Medical Stop Loss Insurance

Choosing the right group health care insurance

As a business owner, you want what's best for your employees. A safe, healthy and dedicated staff is the foundation of a successful business. How well you're able to protect your employees may directly affect the stability of your company.

Self-funding health insurance programs

Health care benefits are an ideal way to show your employees that you care about their well-being. But some group health insurance packages may be too expensive to afford. A self-funded insurance program may be the best option for you.

Self-funded health insurance can significantly reduce the overhead costs associated with traditional health care coverage. Along with the benefit of lower premiums and certain tax breaks, it also enables better control over your financial reserves without sacrificing the quality of health care coverage for your employees.

Limit your risk with Medical Stop Loss insurance

Self-funding can be a cost-effective alternative to traditional insurance, especially if you employ young, healthy individuals; but it can also be risky. If several of your employees fall seriously ill, or even one employee files a catastrophic claim, those medical bills could wipe out your entire medical reserves and require additional funds to cover the costs. A case like this could lead your business to bankruptcy.

If you've chosen to self-insure, Medical Stop Loss insurance can help you guard against this type of catastrophic risk. Stop Loss insurance will pay your employees' medical bills after you've reached a predetermined deductible. It serves as a protector of those valuable reserves and can help save both your profit margin and your bottom line.

Medical Stop Loss Plan Provisions

	Medical Stop Loss Benefits
Case Size	Desired case size of at least 100 lives
Coverage Types	Stand-alone Specific Specific and Aggregate Aggregate Only
Coverage Maximums	Specific: $5,000,000 Aggregate: $2,000,000
Minimum Specific Deductible	$20,000
Contracts	Specific and Aggregate: 24/12 to 12/24
Renewals	No disclosure statement required

Optional Features

• Disclose and Close early lock-in
• Non-lasered renewal
• Laser pools
• Conditional lasers
• Aggregating specifics
• Manual aggregates for certain group sizes
• Alternative risk solutions
• Medical management services

Underwritten by Nationwide Life Insurance Company.