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Employer Coverage, ERISA and the ACA Marketplace

Where most Americans get insurance: employer-sponsored plans, fully insured vs self-funded (ERISA) plans, and individual coverage on the ACA marketplace.

Employer Coverage, ERISA and the ACA Marketplace

Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.

What this post will cover

  • Employer-sponsored insurance and why it dominates in the US
  • Fully insured vs self-funded plans, ERISA and third-party administrators
  • Affordable Care Act essentials: essential health benefits, metal tiers, premium subsidies
  • COBRA continuation coverage
  • Open enrollment and special enrollment periods
  • How an enrollment reaches the payer (the X12 834)

Further watching

From the HealthTech Decoded channel:

Where this fits

Level 1 · Foundations › Health insurance and plan types

This post is licensed under CC BY 4.0 by the author.