Articles

The Self-Insurers’ Publishing Corp. (SIPC) is a diversified media company offering various educational tools for alternative risk transfer professionals. Our articles, written by seasoned industry experts, are guaranteed to assist today’s ART specialist.

August 2018

• ONSITE Synergy What happens when corporate medical clinics are offered alongside exercise facilities? Clinical pathways intersect with fitness trails-widening the road to prevention, treatment and employee wellness
  authored by Bruce Shutan
• Catching the Insurtech Wave
  authored by Karrie Hyatt
• INSIDE the Beltway: AHP Interest Heats Up After DOL Rule Finalization
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Much Needed Correction in the Second Circuit...Is Relief (Equitable, That Is) Around the Corner?
  authored by Christopher Aquiar
• SIIA Endeavors
• Member News
   

July 2018

• PAIN-FREE PATHWAYS How treating chronic pain without opioids or surgery in most cases improves clinical outcomes and lowers costly medical and work comp claims
  authored by Bruce Shutan
• Another Success in Court for RRGs
  authored by Karrie Hyatt
• INSIDE the Beltway: SIIA's "Fly-In" Participants Find Positive Attitudes among Congress
  authored by Dave Kirby
• When Benefits and Exclusions Create a Crossroads between Plan and Employer Requirements
  authored by Erin M. Hussey, Esq.
• Sensitive Health Data Rising Stakes and Sound Security Practices
  authored by Mark Hartnett
• SIIA Endeavors: London Calling for SIIA Members
• Members News

June 2018

• Revisiting MEWAs Years after insolvency, unpaid claims and fraudulent schemes soiled multiple employer welfare arrangements, regulatory improvements have made them viable again for smaller markets
  authored by Bruce Shutan
• One Captive, Two Captive, Three- The Benefits of Multiple Captives
  authored by Karrie Hyatt
• OUTSIDE the Beltway: SIIA Members Rally to Support Stop-Loss in New York
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA0, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• RRGs Report Nearly $287 Million Profit in 2017, Remain Financially Stable
  authored by Douglas A. Powell
• Conflicting Policies and Courts: When Plan Language Creates More Litigation than Coverage
  authored by Catherine Downie
• SIIA Endeavors
• SIIA's International Conference in Monterrey, Mexico
• SIIA's Self-Insured Workers' Compensation Executive Forum, Charleston, South Carolina
• Member News

May 2018

• Precision Medicine: The Power of Personalization How emerging practices will help prevent disease, optimize treatment, improve clinical outcomes and reduce costs across group health, Rx benefits, behavioral health and work comp
  authored by Bruce Shutan
• Filling In the Talent Gap
  authored by Karrie Hyatt
• INSIDE the Beltway: SIIA Captive Member Advocacy Results in Congress Passing PATH Act Clarifications
  authored by Dave Kirby
• Self-Insured Group Finds Success in Holistic Approach to Risk Management
  authored by Frank X. Altiere III, CPCU, ARM, AU, AIS, RF, IIA
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Cause and Effect? Rising out-of-pocket costs for health care services seen as culprit for misrepresentation of non-work injuries or conditions that drive fraudulent work comp claims
  authored by Bruce Shutan
• The Practical Impact of Ariana M. v. Humana Health Plan of Tex., Inc. on ERISA Denials of Benefits
  authored by Patrick Ouellette, Esq.
• SIIA Endeavors
• Members News

April 2018

• Bracing for a Seismic Shift: Disruptive innovation may be coming to a TPA near you as the industry evolves from claims adjudication to more of a strategic role in self-insurance
  authored by Bruce Shutan
• Affecting the Future of Captives Minor changes in 2017 could have lasting affect on the captive industry
  authored by Karrie Hyatt
• Self-Insurance Industry Executives Share Candid Opinions at SIIA Town Hall Event
• SIIA Self-Insured Health Plan Executive Forum Attendees Hit the Links (SIEF Golf Tournament Results)
• INSIDE the Beltway: Appeal to DOL on AHP Regulations Continues SIIA's Two-Decade Effort
  authored by Dave Kirby
• RRGs Report Net Income in Third Quarter 2017
  authored by Douglas A. Powell
• Drowning in A Sea of Paper
  authored by Tim Callendar, Esq.
• SIIA Endeavors
• Members News

March 2018

• Stop-Loss Pitfalls Mindful of lasering and renewal obstacles for self-funded employers with large ongoing claims, innovative solutions are paving the way to peace of mind
  authored by Bruce Shutan
• Taking Control of Claims Management WITH YOUR CAPTIVE
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• True Transparency? Fiduciary PBMs emerge as response to consolidation of Rx dispensing, concern over conflicts of interest and need for deeper clinical expertise
  authored by Bruce Shutan
• Trump Tax Bill Signals the Swan Song for Obamacare's Individual Mandate
  authored by Sean Donnelly
• SIIA Endeavors
• Members News

February 2018

• South of the BORDER Latin America remains fertile ground for partnerships to elevate the standing of self-insurance and group captive solutions
  authored by Bruce Shutan
• Federal Expansion of Association Health Plan: The Time is NOW?
  authored by Ryan Work
• INSIDE the Beltway SIIA Supports Waiver of ACA Employer Mandate Penalties
  authored by Dave Kirby
• OUTSIDE the Beltway SIIA Delegation Finds Maine Review of Stop-Loss Taking a Positive Direction
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Offshore Domiciles Still a Draw for Captives
  authored by Karrie Hyatt
• Controlling Hospital Charges for Self-Funded Plans
  authored by Phillip C. Giles, CEBS
• SIIA Endeavors
• Members News

January 2018

• OFF THE RADAR Private exchanges, once touted as the future of benefits delivery, are said to be quietly growing and evolving amid skepticism about their value proposition and high fees
  authored by Bruce Shutan
• Self-Insurance at Its Best: RRGs Insuring RPGs
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• ACA Enforcement Update: IRS Employer Mandate Enforcement and Cadillac Tax Implementation
• Buyer Beware -  No Good Deed Goes Unpunished
  authored by Ron E. Peck, Esq.
• Association Active Across Multiple States Protecting the Self-Insurance Marketplace
• SIIA Endeavors
• Members News

December 2017

• Beyond Opioids EAPs, clinical resources and benefit plan design, along with the right corporate culture, can help self-insured employers manage a host of addictions across group medical and work comp
  authored by Bruce Shutan
• Captives Primed to Take on Reputation Risk
  authored by Karrie Hyatt
• Outside the Beltway SIIA Leads Educational Effort in Maine Stop-Loss Review
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Opioids and Your Injured Worker An expert explains the real impact of opioid therapy on your workers' compensation cost
  authored by Edward J. Bernacki, M.D., M.P.H.
• Managing Plan Communication During a Time of Legislative Uncertainty
  authored by Corrie Cripps
• SIIA Endeavors
• News from SIIA Members

November 2017

• SIIA Endeavors National Conference Wrap Up Attendees urged to embrace change, prepare for business disruptions
  authored by Bruce Shutan
• SIIA National Conference Attendees Support Self-Insurance Educational Foundation
• A Silver Lining in the Tax Court Decision Against 831(b) Captive
  authored by Karrie Hyatt
• Inside and Outside the Beltway Oklahoma tax reinsurance program proposal withdrawn; SIIA orchestrated action to prevent stop-loss assessments
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Interim Final Rules Update
  authored by Krista Maschinot
• News from SIIA Members

October 2017

• SIIA Endeavors On the Record With SIIA President & CEO Mike Ferguson
  authored by Dave Kirby
• Leading the Political Advocacy Charge for Captives SIIA Active in Protecting & Promoting this Important Segment of the Self-insurance Marketplace
  authored by Ryan Work
• Introducing SIIA Members to Monterrery, Mexico Vibrant and Welcoming City to Host SIIA's 2018 Latin America International Conference
  authored by Michael W. Ferguson
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Staying the Course How to sustain success in workplace wellness can be much more than behavior modification and a driving force across self-funded employee populations
  authored by Bruce Shutan
• Catching Up with Risk Purchasing Groups
  authored by Karrie Hyatt
• Easy to Swallow Work comp formularies help states rein in claims, improve efficacy and speed return to work
  authored by Bruce Shutan
• The Future of Self-Funding -  An Insider's Take
  authored by Adam V. Russo, Esq.
• News from SIIA Members

September 2017

• Staying Safe: A Tale of Two Captives Differing programs that help manage high-risk construction for work comp and other lines lay groundwork for safety culture
  authored by Bruce Shutan
• Regulating Insurers' CYBERSECURITY
  authored by Karrie Hyatt
• Outside the Beltway SIIA delegation ready to appear on Proposed Nevada stop-loss regulations
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Mobile Medicine Offers Quicker Treatment, Better Outcomes
• Paying Attention to Cancer Pays Off for Your Employees
  authored by Lillie D. Shockney
• Aid-in-dying laws and the Implications for Self-Funded Plans
  authored by Maribel E. McLaughlin, Esq.
• SIIA Endeavors
• News from SIIA Members

August 2017

• Power of Portals Technology credited with driving both benefits administration and employee engagement to bolster cost containment
  authored by Bruce Shutan
• Inside the Beltway SIIA Members Request Rescission on IRS Captive Reporting Rule in Letter to Treasury, Meetings with Congress
  authored by Dave Kirby
• Outside the Beltway NY Stop-Loss Grandfathering Extension Is a Win for Smaller Employee Health Plans
  authored by Dave Kirby
• Captives Offering Insurance Solutions for the Sharing Economy
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• State-mandated Continuation of Coverage and ERISA Preemption: What Self-funded Employers Need to Know
  authored by Brady Bizarro, Esq.
• SIIA Endeavors
• News from SIIA Members

July 2017

• Helping Hands Patient advocacy programs seen as engine that powers not only health engagement, but also reference-based pricing model
  authored by Bruce Shutan
• Cyber Threats in the Insurance Market and Captives
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Taking Health Care International -  The Growing Trends of Importing Care and Exporting Patients
  authored by Andrew Silverio
• Despite Mixed Reported Results, RRGs Remain Financially Stable
  authored by Douglas A. Powell
• SIIA Endeavors
• News from SIIA Members

June 2017

• How to SLICE and DICE the Value of Leading Surgical Procedures Transparent pricing tools steer patients to best facilities
  authored by Bruce Shutan
• Inside the Beltway Members report positive receptions in Congressional offices during Legislative/Regulatory Conference
  authored by Dave Kirby
• Outside the Beltway New Mexico ceases defining Stop-loss as "health insurance" Extension sought for grandfathered plans in NY
  authored by Dave Kirby
• Captives Meeting a Need in Terrorism Risk
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Air Ambulances: Head in the Clouds
  Jon A. Jablon, Esq.
• SIIA Endeavors
• News from SIIA Members

May 2017

• The Enemy Within
  authored by Bruce Shutan
• Inside the Beltway House Overwhelmingly Passes SIIA-Backed Self-Insurance Bill Seeking Similar Senate Result
  authored by Dave Kirby
• Outside the Beltway New Minnesota Stop-Loss Law Expands Self-Insurance Options
  authored by Dave Kirby
• IRS Continues to Investigate Captives Choosing the 831(b) Tax Option
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Don't Let Your LOAs Leave You DOA
  authored by Kelly E. Dempsey
• SIIA Endeavors
• News from SIIA Members

April 2017

• State of Emergency
  authored by Bruce Shutan
• Life Insurance Captive Reinsurers Are Stepping Out Of The Shadow
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefits Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Opioid Epidemic, Substance Use, Predatory Treatment Facilities, & Complex Case Management Considerations
  authored by Richard T. Lindsey Ph.D, Robert A Mines Ph.D, and Dani Kimlinger Ph.D
• A Year Later... Montanile Remembered, Lessons Learned
  authored by Christopher M. Aguiar Esq.
• Alternative Places of Service: An Era of Rapid Growth
  authored by Robin Gelburd
• SIIA Endeavors
• News from SIIA Members

March 2017

• Captivating Options Variations in enterprise risk captive insurance help smaller or midsize firms cut costs and improve operational efficiency
  authored by Bruce Shutan
• Ups and Downs for the Captive Sector in 2016
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• The Next Evolution of Referenced Based Reimbursement (RBR) Programs
  authored by Corte B. Iarossi
• Held Captive by Appeals
  authored by TIm Callender, Esq.
• SIIA Endeavors
• News from SIIA Members

February 2017

• Fertile Ground
  authored by Bruce Shutan
• Appealing to Reason
  authored by Jon A. Jablon, Esq.
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Captive Insurers and ORSA
  authored by Karrie Hyatt
• SIIA Endeavors
• News from SIIA Members

January 2017

• Telemedicine's Tipping Point
  authored by Bruce Shutan
• Directors and Officers Liability Coverage is More Important Than Ever Before
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Benefit Mandates 
  The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Whom Do You Trust with Your Customers' Medical Information? Make Sure Your Vendors and Providers Are Secure
  authored by Andrew Weaderhorn
• Self-Funded Health Plan May Have a New Ally in the Fight against Specialty Drug Prices
  authored by Brady Bizarro, Esq.
• SIIA Sets Course for Next Round of Health Care Reform
• Foundation Plays Key Role in Supporting the Self-Insurance Industry
• SIIA Endeavors
  authored by Bruce Shutan
• Members News

December 2016

• Practicing What's Always Been Preached One SIIA member finally plunged into self-insurance for its own employees
  authored by Bruce Shutan
• ICCIE Takes the Lead in Captive Education
  authored by Karrie Hyatt
• OUTside the Beltway SIIA Launches "2nd Half" Campaign To Support NY Groups of 51-100
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portablility and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• Section 1557: Removing the Gender Divide in Employer Medical Plans
  authored by Jennifer M. McCormick
• SIIA Endeavors Association Continues to Improve its Political Positioning During Times of Change
  authored by Bruce Shutan
• News from SIIA Members

November 2016

• What You Don't Know Can Hurt You: Be Prepared For the Unintended Consequences of Effective Cost Containment
  authored by Christopher M. Aquiar, Esq.
• Premium Finance: The Solution You Didn't Know You Were Looking For
  authored by Karrie Hyatt
• OUTside the Beltway SIIA Members Support Stop-Loss In Washington State Meeting
  authored by Dave Kirby
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
  authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor
• SIIA Endeavors: SIIA's 36th National Educational Conference Wrap Up
  authored by Bruce Shutan
• News from SIIA Members

October 2016

• Think Outside of the Wrap
  authored by Adam V. Russo
• Rx Adherence: Where Rubber Meets Road Integrated claims management strategy seen as way to rein in runaway drug costs
  authored by Bruce Shutan
• Risk Retention Group Legislation Marks 30th Anniversary
  authored by Karrie Hyatt
• ACA, HIPAA and Federal Health Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• SIIA Endeavors On the Record with SIIA President & CEO Mike Ferguson
  authored by David Kirby
• Controlling Health Benefit Costs with Fully-Insured Organ Transplant Solutions
  authored by Russ Jehs
• News from SIIA Members

September 2016

• A Matter of Health & Safety Has the time come to break silos on group medical, wellness, and workers' comp?
  authored by Bruce Shutan
• IAIS Issues Timely Paper on Captive Regulation
  authored by Karrie Hyatt
• Recent Challenges to the Uniform Enforcement of Subrogation and Reimbursement Provisions Under ERISA
  authored by Catherine Dowie
• ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
• The Intersection of Wellness and Workers' Compensation
  authored by Mark Pew
• SIIA Endeavors National Conference & Expo is scheduled for September 25th - 27th at the JW Marriott Austin in Austin, TX
• News from SIIA Members
• SIIA Chooses Puerto Rico for 2017 International Conference

 

August 2016

• Sound Minds & Bodies Holistic Medicine Emerging as Tool to Manage Costs and Outcomes
  authored by Bruce Shutan
• From the Bench Virginia Federal Court Relies on Virginia Economic Loss Rule to Limit Claims by Group Against Broker TPA
  authored by Tom Croft
• Despite Underwriting Losses, RRGs Remain Financially Stable
  authored by Douglas A. Powell
• INside the Beltway Task Force Makes Congressional Rounds on Behalf of Enterprise Risk Captives
  authored by Dave Kirby
• Common Investment Mistakes Made by Captive Owners
  authored by Karrie Hyatt
• Appeal Games Providers Play: Stick to the Rules for the Win
  authored by John R. Christiansen
• What do Population Health Management, Capties and Reinsurance Have in Common?
  authored by Mark Troutman
• SIIA Endeavors Mark Your Calendar for the Next Month's 36th Annual National Conference & Expo in Austin, Texas
• News from SIIA Members
  authored by Wrenne Bartlett

 

July 2016

• An Emerging War on Drug Cost Rx Program Efficiencies May Lie Beyond U.S. Borders
  authored by Bruce Shutan
• A Dose of Reality
  authored by Ron E. Peck, Esq.
• INside the Beltway SIIA Members Working to Clarify New Law Governing Small Captives
  authored by Dave Kirby
• OUTside the Beltway Government Relations Committee Prepares Rebuttal to Washington State Stop-Loss Rules
  authored by Dave Kirby
• Self-Insurance Innovation Self-Insured Health Plans Leading the Way on Innovation
  authored by Wrenne Bartlett
• So, You Want to Start A Captive?
  authored by Karrie Hyatt
• PPACA, HIPAA and Federal Health Benefit Mandates So-Called Tax Free "Wellness Plan" Reimbursement-Not So Good for Employers' or Employee' Financial Health
  authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor
• SIIA Endeavors The Self-Insurance Industry's Experience of the Year... SIIA's 36th Annual National Conference & Expo in Austin, Texas

 

June 2016

• Does Wellness REALLY Measure Up? Some Say ROI is Unattainable, While Others Focus on Outcomes
  authored by Bruce Shutan
• Group Captives Mitigating Costs of MPL Insurance
  authored by Kerri Hyatt
• INside the Beltway SIIA Takes the Case for Self-Insurance to Congress on Both Sides of the Aisle
  authored by Dave Kirby
• OUTside the Beltway Self-Insurance Industry Provided Stop-Loss Forum in New Mexico
  authored by Dave Kirby
• United Cuts Ties with the Exchanges-But Who is to Blame?
  authored by Andrew Silverio, Esq.
• Medical Stop-Loss Captives Issues & Answers
  authored by Phillip C. Giles and Steven A. McFarland
• How a Consumer-Focused, Engaged Telehealth Strategy Can Boost Utilization and Lower Costs
  authored by Jim Prendergast and Reed Smith
• Self-Funded Dental: A Win for Everyone
  authored by Alan Bayse
• SIIA Endeavors There are Many Ways to Get Involved and Help Support Our Industry

May 2016

• Work Comp's Bitter Pill Ending Opioid Abuse Critical to Speeding Return to Work
  authored by Bruce Shutan
• From the Bench Louisiana Federal Court Rejects Defendant's ERISA Preemption Claims in Suit Against Stop-Loss Carrier
  authored by Thomas A. Croft, Esq.
• OUTside the Beltway Seemingly Every Day We Wake Up to New Challenges from the States
  authored by Dave Kirby
• How Powerful is the Plan Document REALLY?
  authored by Jon Jablon, Esq. and Tim Callender, Esq.
• Onsite Case Management an Effective Way to Control Shock Claim Costs
  authored by Dwight Mankin and Joseph Sweeney
• Despite Mixed Reported Results, RRGs Remain Financially Stable
  authored by Douglas A. Powell
• IRS 831(b) Still Critical of Captives but NEW Legislation May Change That
  authored by Karrie Hyatt
• PPACA, HIPAA and Federal Health Benefit Mandates So You Heard About HIPAA Phase 2 Audits. What Shoudl You Do Now?
  authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor
• SIIA Endeavors Recap: 2016 Annual International Conference in Costa Rica