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.
|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.
||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.
Underwritten by: Unum Life Insurance Company of America, Portland, ME
In New York, underwritten by: Provident Life and Casualty Insurance Company, Chattanooga, TNThe 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.