Which statement describes a Self-funded MEWA's administration?

Prepare for the North Carolina Health Insurance Exam. Study with practice test questions related to accident and sickness insurance. Understand the format and expectations to excel in your licensing exam.

Multiple Choice

Which statement describes a Self-funded MEWA's administration?

Explanation:
In a self-funded MEWA, administration is handled by a Third-Party Administrator who takes care of enrollment, claims processing, eligibility, and coordination with providers, while the MEWA uses its own funds to pay the claims (often with stop-loss protection). The administrator isn’t the insurer, and the employer isn’t typically running the day-to-day administration across multiple employers. The plan still provides benefits to employees; the administrator’s role is to manage the benefits program, not to fund or deny coverage themselves. So the best description is that a self-funded MEWA is administered by a Third-Party Administrator.

In a self-funded MEWA, administration is handled by a Third-Party Administrator who takes care of enrollment, claims processing, eligibility, and coordination with providers, while the MEWA uses its own funds to pay the claims (often with stop-loss protection). The administrator isn’t the insurer, and the employer isn’t typically running the day-to-day administration across multiple employers. The plan still provides benefits to employees; the administrator’s role is to manage the benefits program, not to fund or deny coverage themselves. So the best description is that a self-funded MEWA is administered by a Third-Party Administrator.

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