Medical Stop Loss
(200+ Covered Lives)
Amalgamated Life Medical Stop Loss Insurance— The Essential, Excess Insurance
Why Choose Amalgamated:
- We are the direct writer of stop loss coverage
- Excellent claims management performance
- Access to quality transplant and specialty networks
- Timely disclosure decisions
- Prompt response to all RFPs
- Dedicated senior staff review of all RFP submissions
- Dedicated senior service team to support implementation
- Access to cell and gene therapy cost containment solutions
Because Amalgamated Life is part of the Amalgamated Family of Companies, an organization gains even greater benefits including:
- Multi-product sales discounts
- URAC accredited medical management capabilities for financial disclosure
- Ability to work with most TPAs and carriers—simple approval process
- Flexible claims basis available—wide range of run-in, run-out and paid options
- Specialty drug cost management service
At Amalgamated Life, we realize that no two organizations are alike. That’s why we offer a range of options enabling us to best meet the specific needs of an organization. You can choose options across both our Specific Stop Loss and Aggregate Stop Loss lines, as follows:
Specific Stop Loss Options:
- Specific advanced payment
- Annual limit of liability up to unlimited
- Aggregate specific deductible
- Terminal liability option
- No New Laser at Renewal with 2nd year rate cap contract available (subject to underwriting approval)
- Experience Refund Option available (subject to underwriting approval)
Aggregate Stop Loss Options:
- Corridor set at 125% (other corridors by exception)
- Limit of liability up to $1 million (higher amounts subject to approval)
- Monthly aggregate accommodation
- Terminal liability option
Policy Form ALSLP-2020*
*Features & form numbers may vary by state
Approved in all 50 states and the District of Columbia
