Universal HealthcareBy NextBestFit

Rewrite insurance & benefits law

Effective in stages with each enrollment wave · Congress; DOL EBSA; Treasury; state insurance commissionersDiscuss this step
← All system changes for this step

ERISA (employer benefit plans) & its preemption of state law (§514)

amendedYear 0Federal insurance & health law
Today

Self-insured employer plans (about 60% of covered workers) are federally regulated and shielded from state insurance law.

Under the plan

Employer health plans for UHP services end; preemption amended so states can regulate supplementary coverage.

Trade-off

Large multistate employers lose uniform federal treatment of their remaining benefits.