The Patient Protection and Affordable Care Act ("PPACA") has many important consequences for the structure and administration of self-insured ERISA health benefit plans. This Guide for Administrators of Self-Insured Plans identifies and explains these consequences, and contrasts PPACA's effects on self-funded plans with its effects on insured ERISA health benefit plans. This Guide also helps plan administrators discuss with their plan sponsor clients the comparative advantages and disadvantages of each type of employee health benefit plan.