Muh Muh Muh My Corona (virus)

The rationale is that they didn’t want insurance companies putting profits above paying claims, so they put in a floor. The government wanted companies to not use the insurance equivalent of the Pittsburgh Pirates as their role model.

 

https://www.ashland.or.us/Files/Self Insurance FAQ.pdf

Obviously when you self-insure, you want your staff to stay healthy. If you are in a business like a school division, going the route of self-insurance is tempting. Many school districts will have over 1,000 employees, so there is a way to project how many cancers, diabetics, pregnancies and what ever else will be draws on your self-insurance. You can’t stop people fucking, but you can try to get them healthier in their day to day life so fewer claims happen.

The one area that self-insured feel they can have the most cost-savings is work place injuries that require workman’s compensation. I remember HR complaining they lost $100,000 because three teachers got hurt hanging stuff up. The solution? $25,000 was spent providing them with good step ladders. Literally, that’s what one broken bone on a fall costs.

So, how does COVID factor into this? If I contract COVID on the job, am I able to get workman’s comp? At the best for HR, I’m still staring down a massive hospital bill for an employee on a vent.

Honestly, insurance is going to end COVID, or it’s our best hope. Employers who are self-insured are not going to put up with it. And the GOP, whose big wigs all have thousands upon thousands and millions upon millions of self-insured employees will welcome it. Fuck your freedom. Now you’re fucking with my bottom line.

 

Not according to these folks:

The Pros and Cons of Self-Funded Health Plans - Word on Benefits

 

• The employer retains funds when health claims are lower than expected.

 

Disadvantages of a Self-Funded Health Plan
Self-funding a health plan also carries a number of disadvantages, including the following:

• The employer is exposed to risk of high losses due to extraordinary claims.
• Current year expenses will be unpredictable.
• There is a possibility of financial loss due to operational inefficiencies.
• The risk of regulatory penalties and lawsuits increases due to the potential for errors caused by ignorance or lack of understanding.
• There is a higher risk of in-house fraud or abuse.
• The employer is exposed to higher risk based on demographics of the employee population (e.g., an employee population that skews older could increase the risk of high health claims).

 

Do you ever realize how condescending you are?

you obviously have knowledge, share it and educate instead of using it to bludgeon.

We’re exchanging ideas here right? No one “wins” do they?

 

Sure they can. My response was in reference to fully-funded plans, which is what the law addresses.

As I've said before, whether that should morally occur or not is an entirely different discussion.