Stop Loss Insurance

Protect your self-funded medical insurance plans. With health care costs rising every year, a growing number of employers are choosing to self-fund their medical insurance plans. Unum's Stop Loss Insurance helps protect your company by limiting financial losses from large or unexpected patterns in medical claims.

The value of Stop Loss Insurance

Enjoy the freedom of a self-funded medical plan without worrying about the risk

As an employer, self-funding your employees' health benefits means you benefit from lower costs, but it also means you can’t pay a medical insurance company to take on the risk and responsibility of paying the covered health claims — you’re on your own. Unum can help reduce that risk with Stop Loss Insurance, and we have options designed to fit your needs and budget.

Get protection against catastrophic costs related to your self-funded medical plan. Stop Loss solutions help your company focus on what matters — taking care of your employees and helping them work happier and healthier — instead of worrying about risk.

Stop Loss Insurance options

  Specific Stop Loss  Aggregate Stop Loss
Best fit for Specific Stop Loss Insurance works best if your organization is more concerned with medical costs associated with a specific employee, rather than costs associated with the entire group of covered employees. Aggregate Stop Loss Insurance works best if your organization is more concerned with overall costs, rather than costs associated with a specific individual employee.
How it works When a covered employee's medical claims exceed a predetermined limit, Unum reimburses the employer for the difference.
  • You choose a level of acceptable risk per participant and purchase coverage at that amount.
  • Specific deductible (spec) can range from $25k to $1M+.
  • You can adjust specific coverage over time as risk tolerance and underlying medical trend increases or decreases.
If paid claims exceed expected claims by a predetermined percentage – typically 25% (not counting any claims paid under Specific Stop Loss coverage) – Unum reimburses the employer for the difference.
  • Not uncommon for larger employers  to purchase specific coverage only

Plan administrators

Manage online billing, update employee salary adjustments and terminations, and more through our secure website.

Underwritten by: Unum Life Insurance Company of America, Portland, ME

In New York, underwritten by: Provident Life and Casualty Insurance Company, Chattanooga, TN

The policy or its provisions may vary or be unavailable in some states. The policy has exclusions and limitations which may affect any benefits payable. See the actual policy or your Unum representative for specific provisions and details of availability. Applicable to policy form SL-1PLC. In New York, applicable to policy form SL-1PLC-NY.