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Showing results for tags 'HRA MERP'.
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I am considering a 5000.00 Deductible Plan to offer a Long Term Client. The plan will have Office Copays and a Drug Card so it is not an HSA compatible plan. The group has about 90 employees, some of which cover dependents which brings the total number of insured lives to about 120. The employer would be comfortable in self insuring through an MERP the first 4500 of claims after applying a 500 deductible, so long as he could cap his maximum exposure to as an example 50,000 per year. Can I find an insurer to cover the potential difference of 120 lives reaching their 4500 MERP limit? I can envision the MERP or HRA being administered in such a way that at the end of the plan year only, any expenses that exceed the 50,000 self insured portion are submitted at a single time. In other words, the employer pays over the course of the year 75,000 in medical expense and applies their 50,000 first, and then submits the 25,000 on to the reinsurer as a single claim.
