1. Help SIIA Fight Unlawful Regulation of Stop-Loss Insurance
Legal Defense Fund Pledge Form
Overview The Self-Insurance Institute of America, Inc. (SIIA) is preparing a litigation strategy in response
to anticipated action(s) at the state level to more tightly regulate stop-loss insurance attachment points. SIIA
believes that such action(s) will have the effect of restricting the ability of many employers from self-insuring
and the association’s legal counsel has concluded that there is a viable ERISA preemption challenge that can be
presented in federal court. The particular state law(s) to be challenged will be dictated by future developments
and subsequent analysis with regard to the likelihood of success.
Financial Support Request SIIA expects that a litigation response will be costly, so it is
seeking the financial support of its members and other industry stakeholders at this time in the form of
pledges in order to confirm it will have the money necessary to mount a robust legal challenge at least
through the trial court level, with the assumption that additional rounds of fund-raising will be required later
to take this matter all the way to the U.S. Supreme Court if necessary.
The association intends to collect on all pledges if and when it has decided on a specific course of legal action,
again based on legislative/regulatory developments in various states. Financial contributions will be made to
SIIA’s Legal Defense Fund, which is a segregated account used exclusively to pay for litigation related expenses.
For contributions of $25,000 or more, your company will be provided one position on the litigation steering
committee, which will be involved with strategy decisions.
Questions? Should you have questions regarding this initiative, please contact SIIA Chief Operating
Officer Mike Ferguson at 800/851-7789 (office), 864/363-2600 (cell), or via e-mail at mferguson@siia.org.
We Pledge the Following Financial Support
(Only to be billed should litigation be initiated.)
$50,000 $10,000 $2,500 Other $________
$25,000 $5,000 $1,000
Contact Information
Name_______________________________________________ Title________________________________________
Company________________________________________________________________________________________
Address_________________________________________________________________________________________
Phone_______________________________________________ E-mail______________________________________
Please Return Completed Form to:
SIIA P.O. Box 1237 • Simpsonville, SC 29681 or Email: mmachado@siia.org or Fax: 864/962-2483