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H. Rept. 119-408 1 (2025-12-15)

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                     119TH CONGRESS                                           REPORT
                        1st Session  J  HOUSE   OF REPRESENTATIVES            119-408






                                  SELF-INSURANCE PROTECTION ACT



                     DECEMBER 15, 2025.-Committed to the Committee of the Whole House on the State
                                        of the Union and ordered to be printed



                      Mr.  WALBERG,   from the Committee   on Education   and Workforce,
                                           submitted   the following


                                               REPORT

                                                 together with

                                              MINORITY VIEWS

                                              [To accompany H.R. 2571]

                       The  Committee   on  Education  and  Workforce,  to  whom   was  re-
                     ferred the bill (H.R. 2571) to amend   the Employee   Retirement   In-
                     come  Security Act  of 1974 to exclude  from the  definition of health
                     insurance  coverage certain medical  stop-loss insurance  obtained by
                     certain plan sponsors  of group health plans, and for other purposes,
                     having  considered  the  same,  reports  favorably  thereon  with  an
                     amendment and recommends that the bill as amended do pass.
                       The  amendment is   as follows:
                       Strike all after the enacting clause and insert the following:
                     SECTION 1. SHORT TITLE.
                       This Act may be cited as the Self-Insurance Protection Act.
                     SEC. 2. FINDINGS.
                       Congress finds the following:
                          (1) Small and large employers offer health benefit plan coverage to employees
                        in self-funded arrangements using company assets or a fund, or by paying pre-
                        miums  to purchase fully-insured coverage from a health insurance company.
                          (2) Employers that self-fund health benefit plans will often purchase stop-loss
                        insurance as a financial risk management tool to protect against excess or unex-
                        pected catastrophic health plan claims losses that arise above projected costs
                        paid out of company assets.
                          (3) Stop-loss coverage insures the employer sponsoring the health benefit plan
                        against unforeseen health plan claims, does not insure the employee health ben-
                        efit plan itself, and does not pay health care providers for medical services pro-
                        vided to the employees.
                          (4) Employer-sponsored health benefit plans are regulated under the Em-
                        ployee Retirement Income Security Act of 1974.


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