Stop loss
Capping your health plan risk
If you self-fund your employee health care plan, stop loss can help protect it against large and catastrophic claims.
We've offered stop loss for nearly 50 years. In fact, we helped pioneer it.
That means we know the importance of offering contracts with:
No new or increased lasers at renewal.1
No declined renewals due to poor claims experience.
Limited general exclusions.
Terminal liability options.
No exclusions or limitations that conflict with your plan document.
A $5,000 step-down deductible may be available for groups who offer Symetra Critical Illness along with their Symetra Stop Loss policy.
Two coverage options
Choose one or both of the following—whichever meets your needs:
Specific
Provides large-claim and catastrophic coverage per individual plan participant.
- Deductibles starting at $25,000.
- Unlimited lifetime and annual benefits.
- Aggregating Specific option.
- Advance funding standard on all policies.
Aggregate
Provides coverage for the entire group to limit overall claim costs.
- Flexible corridors—125% is standard; others may be available.
- Maximums up to $10 million may be considered.
- Aggregate accommodation is available based on group size.
No surprises
Symetra delivers service and options most stop loss carriers can't match.
Best-in-class policy
Our policy mirrors your plan document without any conflicting limitations or definitions.
Efficient claims processing
We pay claims quickly. And our low documentation requirements mean you won’t be burdened with extra paperwork.
Predictable reimbursements
Find out in advance how a claim will be reimbursed through our technical referral assistance program.
Cost containment
Our specialists work with vendors and Centers of Excellence to negotiate the best possible price for expensive treatments that could affect the plan.
Next steps
To learn more, contact your benefits broker or consultant.
Download questions to ask a potential stop loss carrier.
Stop loss policies are insured by Symetra Life Insurance Company, 777 108th Ave NE, Suite 1200, Bellevue, WA 98004. Base policy is ELC-24000 7/19. Products, features, terms and conditions may vary by state and may not be available in all U.S. states or any U.S. territory.
Critical Illness Specific Step-Down Endorsement form number is ELC-24110 3/24 in most states.
1Standard offering.
WEB-1384 11/24