Unverified50% confidenceFactExact time
The stop-loss reinsurance mechanism consists of two layers: specific stop-loss caps the maximum claims amount for an individual employee, while aggregate stop-loss sets an upper limit on the total annual claims for the entire group.
1
Sources
50%
Confidence
Long-term
Relevance
9/18/2026
First Seen
Sources
Related Entities
Related Claims
UnverifiedWhether an external transaction binds the company and who ultimately bears the loss internally within the company are two questions at different levels.56% similarUnverifiedThe level-funded model sits between traditional fully-insured and self-funded arrangements, where businesses pay a fixed monthly fee covering estimated claims costs, administrative fees, and stop-loss insurance premiums, and can recoup a portion of any surplus at year-end if actual claims fall below estimates.56% similar
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