What Is a Self-Insured Health Plan? A Guide for Employers

Bill Capece explains what a self-insured health plan is

By Bill Capece, Director of Business Development, JS Benefits Group For employers facing rising health insurance costs, self-insured health plans can provide another way to approach healthcare financing. But self-funding is more than simply changing insurance plans. It changes how an employer assumes risk, pays claims, analyzes healthcare spending and manages its overall benefits strategy. […]

Do New Jersey Infertility Coverage Requirements Apply to My Company’s Health Insurance Plan?

Benefits professionals discussing New Jersey infertility coverage requirements in office

Quick Answer: New Jersey infertility coverage requirements generally apply to qualifying insured group health plans issued or renewed in New Jersey for groups with more than 50 people when the plan includes hospital or medical benefits and pregnancy-related coverage. The mandate generally does not apply to private self-funded employer plans, New Jersey small-group coverage, or […]

Should a New Jersey Employer Use the State TDI and FLI Plan or a Private Plan?

New Jersey benefits planning desk comparing state and private plan options

Quick Answer: A New Jersey TDI and FLI private plan is worth considering when its cost, claims administration, or approved benefits offer a meaningful advantage over the State Plan. The State Plan is often simpler because New Jersey administers the benefits and no private-plan approval is required. A private plan must be approved by the […]

Which Employers Must Follow New Jersey 1095 Filing Requirements?

Employers reviewing New Jersey 1095 filing requirements in a modern office

Quick Answer: New Jersey 1095 filing requirements can apply when an employer provides minimum essential health coverage to New Jersey residents. Self-insured employers generally file the coverage information directly with the state, while fully insured employers normally rely on their insurance carrier. Multiemployer plan sponsors generally file for their plans. However, an employer may have […]

How Does New Jersey Small Group Continuation Differ From Federal COBRA?

Benefits professional representing New Jersey small group continuation and federal COBRA

Quick Answer: New Jersey Small Group Continuation, or NJSGC, can provide continuation coverage through insured New Jersey small-group health plans, including for employers too small for federal COBRA. Federal COBRA generally applies to employers with at least 20 employees and can cover insured or self-funded plans. NJSGC generally gives a qualified person 30 days after […]