Articles tagged with “stop-loss-insurance”

TPA: Role & Functions in Self-Funded Health Insurance

What is a TPA? Learn the role of Third-Party Administrators in self-funded health insurance, from claims processing and plan administration to cost containment. Updated with 2026 regulatory reforms including the CAA 2026 and DOL transparency rules.

55 min read

11/9/2025

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PBMs Explained: Self-Funded vs. Fully Insured Health Plans

Learn how PBMs work and compare self-funded vs. fully insured health plans. Updated for 2026 with FTC settlement, federal rebate pass-through mandate, and latest KFF data on financing models, ERISA, risk, and PBM impact on drug costs.

70 min read

11/7/2025

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