The Real Cost of NSA Arbitration

An In-Depth Review of More Than 1.25 Million Federal Disputes

Natiuonal NSA Report Flyer

The IRS’s Hidden Blueprint

July 28, 2025

This article examines the often-overlooked role the Internal Revenue Code plays in shaping self-funded health plans. While ERISA governs many operational aspects of plan administration, tax law ultimately establishes the framework that allows these plans to exist and maintain their tax-advantaged status, making it a critical but frequently misunderstood component of plan governance.