on top of that, generally only for very large
> companies), known as aggregate coverage. And yes, a third-party
> claims administrator handles the processing. (I've worked for a
> couple of TPA's.)
>
> Jill
>
Is there anywhere you haven't worked?
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