Self-Insured Medical Reimbursement Plan as a high-deductible health plan

[billfgrady]

Q-7, A-7 of Notice 2004-2 indicates that a self-insured medical reimbursement plan sponsored by an employer can be a high-deductible health plan. How does this work? Is it enough for the participant to pay the deductible and out-of-pocket expenses using the medical reimbursement plan for insurance offered by the employer? Can anyone who has set something up explain what they did?