Build Confidence in Stop Loss Insurance

One unexpected medical or prescription claim can cost an employer hundreds of thousands—or even millions—of dollars. Stop loss insurance is the protection that keeps that risk from destroying a health plan.  Stop loss insurance plays a critical role in protecting self-funded and level funded health plans, yet many professionals working with employee benefit plans don't even understand the basic structure, language, and operational mechanics of stop loss coverage.   This course is designed to build a foundation in stop loss insurance. Throughout the course, you will understand the difference between specific and aggregate coverage as well as break down the key concepts, terminology, and processes that govern how stop loss policies operate. You will learn how stop loss coverage protects employers from catastrophic claims, how policies are structured, and how stop loss interacts with the employer’s health plan. We will also explore the practical side of stop loss management, how policies are underwritten, how reporting requirements if not manage properly can deny claims and why alignment between the health plan and the stop loss policy is essential. Understanding stop loss is not just about knowing definitions. It requires understanding all components of stop loss such as how policy language affects reimbursement, and how proper management of the stop loss policy protects employers from unexpected financial exposure. Although this course will not go into extreme detail of managing a stop loss policy our Stop Loss Essentials course will provide that level of detail for you. However, by the end of this course, you will have a clear understanding of the fundamentals of stop loss insurance and the critical role you play in appropriately managing that with your client.