Large employers who assume direct responsibility or risk for
paying employees' health care without purchasing health insurance. They usually contract
with an outside firm to handle claims payment
and/or utilization review. Self-insured employers are
not required to provide specific benefits and do not pay state
insurance tax.*
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*Extracted from Family Physicians
and Managed Care: A View to the 90's: (paperback 1993) with permission from American Academy of Family Physicians
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