Stop Loss Insurance

Protect your self-funded medical 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 plan while managing risk

Compared to buying health insurance, self-funding your employee’s medical benefits can lower your costs. But it also exposes you to the risk of high claims. With options designed to fit your needs and budget, Unum Stop Loss Insurance can help reduce that risk.

Inside your options: Specific vs Aggregate Stop Loss Insurance

  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.
  • Choose a level of acceptable risk per participant and purchase coverage at that amount.
  • Adjust specific coverage as risk tolerance and underlying medical trend increases or decreases. (Specific deductible can range from $25K to $1M+.)
 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.

* Many larger employers purchase specific coverage only.

Why Unum?

With 175 years of employee benefits focus and expertise, Unum has a proven track record of helping companies across the nation offer the best benefits to their employees. We serve 57% of Fortune 100 companies or their subsidiaries and affiliates, protecting 36 million employees and their families.1

Protect your business from catastrophic costs

Stop Loss solutions provides the protection your company needs, so you can focus on what matters — helping your employees work happier and healthier — instead of worrying about risk management.

1. Fortune 500 2022; Unum internal data, 2022

Underwritten by Unum Life Insurance Company of America. In New York, underwritten by Provident Life and Casualty Insurance Company. 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.