What is Stop Loss Insurance?
Stop loss insurance is a type of reinsurance that protects self-funded health plans from the financial impact of catastrophic claims, much like umbrella coverage for a home or business owner. When a health claim cost is incurred beyond a specified amount, the stop loss coverage kicks in to reimburse the plan or plan sponsor. Stop loss insurance can be purchased by the health plan to protect assets or by an employer to protect itself as the primary source of the plan’s funding.
Specific vs Aggregate? Coverage Levels in Stop Loss Insurance
Level Funding in Stop Loss
What Are Some Benefits of Self-Funding?
Reference-Based Pricing: Keeping Costs Down
Frequently Asked Questions
How do I know which TPAC products are right for me?
It’s difficult to know exactly which stop loss product will be a fit for your unique needs. We have experts who can help walk you through our catalog and recommend the best option. Please contact us!
How do I know when self-funding is right for my business?
It’s difficult to give a one-size-fits-all answer for when it might be right for your business to begin self-funding its health benefits. When thinking about self-funding, you have to consider your company’s financial situation, cash flow, risk tolerance, and coverage needs, plus how to handle administration and compliance. TPAC can help you navigate this important business decision. Contact Us!
What is Spaggregate®?
The first level-funded stop loss policy
How do I get a stop loss quote from TPAC?
For large groups, we use claims experience and demographics to determine the right rates for your group.
For groups with less than 100 employees, we can quote without individual questionnaires or claims experience! Contact us to find out how.
My question isn’t answered here. What should I do?
We’re happy to answer any other questions you might have. Please contact us!
Additional Resources
For more information about self-funded health benefits or stop loss insurance, please see the following links: