Self-Insurance Protection Act

HR 2813, the Self-Insurance Protection Act, clarifies that stop-loss insurance purchased by employers with self-funded health plans is not considered "health insurance coverage" under federal law. This affects employers who self-fund employee health benefits, as it ensures stop-loss policies - which protect employers from unexpected high medical claims - remain exempt from state insurance regulations meant for traditional health insurance. The bill amends ERISA, the Public Health Service Act, and the Internal Revenue Code to explicitly exclude stop-loss coverage from definitions of health insurance, preventing states from restricting its availability. This change aims to maintain employer access to stop-loss insurance as a financial risk management tool for self-funded health plans.