www.sipconline.net
The Self-Insurer (ISSN 10913815) is published monthly by Self-Insurers’ Publishing Corp. (SIPC) Postmaster: Send address changes to The Self-Insurer P.O. Box 1237 Simpsonville, SC 29681
4
Editorial Staff PUBLISHING DIRECTOR Erica Massey SENIOR EDITOR Gretchen Grote CONTRIBUTING EDITOR Mike Ferguson DIRECTOR OF OPERATIONS Justin Miller
Is There a
Doctor
in the House?
ACA REVIVES
CONSIDERATION
August 2015
Volume 82
10
From the Bench New Jersey Federal Court Declines to Dismiss Action Against Brokers
14
INside the Beltway Taft-Hartley Plans Strengthen Support for SIPA
16
OUTside the Beltway SIIA Members are Effective Advocates in Many Ways, from Testimony, to Lobbying Resources, to ‘Pyramid’
20
Captive Reinsurers of Life Insurance to be Included in NAIC Accreditation
26
PPACA, HIPAA and Federal Health Benefit Mandates A Supremely Busy Week: The Supreme Court Issues Two Rulings that Impact Health Plans
of Provider-owned Health Plans Bruce Shutan
DIRECTOR OF ADVERTISING Shane Byars EDITORIAL ADVISORS Bruce Shutan Karrie Hyatt
Editorial and Advertising Office P.O. 1237, Simpsonville, SC 29681 (888) 394-5688
2015 Self-Insurers’ Publishing Corp. Officers James A. Kinder, CEO/Chairman Erica M. Massey, President
© Self-Insurers’ Publishing Corp. All rights reserved.
Lynne Bolduc, Esq. Secretary
& VAGUE
Fundamental
RIGHTS
Responsibilities
Jon Jablon, Esq. and Kelly E. Dempsey, Esq.
30 36
Taking a Leap of Faith on Captives
40
Chronic Conditions are Costing Self-Insured Employers an Arm and a Leg
48
SIIA Endeavors The 2015 National Education Conference & Expo in Our Nation’s Capitol this Fall August 2015 | The Self-Insurer
3