Aggregate Stop Loss Insurance

Aggregate stop loss insurance offers a policy that protects employers from catastrophic loss. The policy will reimburse the employers for eligible claims in excess of a predetermined amount at the end of the contract period. The employer has covered his downside risk with a plan that makes sense – as well as dollars and cents – for the company. In this economy, that’s what it is all about.

Underwriting Guidelines

  • Minimum Group Size: 50 employees
  • Minimum Annual Premium: $2,000.00
  • Minimum Aggregate Attachment Point: 115% to 130% of expected claims
  • Contract Types: 12/12, 12/13, Renewal contracts are “Paid” contracts
  • Maximum Benefit: $1,000,000
  • Special Approval: Associations, Voluntary, Leasing Firms, Hospitals

Glossary Terms

  • Minimum Aggregate Attachment Point (MAAP): Based upon employee census on effective date and is the point at which the carrier will reimburse the employer in excess of up to the Maximum Benefit.
  • Annual Aggregate Attachment Point (AAAP): Based upon the employee census at the end of the contract year and is the point at which the carrier will reimburse the employer in excess of up to the Maximum Benefit. The greater of the MAAP and AAAP will prevail.
  • Attachment Factors: Are on an employee basis and, along with the monthly enrollment, determine the Annual Aggregate Attachment Point.
  • Minimum Annual Premium: Premium that is 95% of the Estimated Annual Premium.
  • Maximum Benefit: Maximum Reimbursement amount of the policy.
  • Estimated Annual Premium: Premium based upon the current employee census.
  • Periodic Premium: Minimum Annual Premium divided into three installments.
  • Earned Premium: Premium amount based upon the actual enrollment at the end of the policy year.
  • Contract Type:
  • 12/12 Incurred and paid within the policy period
  • 12/13 Incurred within the policy period and paid within the policy period plus one month.
  • Administrative Allowance: Provided to the entity who reports to us monthly on the claims and enrollment for each month.

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