Employers that choose to self-fund their health benefits plan for their employees need protection from the potential financial losses associated with catastrophic claims. Employer Stop-Loss coverage is vital for any self-funded benefits plan.
Specific Stop-Loss insurance and Aggregate Stop-Loss insurance is available.
Specific Stop-Loss insurance reimburses an employer based on catastrophic claims incurred by a single plan participant, while Aggregate Stop-Loss insurance reimburses an employer based on claims incurred by all plan participants.
Pinnacle will design a stop-loss contract that best matches the employer’s plan design. Various coverage options are available, such a wide-range of contract periods, retention levels, unlimited maximums, etc.