What Do You Mean the Stop Loss Claim is NOT Covered?
If you are self-insured with stop-loss coverage in place, also known as Administrative Services Only (ASO), you may be considering unbundling your stop-loss (also known as “reinsurance”)…
Self Funded vs. Fully Insured
Under an insured health benefit plan, an insurance company assumes the financial and legal risk of loss in exchange for a fixed premium paid to the carrier by the employer.
Mind the Gap!
Recently, an employer with approximately 3,500 employees covered by its self-funded health plan asked us to assist with two large claims that “needed to be paid by March 31.”