East Coast UnderwritersStop-Loss and Captive Insurance 2026

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  1. Click ‘Get Form’ to open the East Coast Underwriters Stop-Loss and Captive Insurance questionnaire in the editor.
  2. Begin with Part I, where you will enter your company name, address, and contact information. Ensure all details are accurate for effective communication.
  3. Proceed to list any affiliations with other organizations in question 3. This is crucial for transparency in your application.
  4. In Part II, provide details about your excess insurers. Fill in the carrier names and their respective percentages of in-force stop-loss policies.
  5. Continue through Parts III to VI, answering questions regarding administrative services, claims administration, compliance, and legal matters. Be thorough to avoid delays.
  6. Review all entered information for accuracy before submitting. Utilize our platform’s features to save your progress or make edits as needed.

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Cons of a Captive Insurance Plan Increased risk With a captive, the owner-insureds put their own capital at risk. If a company experiences a high number of claims, that capital could be lost. This is why its important to have robust risk management policies.
The way stop loss captives work is also what makes them so beneficial for employers: A group of employers comes together to spread the risk of their self-funded medical and pharmacy plan through multiple layers of stop loss insurance. Each employer covers their own claims up to a set deductible of their choosing.
2. Who typically purchases stop-loss insurance, employers or employees? Employers buy stop-loss insurance to protect themselves from huge medical claims related to their employee health benefits plans.
Stop Loss insurance is typically purchased by the employer through a TPA or directly from a carrier underwriter. Working with these experts, an employer can determine their threshold of claim payment risk and thereby set the desired level of protection needed.
As a member of a medical stop-loss captive, you allocate funds specifically to cover your employees health claims. This means you only pay for actual claims, potentially lowering costs by avoiding unnecessary coverage. You keep any unused claim spend.

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Specific stop-loss is also known as individual stop-loss. Aggregate Stop-Loss provides a ceiling on the dollar amount of eligible expenses that an employer would pay, in total, during a contract period. The carrier reimburses the employer after the end of the contract period for aggregate claims.

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