APPENDIX C
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New Reform Environment,” MagnaCare, Aug. 14. Accessed online at http://hr.blr.com/whitepapers/Benefits-
Leave/Healthcare-Insurance/zn-Self-Insurance-Cost-Effective-Healthcare-Option.
Buettgens, Matthew and Linda J. Blumberg, 2012. “Small Firm Self-Insurance Under the Affordable Care Act,” The Urban
Institute, Nov. 28. Accessed online at www.commonwealthfund.org/~/media/files/publications/issue-
brief/2012/nov/1647_buettgens_small_firm_self_insurance_under_aca_ib.pdf.
Calsyn, Maura and Emily Oshima Lee, 2013. “The Threat of Self-Funded Plans Among Small Businesses,” Center for
American Progress, June 19. Accessed online at http://cdn.americanprogress.org/wp-
content/uploads/2013/06/SmallBusinessInsurance-3.pdf.
Chollet, Deborah, 2012. “Self-Insurance and Stop Loss for Small Employers,” Washington, DC: Mathematica Policy
Research. Accessed online at www.naic.org/documents/committees_b_erisa_120626_chollet_self_insurance.pdf.
Doherty, Tim, 2013. “Self-Funded Health Plan: Good for Small Companies,” CFO.com, Feb. 12. Accessed online at
ww2.cfo.com/health-benefits/2013/02/self-funded-health-plans-good-for-small-companies.
Eibner, Christine, Carter C. Price, Raffaele Vardavas, Amado Cordova and Federico Girosi, 2012. “Small Firms’ Actions in
Two Areas, and Exchange Premium and Enrollment Impact,” Health Affairs 31(2): 324–331. Accessed online at
http://content.healthaffairs.org/content/31/2/324.full.html.
Eibner, Christine, Federico Girosi, Amalia Miller, Amado Cordova, Elizabeth A. McGlynn, Nicholas M. Pace, Carter C.
Price, Raffaele Vardavas and Carole Roan Gresenz, 2011. “Employer Self-Insurance Decisions and the Implications
of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act
of 2010 (ACA),” Technical Report, RAND Health. Accessed online at
www.rand.org/content/dam/rand/pubs/technical_reports/2011/RAND_TR971.pdf.
Gabel, Jon R., Heidi Whitmore, Jeremy Pickreign, Jennifer L. Satorius and Sam Stromberg, 2013. “Small Employer
Perspectives on the Affordable Care Act’s Premiums, SHOP Exchanges, and Self-Insurance,” Health Affairs,
32(11): 2032–2039. Accessed online at
http://content.healthaffairs.org/content/early/2013/10/15/hlthaff.2013.0861.full.html.
Giles, Philip C., 2010. “The Viability of Using Group Captives for Medical Benefits,” BNA Pensions and Benefits Reporter,
Aug. 24. Accessed online at www.captive.com/docs/default-source/sponsor-documents/the-viability-of-using-group-
captives-for-medical-benefits.pdf.
Hall, Mark A., 2012. “Regulating Stop loss Coverage May Be Needed To Deter Self-Insuring Small Employers From
Undermining Market Reforms,” Health Affairs, 31(2): 316–323. Accessed online at
http://content.healthaffairs.org/content/31/2/316.full.html.
Hancock, Jay, 2013. “Small Businesses Pursue Health Law ‘Loophole,’” Kaiser Health News, March 15. Accessed online at
www.kaiserhealthnews.org/Stories/2013/March/15/self-insurance-small-business.aspx.
Holden, Robert A., 2013. “Regulation of Health Care Self-Insurance for Small Employers,” Stateside Associates, October.
Accessed online at www.stateside.com/wp-content/uploads/Self-Insurance-White-Paper.pdf.
Jo
st, Timothy S., 2012. “Stop Loss Coverage and Self-Funded Plans,” Health Affairs Blog, April 27. Accessed online at
http://pnhp.org/blog/2012/04/30/more-on-small-businesses-and-self-funded-plans.
Jost, Timothy S. and Mark A. Hall, 2012. “Self-Insurance for Small Employers Under the Affordable Care Act: Federal and
State Regulatory Options,” Washington & Lee Public Legal Studies Research Paper Series, Washington & Lee
University, June 27. Accessed online at http://ssrn.com/abstract=2070883.
© 2015 National Association of Insurance Commissioners