Self-insured employers, third party administrators and ASOs have to continually evaluate the stop loss coverage they have selected for their plans or clients. The key points to consider are access, quality and cost efficiency. We do more than simply try to cap catastrophic claims; we also try to determine if these risks are more appropriately transferred to providers. We currently offer transplant, disease management, neonatal, and burn programs. Our options are tailored to the changing climate and individual needs.
Deductible set to take advantage of good claims history
Profit commission when you have a good year with a small number of catastrophic
Excellent turnaround on claims reimbursement
Plan rated on your experience
Attachment point to assure plan stability
Both run-in/paid and incurred coverage are offered
Organ and transplant programs
Drop-down deductible transplant endorsements
Moving from fully insured to self-insured
Having the tools necessary to remove most of the uncertainty in changing your
We provide solutions ranging from effective population health all the way through coverage for advanced specialized treatment.