10/12/2021
Stop Loss coverage, a portion of most group benefit plans, can be confusing. We have tried to make it approachable! Here is a resource for your reference.
Stop loss insurance (aka Large Claim Pooling) is a threshold put in place between $10,000-$100,000 on the extended health care claims of individuals or certificate holders on the plan. This threshold prevents any claims beyond it from impacting the future rate action of the group and are instead abs