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Self-Insured Firm

A company that pays medical claims for their employees rather than holding insurance, usually hiring an insurance company to administer the benefits. Common among large firms. Self-insured plans are not subject to ERISA law or most Affordable Care Act insurance regulations.

Center(s) of Excellence (COE)

Health care providers or systems that excel at a certain treatment or procedure, insurance companies can try to steer patients to COEs for their condition.