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Method and system for controlling an employer's health care costs while enhancing an employee's health care benefits

机译:控制雇主的医疗保健费用同时增强雇员的医疗保健福利的方法和系统

摘要

A method and system that incentivizes an employee to forego coverage under one or more health care plans maintained by the employee's employer (the Sponsoring Employer). According to the method and system, an employee eligible for health care coverage under another plan or plans not sponsored by the Sponsoring Employer is given the option to elect between coverage under (a) a reimbursement account or plan maintained by the Sponsoring Employer that covers eligible health care expenses not covered under such other plan or plans (including, but not necessarily limited to, deductibles, coinsurance and co-payments) and (b) the Sponsoring Employer's other health care plan or plans. The reimbursement account or plan is offered as an inducement to the employee to waive coverage under some or all of the Sponsoring Employer's other health care plan or plans and elect coverage under such other plan or plans not sponsored by the Sponsoring Employer, which is most typically a plan sponsored by the employer of the employee's spouse.
机译:一种激励员工放弃由其雇员的雇主(发起雇主)维护的一项或多项医疗保健计划的承保范围的方法和系统。根据该方法和系统,符合条件的雇员可以在另一计划下获得资助,而该计划不是由赞助雇主赞助的,而是可以选择在(a)赞助雇主所维护的报销账户或计划中涵盖资格的雇员其他计划或计划未涵盖的医疗保健费用(包括但不限于免赔额,共同保险和共同付款),以及(b)赞助雇主的其他医疗计划或计划。报销帐户或计划是为了诱使员工放弃部分或全部赞助雇主其他医疗保健计划或计划下的承保范围,并选择非赞助雇主发起的其他计划或计划下的承保范围(通常是最典型的做法)由雇员的配偶的雇主发起的计划。

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