Producers FAQ

  • LifeWise Assurance Company is built on relationships. We’re here to facilitate success for you and your clients. We’ve got the flexible stop-loss products your self-funding clients need. As part of the Premera family of companies, we’ve got the resources and support services you demand.

    Which employers are mostly likely to consider self-funding their health coverage?

    Employers of all types are opting to self-fund their health coverage. Companies with 50 or more employees that are actively looking for ways to control healthcare costs and are comfortable assuming the corresponding risks may find self-funding to be a viable and fruitful option. Contact LifeWise Assurance to discuss the options available for self-funding groups of 50+ lives.

    How will their claim experience differ from traditional coverage?

    Because stop-loss coverage does not insure employees or dependents, employees will find their claims experience virtually unchanged. The same is true for employers who use third-party administrators to pay claims and manage health coverage. The main difference is the transparency of the process through detailed reporting.

    What types of stop-loss coverage are available?

    Stop-loss insurance reimburses plan losses in two situations:

    1. Specific stop-loss protects the plan from losses related to covered individuals with catastrophic healthcare costs. Benefits for an individual must exceed a specific stop-loss deductible in order for a plan to receive a stop-loss reimbursement.
    2. Aggregate stop-loss is optional in many states and protects against overall plan losses that are significantly higher than expected. Aggregate eligible losses (losses that not eligible for specific stop-loss reimbursement) in excess of an annual aggregate deductible are reimbursed to the employer as aggregate stop-loss claims.

    Multiple variations are available for both specific and aggregate stop-loss. Contact us today for more information.