By: Ron Peck, Esq.

Yesterday we presented a webinar regarding issues that pop up when employers don’t act with consistency between their plan, handbook, behavior, and law.  We talked about situations where the employer is responsible (by contract) but stop-loss won’t reimburse; because the employer obligates themselves to do something that their plan doesn’t allow.  This is bad for the employer, but more importantly, every time an employer is bankrupt by an issue like this, it’s a black eye for our industry. This is a time of political upheaval, and the powers that be are scrambling to find a replacement for the status quo.  If self-funding is linked to these types of issues, conflict, and loss, we will not be the future of health benefits in America.  That’s bad for us, bad for healthcare, and bad for Americans.