1. Mercer, National Survey of Employer-Sponsored Health Plans, 2009.

2. 530 U.S. 211, 223 (2000), Pegram v. Herdrich.

3. Timothy S. Jost, J.D., “Pegram v. Herdrich: The Supreme Court Confronts Managed Care”.

4. Timothy S. Jost, ibid.

5. Pegram et al. v. Herdrich—530 U.S. 211, http://supreme.justia.com/us/530/211/case.html.

6. See “Chart of Key PPACA Provisions”, April 21, 2010, Groom Law Group (www.groom.com) for a detailed listing of PPACA including the provisions impacting self-insured plans.

7. Special thanks to Randall Beckie for his review of the captive insurance section of this chapter.

8. Tim Luedtke, “You Are Your Own Boss … You Take The Risk … Now Protect Your Business and Be Rewarded,” Navigator Benefit Solutions LLC, The Actuarial ...

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