Stop loss insurance is the financial backstop self-funded employers purchase to cap their exposure to catastrophic claims. Adoption tracks closely with firm size: roughly 90% of mid-size large firms (200 to 4,999 workers) carry stop-loss coverage, though adoption drops to about 53% among the very largest employers (5,000-plus workers), per industry benchmarking data.
Stop-loss insurer premium volume reached $31.6 billion in 2022, a 13.4% increase from 2017-2022, according to an Oliver Wyman analysis for Guy Carpenter. Loss ratios worsened from 78.5% in 2017 to 84.1% in 2022 as claims grew faster than premium.
Some stop loss carriers now give a 1% renewal reduction for employers deploying on-site care solutions like the OnMed CareStation™.
Some stop loss carriers offer a 1% renewal reduction for employers deploying on-site care solutions, reflecting the lower downstream claims trajectory that proactive chronic care management and ER diversion produce.
Specific stop loss caps an employer's exposure on any single large claim above the attachment point. Aggregate stop loss caps total plan cost across all claims combined for the plan year.
Stop-loss insurer premium volume reached $31.6 billion in 2022, a 13.4% increase from 2017-2022, according to an Oliver Wyman analysis, growth driven by rising claims costs and continued migration to self-funded plans.
Every term here points to the same gap in healthcare access. See how the CareStation closes it.
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