ERISA

ERISA, the Employee Retirement Income Security Act of 1974, set federal standards for employer-sponsored benefit plans and allowed large employers to self-fund their own health plans by paying claims directly. The law emerged from pension-plan scandals in the early 1970s, most visibly the 1963 closure of Studebaker's South Bend plant, and was signed into law by President Ford on September 2, 1974.

ERISA's preemption clause supersedes state laws relating to employee benefit plans, and its "deemer clause" closes the loophole that would otherwise let states declare a self-funded plan to be "insurance." This single piece of legislation is why self-funded employers, now 67% of all covered workers nationally, carry more direct financial flexibility than fully-insured employers, and why the CAA's disclosure requirements apply specifically to "ERISA plans."

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Every term here points to the same gap in healthcare access. See how the CareStation closes it.

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