Self-Insurance Protection Act
Summary
What This Bill Does
The bill creates congressional findings establishing that employers use stop-loss insurance as a financial risk management tool and arguing for state regulation that ensures availability (added version), reduces congressional findings establishing the factual and policy basis for the bill (removed version), and amends ERISA to exclude stop-loss insurance policies from the federal definition of 'health insurance coverage' (removed version). It relies on exemptions and definition changes. The main policy areas are Health Insurance and Finance.
Who Benefits and How
Stop-loss insurance providers could face lower compliance burdens, State insurance regulators could face lower compliance burdens, and Self-insured employers purchasing stop-loss coverage could face lower compliance burdens.
Who Bears the Burden and How
Stop-loss insurance providers would take on compliance duties, State insurance regulators would take on compliance duties, and Self-insured employers would take on compliance duties.
Key Provisions
- Creates congressional findings establishing that employers use stop-loss insurance as a financial risk management tool and arguing for state regulation that ensures availability (added version).
- Reduces congressional findings establishing the factual and policy basis for the bill (removed version).
- Amends ERISA to exclude stop-loss insurance policies from the federal definition of 'health insurance coverage' (removed version).
- Exempts preempts state laws that prevent self-insured group health plans from purchasing stop-loss insurance, removing state regulatory authority over stop-loss coverage (removed version).
- Creates congressional findings establishing the factual and policy basis for the bill, describing the role of stop-loss insurance in self-funded health plans.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill creates congressional findings establishing that employers use stop-loss insurance as a financial risk management tool and arguing for state regulation that ensures availability (added version), reduces congressional findings establishing the factual and policy basis for the bill (removed version), and amends ERISA to exclude stop-loss insurance policies from the federal definition of 'health insurance coverage' (removed version).
Key Policy Areas
Health Insurance, Finance
Primary Purpose
The bill creates congressional findings establishing that employers use stop-loss insurance as a financial risk management tool and arguing for state regulation that ensures availability (added version), reduces congressional findings establishing the factual and policy basis for the bill (removed version), and amends ERISA to exclude stop-loss insurance policies from the federal definition of 'health insurance coverage' (removed version).
Policy Domains
Whole bill
Identified Gains
- Stop-loss insurance providers
- State insurance regulators
- Self-insured employers purchasing stop-loss coverage
- Self-insured employers (small and large)
- Third-party administrators of self-insured plans
Identified Costs
- Stop-loss insurance providers
- State insurance regulators
- Self-insured employers
- Employees in self-insured plans with low attachment points
Sponsors
Legislative Progress
ReportedAdditional sponsors: Mr. Messmer and Mr. Grothman
Reported with an amendment, committed to the Committee of the …
Placed on the Union Calendar, Calendar No. 356.
Reported (Amended) by the Committee on Education and Workforce. H. …
Committee Consideration and Mark-up Session Held
Ordered to be Reported (Amended) by the Yeas and Nays: …
Introduced in House
Referred to the House Committee on Education and Workforce.
Mr. Onder introduced the following bill; which was referred to …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Stop-loss insurance providers, Third-party administrators of self-insured plans
Stop-loss insurance providers faces effects in multiple directions
Self-insured employers, Self-insured employers (small and large), Self-insured employers purchasing stop-loss coverage
Positive-direction: Self-insured employers (small and large), Self-insured employers purchasing stop-loss coverage
Negative-direction: Self-insured employers
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology