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But now these giants are increasing the amount of their self-insurance.
It could be a form of autonomous medical self-insurance.
The major drawback of self-insurance is the exposure to financial risk.
Mandatory self-insurance would also increase the quality of care.
The biggest disadvantage of self-insurance, experts agree, is the risk that the companies assume.
Many companies have switched to self-insurance in recent years, using carriers only to handle claims and provide limited coverage.
Self-insurance is usually used to pay for high-frequency, low-severity losses.
The medical association maintains that self-insurance cannot work without state seed money of up to $20 million plus tort reform.
The consulting end of Gallagher's business helped companies determine whether or not to take on the risk of self-insurance.
That, she noted, would increase rates even more for smaller businesses that cannot afford self-insurance.
The tax surcharge in the new bill introduces sliding-scale self-insurance: the affluent pay more.
Formal self-insurance is the deliberate decision to pay for otherwise insurable losses out of one's own money.
This assessment results in a determination of whether the privilege of self-insurance can be granted and what security is necessary.
Self-insurance gives some companies an alternative to the prices demanded by insurance companies, but it is no panacea.
A new Federal law allows municipalities and other small entities to band together for self-insurance, a practice previously limited to product manufacturers.
The White House is also requesting $20 million for self-insurance of the aircraft used to ferry equipment to the contras.
Self-insurance is a risk management method in which a calculated amount of money is set aside to compensate for the potential future loss.
Chips's own answer to the challenge of systemic risk is a combination of "real time" credit surveillance combined with group self-insurance.
The Rand researchers found that insurance covered only about 25 percent of manufacturers' losses because of high deductibles and widespread self-insurance.
Under self-insurance, Subaru will co-insure only the difference between what the spouse's company pays and what it allows on a claim.
Trend Toward Self-Insurance Before the change in coverage, the group plan provided an employee with lifetime medical benefits of up to $1 million.
Premiums had also jumped in the late 1980's, when Enfield officials established a fund in the hope of eventually moving toward some form of self-insurance.
(A captive insurance company is essentially a regulated form of self-insurance, which is typically used by cities and professional groups.)
AS premiums increase and the insurance industries tighten up, many companies are opting for self-insurance and steeper excesses.
The earliest form of insurance is probably marine insurance, although forms of mutuality (group self-insurance) existed before that.