Medical Stop-Loss
Medical stop-loss coverage is a product that provides protection for a health plan against catastrophic or unpredictable losses.
The Palmetto Healthcare Stop-Loss Program (PHSLP) is a unique medical stop-loss offering that was established in 2011 with a retrospective funding model where members pay actual costs – no profit or retained surplus targets. Risk is spread across a pool of participating members, lessening the effects of this volatile line of coverage. Members have recognized significant savings compared to the commercial stop-loss market, and members who have self-insured this risk in the past, appreciate the smoothing of risk created by a larger program.
Medical stop-loss claims administration, underwriting and risk management services are provided to members of PHSLP under a contract with Antum Risk and through business alliances with other best-practices companies.
“As one of the founding members of the program, I am very pleased with our experience in
PHSLP. Self Regional Healthcare has saved between 10-25% annually as a member of
the program over the past eight years. We like the program’s retroactive funding structure and
having the volatile risk spread across a pool of participating healthcare organizations.
We also appreciate that membership provides us direct input into the coverage we receive and
transparency related to its operations and cost.”
- MIKE DIXON, VICE PRESIDENT OF HUMAN RESOURCES, SELF REGIONAL HEALTHCARE
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Fill out this form to learn more about medical stop-loss coverage.