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SEPTEMBER 2013 | Volume 59
September 2013 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
FEATURES
10 From the Bench: Two Cases, Same Party 14 ART Gallery: Obamacare Iceberg:
Editorial Staff
Worry About the Part You Don’t See
PUBLISHING DIRECTOR James A. Kinder
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MANAGING EDITOR Erica Massey
SENIOR EDITOR Gretchen Grote
Analytics for Self-Insurers by Robin Gelburd
The Importance of Data
Benefit Mandates: The Supreme Court DOMA Decision: Impact on Health Benefit Plans
for Duel-Eligible Beneficiaries of Medicare and Medicaid by David J. Korch
CONTRIBUTING EDITOR Mike Ferguson DIRECTOR OF OPERATIONS Justin Miller
Editorial and Advertising Office P.O. 1237, Simpsonville, SC 29681 (888) 394-5688
18 PPACA, HIPAA and Federal Health
36 Resolving Catastrophic Claims
DESIGN/GRAPHICS Indexx Printing
DIRECTOR OF ADVERTISING Shane Byars
ARTICLES
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10 Point Checklist Before You Adopt A Captive by Bruce Givner, Esq.
INDUSTRY LEADERSHIP 44 SIIA President’s Message
2013 Self-Insurers’ Publishing Corp. Officers James A. Kinder, CEO/Chairman Erica M. Massey, President Lynne Bolduc, Esq. Secretary
© Self-Insurers’ Publishing Corp. All rights reserved.
The Self-Insurer | September 2013 3