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Insurance companies themselves, as well as self-insuring employers, purchase stop-loss coverage for a premium to protect themselves. [1] In the case of a participant reaching more than the specific (or "individual") stop-loss deductible ($300,000, for example), the insurer will reimburse the insured (the company, not the participant) for the remainder of the claim to be paid over that ...
A leading stop-loss insurance carrier announces SunElite, SM a medical plan document review service to help self-insured employers comply with the Affordable Care Act and manage cost containment.
And Trustmark Life Insurance Company insures the fully insured plans and provides stop-loss insurance for the selffunded plans. [ 11 ] HealthFitness offers comprehensive fitness and wellness management solutions targeted to midsize and larger employers (including Fortune 500 companies), hospitals, universities and communities.
Firms are often "self-insured", meaning they reimburse the insurance companies that pay the medical claims on behalf of their employees. Employers may use a stop-loss, meaning they pay the insurance company a premium to cover very expensive individual claims (e.g., the firm is self-insured up to a threshold for individual workers).
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Stop-loss insurance reimbursements are made if the claims costs exceed the catastrophic claims levels in the policy, but if a stop-loss carrier became defunct or simply breached the contract, there would be nothing alleviating the self-funded plan from responsibility for the full amount of claims.
Senior drivers often enjoy lower insurance rates than younger drivers until around age 70. After that, Afilalo says, “rates can tick up for drivers in their 70s and 80s due to a slight increase ...
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