Medical stop-loss, also known as excess loss insurance, is a layer of coverage that provides insurance protection to employers who choose to self-fund their health benefit plans. Self-funding is an effective approach employers use to significantly reduce costs and maintain control over reserves without sacrificing coverage. In addition to avoiding the excessive overhead costs frequently associated with fully insured plans, employers also receive some tax benefits from self-funding. However, self-funding can incur a risk from large catastrophic claims. Medical stop-loss insurance is designed to protect employers from that risk.
Specific Stop Loss Coverage
Specific stop-loss coverage provides protection against catastrophic claim accumulation above the specific deductibles. Specific deductibles available from $10,000 to $500,000.
- Standard Maximum Limit: $1,000,000
Options of: $2,000,000 - $5,000,000 - $10,000,000
- Full Range of Contract Claims Bases:
2/12, 12/15, 12/18, 12/24, 12/36, 14/12, 15/12, 24/12 and PAID.
Aggregate Stop Loss Coverage
Aggregate stop-loss coverage provides protection in the event the total paid losses exceed the expected claims plus corridor during the policy period. Flexible attachment points: 125% standard. Lower / higher can be negotiated.
- Claims Bases: : 12/12, 12/15, 12/18, 15/12, 24/12 and PAID.
- Standard Maximum Limit: $1,000,000
Options of: $2,000,000 - $5,000,000 - $10,000,000.
- Monthly or annual aggregate premium payments available.
Having arranged stop-loss for more than 25 years (we placed our first case in July 1980), we bring a unique prospective to the negotiation and placement of medical stop-loss insurance.
Time has afforded us the opportunity to understand this specialty product, grow our client base and allows us to deliver superior results for our clients.
Product Knowledge ...Leverage ...Experience