Medical Stop Loss
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. Our medical stop loss insurance is designed to protect employers from that risk.
For Website visitors new to self-funding,
please check out our list of
Medical Stop
Loss Questions and Answers for quick
answers to common questions about medical
stop loss. We have also provided a Glossary of common terms for easy reference.
For answers to common questions about
underwriting practices, policies, claims,
etc. as they relate to Medical Stop Loss,
please visit HCC
Life's Frequently Asked Questions section.
Product Highlights
- Minimum size group of 50 lives or more
- Guaranteed "no laser" renewal
- Discounts for quality PPOs, UR, Large Case Management programs and quality plan documents
- Flexible
medical stop loss contract
Specific Stop Loss Coverage
Our 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: 12/12, 12/15, 12/18, 12/24, 12/36, 14/12, 15/12, 24/12, PAID
Aggregate Stop Loss Coverage
HCC Life Insurance Company's Aggregate Stop Loss Coverage provides protection in the event that total paid losses exceed the expected claims plus corridor during the policy period. Flexible attachment points; 125% standard. Lower/higher available.
- Claims Bases: 12/12, 12/15, 12/18, 15/12, 24/12, PAID
- Standard Maximum limit: $1,000,000; options of: $2,000,000, $5,000,000, $10,000,000*
- Monthly or annual aggregate premium payment available
Optional Features
HCC Life Insurance Company Services
In addition to our innovative stop loss insurance, HCC Life Insurance Company offers the following value-added services:
- Extensive technical and medical staff resources on-site
- Claim re-pricing capabilities; access to several passive PPO re-pricing arrangements
- Utilization Review and Case Management oversight programs
- Direct access to decision making personnel in administration, claims and underwriting
For more complete information, please
contact
an HCC Life Insurance Company Representative.
*Policies vary by state or may contain certain exclusions and limitations. For more complete information, please
call or e-mail your HCC Life Regional
Marketing Contact .
You will need the latest version of Adobe Acrobat Reader to view the PDF files on this page:
Appointment Process
