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:: The Myth Of the “Partially Self-Insured” Group Health Plan
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:: The Myth Of the “Partially Self-Insured” Group Health Plan By Roy F Harmon III Dewitt and her husband, Anthony, were covered under Proctor’s health insurance plan. Throughout Dewitt’s tenure at Proctor, Anthony suffered from prostate cancer and received expensive medical care. His covered medical expenses were paid by Proctor, which was partially self-insured. It paid for members’ covered medical costs up to $250,000 per year. Anything above this “stop-loss” figure was covered by a policy issued by the Standard Security Life Insurance Company of New York. Dewitt v.
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