HM Insurance Groups has reported that, for the years 2010-2014, "a tripling of claims incidence of $1 million or more, rising from 1.8 to 5.9 per 100,000 employees".
page 48, Ryan A. Siemens, CEBS, Aegis Risk LLC, "Catastrophic Medical Claimants After ACA's Removal of Annual and Lifetime Limits" published by International Society of Certified Employee Benefit Specialists, 4th quarter 2015 issue of BENEFITS QUARTERLY.
Also see "Avoiding Catastrophe" from The Self-Insurer, November 2015,published by Self-Insurers' Publishing Corp, The Self-Insurer, PO Box 1237, Simpsonville, SC 29681
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