Please remove my name from this listserve.

-----Original Message-----
From: Deborah Campbell [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, September 03, 2002 1:39 PM
To: [EMAIL PROTECTED]
Subject: GHP - TCS extensions





Forgive my ignorance, but I can never seem to get my hands completely around
this Group Health Plan thing. 

Both insured and self-funded group health plans are covered entities if they
use an insurer or TPA to administer their plan and they have 50 or more
participants. 

It has been made clear to me that even if a GHP uses an insurer to
administer their plan, they are still a CE and need to apply for the TCS
extension. But here are my questions:

1) This means that almost every employer in the US will need to apply for
the extension, or have their insurer apply on their behalf, correct? And
this is whether they are self-funded or not. 

2) Does this make the insurer a BA of the group? 

This would mean as an insurer, we would probably need to apply for an
extension on behalf of almost every group we have and have BA Agreements
with them all. This seems extreme, like I'm missing something.

Any help is appreciated. 

Deborah Campbell 
Compliance Coordinator 

Dominion Dental Services, Inc. 
115 South Union Street, Suite 300 
Alexandria, Virginia 22314 

Phn: (703) 518-5000 ext. 3035 
Fax: (703) 518-8849 
Toll Free:  888-518-5338 
Email: [EMAIL PROTECTED] 

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