Stop Loss Claims

Forms

•    Specific Stop Loss Claim Form: Notices/Initial
•    Specific Stop Loss Claim Form: Subsequent
•    Aggregate Stop Loss Claim Form: Monthly Accommodation
•    Aggregate Stop Loss Claim Form: Year End
•    Preferred Mode of Payment Form
•    Work Status Questionnaire
•    Third Party Liability Questionnaire
•    Subrogation Agreement
•    Right to Recovery

• Resources
• Stop Loss Claims Webinar
• Stop Loss FAQ
• Installation Summary
• Claims EOR Sample
• Stop Loss Claims Manual
• Stop Loss Forms
• Cost Containment
• Other Helpful Information
• ICD 10 Announcement
• Success Stories
• Link to SIIA