Section 10: Plan Funding August 27, 2004 Report Exhibit 10.1Exhibit 10.5Exhibit 10.2Exhibit 10.6Exhibit 10.3Exhibit 10.7Exhibit 10.4 10 A self-funded plan is one in which the employer assumes direct responsibility for the costs of enrollees’ medical claims. Employers sponsoring self-funded plans typically contract with a third-party administrator or insurer to provide administrative services for the self-funded plan.
Section 9: Prescription Drugs and Mental Health Benefits August 27, 2004 Report Exhibit 9.1Exhibit 9.5Exhibit 9.2Exhibit 9.6Exhibit 9.3Exhibit 9.7Exhibit 9.4Exhibit 9.89 There are fewer observations for estimating the average copayment for four-tier drugs compared to other drug types.
Section 8: Health Benefits August 27, 2004 Report Exhibit 8.1Exhibit 8.4Exhibit 8.2Exhibit 8.5Exhibit 8.3
Section 6: Employee Contributions for Premiums August 27, 2004 Report Exhibit 6.1Exhibit 6.9Exhibit 6.2Exhibit 6.10Exhibit 6.3Exhibit 6.11Exhibit 6.4Exhibit 6.12Exhibit 6.5Exhibit 6.13Exhibit 6.6Exhibit 6.14Exhibit 6.7Exhibit 6.15Exhibit 6.8
Section 5: Market Shares of Health Plans August 27, 2004 Report The distribution of enrollment among types of health plans has remained fairly constant over the past several years. The majority of covered workers are enrolled in PPO plans (55%), followed by HMO plans (25%) (Exhibit 5.1). Although annual changes in plan enrollment have been moderate, enrollment in PPO plans has…
Section 4: Health Insurance Choice August 26, 2004 Report Exhibit 4.1Exhibit 4.6Exhibit 4.2Exhibit 4.7Exhibit 4.3Exhibit 4.8Exhibit 4.4Exhibit 4.9Exhibit 4.5Exhibit 4.105Survey respondents were asked whether the firm offers a personal or health savings account, including a Health Reimbursement Arrangement (HRA) or other type of health savings account option.6There are several savings account options permitted under the law, including health reimbursement…
Health Insurance Coverage of the Near Elderly July 31, 2004 Report This report examines the changes in income, health status, and insurance coverage that occur with the aging of the population, focusing primarily on the nearly 26 million near elderly–those between 55 and 64 years of age.Report (.pdf)
New Reports Examine Near-Elderly Health Coverage Trends and Six Near-Elderly Uninsured Individuals’ Experiences with the American Health Care System July 31, 2004 Report Two new reports focus on health coverage in the near elderly (age 55-64) population. One report examines trends in the population's income, health status, and insurance coverage and the other report profiles six near-elderly uninsured individuals' life challenges in the years preceding Medicare eligibility. Health Insurance Coverage of the Near…