The con­cept is sim­ple, just like insur­ance.  Get a group of peo­ple in a com­mon pool to pay pre­mi­ums, col­lect­ed for the pur­pose of pay­ing them back in claims.  The prob­lem is it is not insur­ance, and there is a notable absence of pro­tec­tions against a run on the pool.  Chris­t­ian cost-shar­ing min­istries that enroll indi­vid­u­als are now fac­ing scruti­ny from sev­er­al state reg­u­la­tors who believe that their claims about claims are not what they seem, and may lack the finan­cial resources to allow faith to func­tion.  Yes, the pre­mi­ums are low­er than what is found in the mar­ket, but so are the pro­tec­tions, with either inter­nal or exter­nal caps and, of course, faith in the finances of the min­istry group hold­ing their mon­ey.  State reg­u­la­tors in New Hamp­shire, Col­orado and Texas are doing some inves­ti­ga­tion on the prac­tices, promis­es and real­i­ty of what is being offered.  Wash­ing­ton State has fined one of the larg­er health shar­ing min­istries, Trin­i­ty Healthshare, $150,000 and banned it from offer­ing its prod­ucts to state res­i­dents.  Neva­da has sent out a warn­ing, with the Depart­ment of Insur­ance say­ing “they may seem entic­ing because they may be cheap, look and sound like they are in com­pli­ance with the ACA, when in real­i­ty these plans are not even insur­ance prod­ucts.”  Texas has brought suit against Aliera Healthcare.