agencies--the Department of Labor, Health & Human Services and Treasury--could eventually interpret the definition of health insurance coverage to include medical stop-loss based on attachment point levels, which could threaten the ability of some employers to self-insure--and hurt the business of medical stop-loss insurance
Some people are suggesting that the states wanted to make it a little more painful for small employers to self-fund so that they'll have an incentive to go to the SHOP exchanges as opposed to purchasing stop-loss insurance
For the last solid year we have seen a tremendous interest from small-group employers in the self-insurance concept," says Kurt Ridder, president of Spectrum Underwriting Managers in Indianapolis, a managing general underwriter of specific, aggregate, and integrated medical stop-loss insurance
for employers with between 25 and 199 workers.
This ruling supports SIIA's position that stop-loss insurance
is not health insurance, as it does not directly pay for any health care treatment or reimbursement to any plan participant.
Kake Tribal is unusual among self-funded smaller companies because the corporation does not buy stop-loss insurance
to protect against a catastrophic claim, although Jackson says that is now being considered.
Sun Life selected the topic of self-insurance based on the growing interest it has experienced as the #1 independent writer of stop-loss insurance
in the U.
Most self-insured employers also carry stop-loss insurance
to pay unpredicted or catastrophic claims.
Third-party administrators' administrative fees usually are charged on a per employee per month basis; they collect medical stop-loss insurance
premiums in the same manner, Buhite says.
Along with traditional life and disability insurance programs, they also specialize in voluntary benefits, medical stop-loss insurance
, leave and sick plan programs, benefit administration systems and executive benefit programs.
Recently, Principal Financial announced the deal with Aetna Signature Administrators, a unit of Aetna, which the companies said would allow current and new self-funded customers access to a bundled offering of Aetna's national preferred provider organization network and stop-loss insurance
An amount will be withheld from the capitation payment to fund stop-loss insurance
that will cover enrollees' medical expenses exceeding $10,000.
Symetra Life Insurance Company has hired two veteran medical stop-loss insurance
professionals to cultivate new and support ongoing relationships with third-party administrators (TPAs).