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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 2013 Kaiser Family Foundation study [9] revealed that 59% of self-insured groups’ employees are members of plans that have purchased stop-loss insurance. That number may be a significant underestimate, however, due to groups' being hesitant to admit that they have stop-loss coverage.
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.
Sun Life Financial, one of the largest direct writers of stop-loss insurance in the United States, has a 30-year history of dedication to providing innovative value-added services.
Highmark Inc. has several wholly owned for-profit subsidiaries: United Concordia Companies, Inc., a dental insurer; Davis Vision, a provider of managed care vision benefits; Visionworks of America, a vision retail provider offering frames, lens and accessories; and HM Insurance Group, a reinsurer providing stop-loss, limited benefit medical ...
In 2024, of the 21.6 million Americans who purchased health insurance plans from ACA marketplaces, 20.1 million received enhanced subsidies, according to the CBO.
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