Question: Since a self-funded plan may or may not be insured, ultimately who retains liability for all expenses incurred?
A. The insurer
B. The employer
C. The California Guaranty Association
D. The employee/member
Answer:
A self-funded plan may or may not be insured which means that the employee/member ultimately retains liability for all expenses incurred.
Step-by-step explanation:
The self funded plans are operated in big companies in which the employers can collect the premium from those enrollees and also takes the charge of paying employees and their dependent's medical expenses. This things works like the employee has to pay the employer for the health care benefits through the funding, the amount is being set by the company, and a trust is being specially designed which can raise fund to later pay the incurred claims.