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Insurance term

Stop-Loss Insurance

Stop-loss insurance is coverage that protects a self-funded health plan from very large or unexpected claims. The plan sponsor pays claims up to a set limit, and the stop-loss policy may reimburse costs above that limit, helping reduce financial risk.

Example

A small employer that self-funds employee health benefits buys stop-loss insurance so one employee’s major medical claim does not overwhelm the company’s budget.

Related coverage

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