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Multiple Employer Welfare Arrangement (MEWA)


A Multiple Employer Welfare Arrangement (MEWA) is a type of arrangement that allows several employers, often small businesses, to come together to provide health and other types of benefits to their employees. This pooled arrangement is designed to reduce the cost of providing such benefits. However, MEWAs are regulated both at a federal and state level due to their potential financial risks.


The phonetics of the keyword “Multiple Employer Welfare Arrangement (MEWA)” is:Multiple: /ˈmʌltɪpəl/ Employer: /ɪmˈplɔɪər/ Welfare: /ˈwɛlfɛər/ Arrangement: /əˈreɪndʒmənt/ MEWA: /ˈmiːwə/

Key Takeaways

1. Definition: Multiple Employer Welfare Arrangements (MEWA) are establishments that offer health care and other benefits to employees of more than one employer. Small companies and self-employed individuals primarily utilize MEWAs for providing health benefits to their employees.

2. Benefits and Risks: MEWAs can offer economies of scale, providing affordable health coverage options especially for small employers. However, they have been associated with cases of fraud or insolvency, making it important for employers to exercise due diligence before selecting a MEWA plan.

3. Regulation: MEWAs are subject to both state and federal regulation. Under the Employee Retirement Income Security Act (ERISA), MEWAs must meet certain reporting requirements and standards, while state regulators often have oversight over their financial practices and consumer protections.


The Multiple Employer Welfare Arrangement (MEWA) is a crucial term in business/finance that relates to the healthcare industry. This arrangement allows small businesses to pool their resources to provide healthcare benefits to their employees, which can make it more affordable to provide these benefits than if each business had to negotiate rates individually. The significance of MEWA comes from its potential to level the playing field for smaller employers, that may otherwise struggle to offer comprehensive, affordable health benefits. As healthcare costs continue to rise, mechanisms such as MEWA become increasingly important for maintaining the competitiveness of small businesses and supporting the welfare of employees.


Multiple Employer Welfare Arrangement (MEWA) serves a significant purpose in enabling smaller businesses to provide health and welfare benefits to their employees. The main objective of a MEWA is to reduce the costs associated with offering health benefits. Small businesses often struggle with the high costs of offering these benefits individually, and by grouping together, they can leverage economies of scale. This merging allows businesses to collectively negotiate better terms and rates with insurers, typically reserved for larger corporations, ultimately enabling them to offer competitive employment packages without the exorbitant costs.MEWAs also serve the purpose of risk distribution in the health insurance field. In a MEWA, the risk is spread across multiple employers instead of being consolidated within a single company. This pooling of risk can lead to lower premiums as the risk of a large claim is amortized across a larger participant base. Furthermore, the administration and management of the welfare benefits are also shared, reducing the respective burden on each individual company. This makes it an effective tool to reduce costs and administrative tasks associated with employee benefits management.


1. **Artisan’s Guild Health and Welfare Plan**: This MEWA is designed to offer healthcare benefits for employers who own small-the-medium-sized businesses in the artisan and handmade craft industry. The Artisan’s Guild pools all their member employers together to negotiate better prices and broader coverage with insurance providers, ensuring their employees have access to affordable health care.2. **National Restaurant Association**: This organization, representing thousands of restaurants in the United States, created a self-funded MEWA called the “Restaurant & Hospitality Association Benefit Trust.” It offers customizable benefit plan designs, predictable costs, and risk management for small-to-medium-sized restaurant businesses. This MEWA reduces the complications and costs of acquiring employee health insurance and wellness benefits.3. **Associated General Contractors of America**: This trade association runs a national MEWA for the construction industry, providing small and mid-sized construction firms with affordable access to health benefits. The AGC Alternative offers wide-ranging health plans including dental, vision and life coverage, bringing together several construction companies to manage the rising healthcare costs.

Frequently Asked Questions(FAQ)

What is a Multiple Employer Welfare Arrangement (MEWA)?

A Multiple Employer Welfare Arrangement (MEWA) refers to an employee welfare benefit plan, or any other arrangement, that is established or maintained for the purpose of offering or providing any benefit to the employees of two or more employers.

Who can participate in a MEWA?

Any employer who wants to provide welfare benefits to its employees like health, disability, or other similar benefits, can participate in a MEWA.

What are the advantages of a MEWA?

The major advantages of a MEWA are its potential cost savings, sharing of risk among multiple employers, and access to better plan features than what may usually be available to smaller individual employers.

What are the potential risks associated with MEWAs?

While MEWAs offer several benefits, they also have risks including potential increased liability for employers if the MEWA is unable to meet its financial obligations or if it does not comply with applicable legal requirements.

Are MEWAs regulated by the government?

Yes, MEWAs are regulated by both federal and state governments. At the federal level, they are generally regulated under the Employee Retirement Income Security Act (ERISA), whereas at the state level, they may be regulated by insurance departments and other agencies.

Can a MEWA refuse to provide coverage for pre-existing conditions?

Under the Affordable Care Act, neither MEWAs nor any other health plan can deny coverage or charge more due to pre-existing conditions.

How do employers join a MEWA?

Typically, an employer may join a MEWA by making contributions to help finance the benefits, which are then managed and provided by the MEWA. An employer may need to meet certain eligibility criteria to participate.

What services do MEWAs typically offer?

MEWAs typically offer services like health, disability, and other similar benefits. Some may offer additional services like dental, vision, retirement benefits, life insurance, and more.

Is there a specific size of the company that is best suited to join a MEWA?

MEWAs are often used by small and mid-sized businesses that may not have access to affordable health insurance and other welfare benefits. However, businesses of any size can potentially join a MEWA.

: Can an individual join a MEWA?

: No, individuals cannot join MEWAs. MEWAs are designed for employers who want to provide benefits to their employees.

Related Finance Terms

  • Employee Benefits
  • Self-insured Health Plans
  • Insurance Regulation
  • Health Coverage
  • ERISA (Employee Retirement Income Security Act)

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