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Jun 2 8 tweets 2 min read Twitter logo Read on Twitter
The fiduciary duties of a self-insured employer health plan are enormous.

97% of self-insured employers do not comply with these duties.

Here they are. Once you read them, you’ll have a better idea!
Fiduciary obligations are duties that a person or entity has to act in the best interest of another party. In the context of health plan assets, fiduciaries typically include administrators or other individuals who manage the plan. These obligations can vary depending on specific… twitter.com/i/web/status/1…
2. Duty of Prudence: Fiduciaries are required to act with care, skill, prudence, and diligence when making decisions about the plan's assets. This often means making well-researched, reasoned decisions that a prudent person would make in a similar situation.
3. Duty to Diversify: Fiduciaries often have a duty to diversify the investments of the plan, in order to minimize the risk of large losses.
4. Duty to Follow Plan Documents: Fiduciaries are required to adhere to the plan's governing documents, as long as they are consistent with the law.
5. Duty to Monitor: Fiduciaries should monitor the plan's investments and overall performance on a regular basis, making changes as necessary to ensure the plan's continued success.
6. Duty to Pay Only Reasonable Plan Expenses: Fiduciaries are responsible for ensuring that the plan pays only reasonable expenses for administration, investments, and other services.

Violations of these fiduciary obligations can result in legal liability.

Therefore, it's… twitter.com/i/web/status/1…
Once self-insured employers begin taking the fiduciary duties seriously, the world of healthcare benefits will be forced to change.

#healthcare

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More from @DutchRojas

Apr 22, 2021
Lets agree to stop using the phrase “insurance card” or referring to healthcare benefits as “insurance”.

The term “insurance” makes it sound as if a magic fairy princess is paying for medical treatments.

Healthcare is not “insurance”.
Government doesn’t use an “insurance” product to pay for treatments.

Self-insured employers don’t use an “insurance” product to pay for treatments.

HealthShare organizations don’t use an “insurance” product to pay for treatments.
The majority of healthcare is paid for by pretax dollars generated through productive work.

Workers manufacture, create, design, and build products and services that result in revenues.

Those revenues are used to pay for medical treatments. Not “insurance”.
Read 5 tweets
Apr 3, 2021
Last week we paid $8,900 for an ACL repair in Virginia Beach, VA.

The patient had a deductible of just under $4,000.00.
Giving employees a raise is a big deal!

I cannot give Everyone a raise, however I can give a good number of employees around the US raises.
Approximately 100,000 Americans have ACL repair surgeries per year (274 patients per day).

The national average for an ACL repair is $22,700.
Read 5 tweets
Apr 2, 2021
We paid $3,150 for a Carpal Tunnel release in Evanston, IL.

The employer gave the patient the option to travel less than 2 hours and have the procedure paid in full or go to the hospital chosen by her physician, #Ascension and pay her deductible.
The employee chose not to stay in Wisconsin.
Instead of paying Ascension a $5,900 reimbursement, the patient didn’t have to pay her deductible of $2,700.00

That’s cool!
Read 7 tweets

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