Medical Stop Loss Insurance

Make self-funding more managable and affordable.

Taft-Hartley plans face a unique set of circumstances with some of the Affordable Care Act's (ACA) requirements. With the law's mandate to remove plan coverage limits, many face the challenge of maintaining quality coverage, benefit selections and access to service providers for their plan members.

With over 90 years of experience protecting Taft-Hartley plans, Union Labor Life's team of experts are dedicated to tailoring stop loss insurance arrangements that comply with ACA requirements, and offer broader coverage options and access to some of today's leading professionals in the medical cost containment industry.

Standard coverage benefits include:

  • Stand-alone specific or specific and aggregate available
  • ACA compliant annual coverage maximums to unlimited.
  • Full range of aggregate and specific contracts including—12/12, 15/12, 12/15 or on a paid basis.
  • Minimum specific deductible of $40,000 to a maximum of $1 million or more.

Standard policy features include:

  • Multi-year premium lock options to help plan sponsors better predict costs by locking in renewal rates for multiple years on specific stop loss coverage—OR
  • No new laser at next renewal guarantee on specific stop loss coverage.
  • Medical management provisions to help manage claim payments and identify potential risks.

Value-added services to help contain costs:

From helping plans properly negotiate service fees with network providers and third-party administrators, to assisting in identifying potentially fraudulent billing practices and abuses, Union Labor Life works in partnership with policyholders to help them achieve the level of control they need to manage large claim costs, maximize benefits and optimize plan performance. Types of cost containment programs available to policyholders include:

  • Bill re-pricing
  • Discount negotiations
  • Bill reviews and line-item audits
  • Case management
  • Medical reviews
  • Specialty care management

Learn more on how our large claim experts help plans contain costs to help them maximize benefits for plan members.

Union Labor Life's Group Stop Loss Programs:
We continue to respond to the changing healthcare marketplace as provisions and mandates of healthcare legislations are adopted, revised or repealed. We offer standard unlimited lifetime maximum coverage and optional annual maximums, which may include unlimited coverage per person for each policy year. In addition, we offer several purchasing options from which to choose (These options are only available on policies written and issued by The Union Labor Life Insurance Company.):

  • Group Purchasing Options: Provides IU Sponsored Dividend Plans for eligible groups.
  • Dividend Choice Plans: For larger groups that would like to share in positive claims experience, this optional provision for policies written and issued by The Union Labor Life Insurance Company provides for a dividend when experience has been favorable.
  • Multi-year Rate Lock: Qualified groups may also choose from our Laser Lock, Renewal Rate Increase and Two-Year Rate Lock-In Options which allow plan sponsors to manage future healthcare costs by locking in renewal terms for multiple years on specific stop loss coverage.

For more information on Medical Stop Loss insurance (PDF) and our Cost Containment Program (PDF) please contact our Vice President of Group Sales, Larry Paradise at 630.743.4252.

For information and resources on the Affordable Care Act and its impact on Taft-Hartley plans, visit: ullico.com/reform-resource.

The Union Labor Life Stop Loss program offers The Union Labor Life Insurance Company policies in all 50 states and the District of Columbia. The Union Labor Life, also offers plans underwritten by Fidelity Security Life Insurance Company Policies No. SE5F and SE4E and Policy Forms No. M-8009 and M-8004 (Washington only) in 49 states and Fidelity Security Life Insurance Company of New York offers Policy No. ELN-1 and Policy Form No. MN-13 in New York.

Policies may have exclusions and limitations, and terms under which the policy can be continued in force or discontinued. For costs and complete details on coverage, please contact The Union Labor Life Insurance Company.

The Union Labor Life Insurance Company's solid financial position was upgraded with an A- (Excellent) rating and "Stable" Outlook as of 7/18/2019, and Fidelity Security Life Insurance Company has been rated A (Excellent), based on an analysis of financial position and operating performance by A. M. Best Company, an independent analyst of the insurance industry. For the latest rating, access www.ambest.com.

Form number: ULL-GRPMDSTLSS-1218

Ratings

A.M. Best rates the financial strength of insurance companies and gives an indication of how that company may be expected to perform in the future.

The Union Labor Life Insurance Company's solid financial position was upgraded by A.M. Best Company with an A- (Excellent) "Stable" Outlook rating as of 7/18/2019."


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