Protection. Flexibility. Access.

Since 1974, Cook Group has been a leading provider of third party administration (TPA) services and medical stop-loss insurance products to the private-sector employer health benefits marketplace.

We work with employers/plan sponsors, brokers, agents, and benefit consultants to provide self-insured employers with comprehensive health benefits administration combined with financial protection from large and catastrophic claim occurrences.

ACA AffordableCareAct

The passage of the 2010 Patient Protection and Affordable Care Act (‘ACA’) has created a paradigm where companies with fewer than 500 full-time equivalent (‘FTE’) employees may realize substantial benefits by replacing their fully insured medical benefits with self-insured health benefit plans.

The ACA changes the fully insured market substantially beginning in 2014, but many of the changes do not apply to self-insured plans. Today, 83.9% of private-sector employers with 500+ FTE employees are already self-insured so the impact of the increased risk sharing under the ACA will be particularly acute in the 100-499 and the 50-99 FTE employee segments, as only 25.3% and 13.3% of these companies were self-insured as of 2013, respectively1.

The result will be a risk pool that must be funded by the collective premiums of the remaining 50-499 FTE private-sector employers in the fully insured health market.

Cook Group Solutions specializes in administering the health benefits and providing medical stop-loss insurance for private-sector employers transitioning from fully insured benefits to self-insurance.

1. Source: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2013 Medical Expenditure Panel Survey-Insurance Component.