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Muh Muh Muh My Corona (virus)

Discussion in 'Sports and News' started by Twirling Time, Jan 21, 2020.

  1. Alma

    Alma Well-Known Member

    Totally agree. The vax is not a big deal. Get the damn thing, you’ll be fine.
     
  2. Mr._Graybeard

    Mr._Graybeard Well-Known Member

  3. LanceyHoward

    LanceyHoward Well-Known Member

    i recently traveled around the Southwest. There was obviously a shortage of maids. At a Hyatt in Boulder, Colorado I had to argue with the front desk to get my room cleaned after four days. Pre pandemic there were a sufficient maids in Colorado.

    Where did all the maids go then. I visit Denver a lot and I know the maids almost always come from Mexico. So when the country shut down last spring did the illegals who were working as maids stay and pay Denver rents or did they go home? I think many went home. Also, when I was in Denver virtually every fast food place was advertising for help at $14 an hour.

    I believe the surge at the border are people from depressed economies trying to get to $14 an hour jobs that had been vacated when the country shut down.
     
  4. Baron Scicluna

    Baron Scicluna Well-Known Member

    Let’s say you have Delta Employee X, who has a self-funded plan. Delta deducts some money from X’s paycheck and adds their own contribution. Delta makes a deal with Insurance Company Y to administer Delta’s plan. Delta gives the money budgeted for its insurance to Insurance Company Y to keep separately from Y’s own money and other self-funded plans’ money. Y administers the plan and processes claims because Delta is busy flying planes, but they do so with Delta’s money and usually Delta’s guidance, since the plan is used solely for Delta’s employees/families’ claims, as opposed to plans that Y operates on its own and funds through its own business operations.

    Because of this, self-funded employer plans are typically governed by different laws than fully-funded plans which are operated by insurance companies with the money that they generate.
     
  5. Alma

    Alma Well-Known Member

    I don't doubt there is a shortage, sure. People don't want to do that job for the wages paid, in part because the wages are low for the work that's done, and the wages are low because immigrants, perhaps not here legally, are willing to work for them.

    Why this exploitation is passed off as a good thing, I...really don't know.
     
  6. Machine Head

    Machine Head Well-Known Member

    Think I met this guy earlier today:

     
  7. Machine Head

    Machine Head Well-Known Member

    He seems to be reading off his left wrist to cite the Nuremberg Code.
     
  8. The Big Ragu

    The Big Ragu Moderator Staff Member

    I don't follow any of this. I don't know what you mean by self-funded. But what I know Delta does, is self insure. As do a lot of large companies. What they are doing is the same exact thing that a third-party insurer does in paying medical claims. They just do it themselves, because they are insuring enough people that they feel they can get some economies of scale and they can save on the administrative costs, overhead and profit of a third party.

    You're not explaining why a self insurer would be regulated differently than someone who contracts with a third-party insurer. They might be, I honestly don't know, but there would be no good reason for it other than the usual regulatory arbitrariness, which is usually a function of who contributed what to whom to buy what carve out or exemption.
     
  9. HanSenSE

    HanSenSE Well-Known Member

    But, like you said, it's Twitter.
     
    SFIND likes this.
  10. Baron Scicluna

    Baron Scicluna Well-Known Member

    Self-insured is a synonym for self-funded, and vice versa. Essentially, it means that money being paid out for claims is being paid by the employer (self-funded/self-insurer) not an insurance company. The employer may or may not hire an insurance company to administer claims. As you said, if they are large enough and it’s profitable for them to do so, they may do it themselves.

    A self-insurer that administers their own claims would not be regulated differently than a self-insurer who hires an insurance company to administer claims. A self-insured/self-funded plan would be regulated differently than a fully-funded plan (such as a business purchasing a group plan for its employees from an insurance company or individuals buying their own plans).

    As for regulations, self-funded/self-insured typically fall under federal jurisdiction while fully funded plans typically fall under state jurisdiction, although there are some regulations for the plans that fall under the opposite regulator (COVID testing regulations, for example).

    I found this article which seems like a pretty decent explainer:

    What Is Self-Insured Health Insurance?
     
    Last edited: Aug 26, 2021
  11. doctorquant

    doctorquant Well-Known Member

    Sigh ... whether the check comes from an insurer or an employer, the money's coming from the employer.
     
  12. The Big Ragu

    The Big Ragu Moderator Staff Member

    So regardless of how they are inanely / arbitrarily regulated, what difference does it make who pays claims / assumes the risk?
     
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