Stop loss insurance
With costly healthcare claims becoming more frequent, stop loss coverage is vital to shield self-funded employers from large medical and pharmacy claims in any given year.
How stop loss coverage protects you
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Comprehensive coverage termsNegotiated terms including multi-year rate caps and limitations on “lasering” of high-risk claimants year to year by carriers means you have protection beyond just the current policy period.
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Holistic reviewWe take a consultative approach when placing coverage for you. We will review your existing insurance coverage and work to identify gaps in coverage or non-competitive terms and conditions. Then we can help find appropriate coverage through carrier partners to optimize your premium spend and insurance coverage.
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Clinical and operational performance assessmentsThrough necessary due diligence, we can evaluate vendor partner performance and manage high-cost claim irregularities. Our regular third-party assessments provide a foundation for continuous process improvement toward better clinical and financial results.
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Care management servicesSolutions like Mercer Health Advantage™ deliver high-intensity care management for employees who have serious or chronic conditions and acute health needs. Our holistic approach can improve quality of care and health outcomes, while saving employers $430 annually per employee on average.
Make your stop loss coverage work for you
What if your stop loss coverage actively worked to reduce the risk of high-cost claimants? At Mercer, we’ve been developing new innovations around risk management. Click below to learn more about our latest innovation! (play time < 1 min)