How it Works
You pay a monthly fee, which is made up of:
- A maximum claims amount, based on the health of your employees
- An administration fee that covers the cost of claims payment, care management and broker commission
- A stop loss premium covering the cost of insurance on higher-than-expected claims
If you renew your policy at the end of the plan year, and your claims were less than what you funded, you are refunded 50% of the difference. If your paid claims were higher than what was funded, you owe nothing more.
Benefits administered QualChoice Health Plan Services, Inc.
Stop-loss underwritten by QualChoice Life and Health Insurance Company