Stop Loss

Aggregate

Aggregate Stop Loss

What it covers

Aggregate Stop Loss protects employers from claims that exceed a predetermined dollar amount for the entire group. For example, Aggregate coverage would be needed if many employee visited the doctor more than average in a given year. If the Aggregate corridor is exceeded at the end of the policy year, the Stop Loss policy reimburses an employer for covered medical expenses that exceed the corridor, helping to protect the employer’s bottom line.

Standard features

  • Aggregate corridor of 125%, with other options available
  • Full range of claims bases
  • Advance Risk Commitment – early lock-in for rates up to 90 days
  • Integration with the Affordable Care Act (ACA)
  • Medical management fees, such as case management, hospital audits, and bill negotiation, eligible for coverage
  • ccSTAT® cost-containment services
  • No signed disclosure at renewal

Options

  • Aggregate-only coverage
  • Monthly Aggregate Accommodation
  • Terminal Liability
  • Policy Alignment
  • Group Captive solutions

For more information, contact your Berkley Accident and Health representative.

 

Insurance coverage is underwritten by Berkley Life and Health Insurance Company and/or StarNet Insurance Company, both member companies of W. R. Berkley Corporation and both rated A+ (Superior) by A.M. Best. Not all products and services may be available in all jurisdictions, and the coverage provided is subject to the actual terms and conditions of the policies issued. Payment of claims under any insurance policy issued will only be made in full compliance with all United States economic or trade and sanction laws or regulation, including, but not limited to, sanctions, laws and regulations administered and enforced by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”).