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by AlexandrB 2417 days ago
If it's a "self-insured" plan[1], your employer potentially has access to all insurance claims because they are the insurer. That's not the same as access to complete healthcare records but it's pretty telling information.

[1] https://www.healthcare.gov/glossary/self-insured-plan/

1 comments

> If it's a "self-insured" plan[1], your employer potentially has access to all insurance claims because they are the insurer. That's not the same as access to complete healthcare records but it's pretty telling information.

No, companies almost never manage the claims themselves. They underwrite the plans, but managing claims is cost-prohibitive, as it's outside the core competency of most large companies.

Sure but they can get access to the claims data from whomever is managing it as they're paying for them.
Hence Tim Armstrong's comments about AOL spending a couple million dollars on "distressed babies" being the reason 401(k) benefits were cut.

https://www.newyorker.com/news/amy-davidson/whose-distressed...