User Name Password  

Medical Stop Loss

There are many reasons to make Amalgamated Life your preferred medical stop-loss insurer. As an A.M. Best "A" rated carrier, we are a direct writer of stop- loss policies, not a Managing General Underwriter (MGU). Accordingly, we are able to provide a fast response time to all Request for Proposals (RFP), while offering discounts for high performance PPOs, TPAs and medical management services. We offer timely disclosure decisions, multiproduct sales discounts, excellence in claims management and URAC accredited medical management capabilities.

Specific stop-loss (reduces level of risk from high cost, individual claims):

  • Flexible claims basis available (12/12, 12/15, etc.)
  • Limit of liability up to $5 million
  • Aggregating deductible
  • Specific extension
  • Terminal liability option

Aggregate stop-loss (protection from risk when high volume claims are anticipated):

  • Corridor set at 125%. Other corridors by exception
  • Limit of liability $1 million (higher amounts subject to approval)
  • Aggregate extension
  • Taft-Hartley and TPA affinity
  • Timely turnaround on claims adjudication

Policy Form # - ALSLP-07, or state variations.

Not available in all states.