#aaeth ,,congress  #ast ,session  ,h4   
,r4 #acjd  ,,an ,,act  ,to amend the    
,employee ,retirement ,income ,security 
,act of #aigd1 the ,public ,health      
,service ,act1 and the ,internal        
,revenue ,code of #aihf to exclude from 
the definition of health insurance      
coverage certain medical stop-loss      
insurance obtained by certain plan      
sponsors of group health plans4  #a4    
,short title ,this ,act may be cited as 
the ,self-,insurance ,protection ,act4  
#b4 ,certain medical stop-loss insurance
 obtained by certain plan sponsors of   
group health plans not included under   
the definition of health insurance      
coverage  7a7 ,,erisa ,section          
#gcc7;b77#a7 of the ,employee           
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #aaia;b7b77#a77 is 
amended by adding at the end the        
following sentence3 ,such term shall not
 include a stop-loss policy obtained by 
a self-insured health plan or a plan    
sponsor of a group health plan that     

self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop-loss policy obtained by such plan  
or sponsor44  7b7 ,,phsa ,section       
#bgia7;b77#a7 of the ,public ,health    
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#ia7;b77#a77 is amended by      
adding at the end the following new     
sentence3 ,such term shall not include a
 stop-loss policy obtained by a         
self-insured health plan or a plan      
sponsor of a group health plan that     
self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop-loss policy obtained by such plan  

or sponsor44  7c7 ,,irc ,section        
#ihcb7;b77#a77;,a7 of the ,internal     
,revenue ,code of #aihf is amended by   
adding at the end the following new     
sentence3 ,such term shall not include a
 stop-loss policy obtained by a         
self-insured health plan or a plan      
sponsor of a group health plan that     
self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop-loss policy obtained by such plan  
or sponsor44  ,passed the ,house of     
,representatives ,april #e1             
#bjag4;,clerk4