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Stop Loss
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Stop Loss Insurance

Protection for Self-Funded Employers

With nearly 35 years in the Stop Loss Insurance market, HM Insurance Group works to deliver smart solutions, exceptional performance and unparalleled support. You can tailor our Stop Loss coverage to satisfy your clients’ level of risk tolerance and trust that our underwriting experts are working to protect policyholders’ financial wellbeing based on individual experience and group dynamics. With a wide range of deductibles and contract periods, our Stop Loss plans can be structured to meet specialized needs and mitigate potential claim risks.

Performance Distinction

As a leading Stop Loss carrier and direct writer, we work to optimize coverage through experienced risk management, excellence in operational performance and successful cost containment practices. You can rely on quick, accurate claim payment and an exceptionally high level of performance that enables you – and your clients – to focus on your own business goals. Talk with one of our experienced leaders to learn more about our approach to the market and build a relationship that lasts.

A Solid Contract

HM offers clients a Stop Loss policy that provides clarity, financial protection and choice. We know that the contract is the core of the carrier-client relationship and the foundation for mutual obligations. Our streamlined contract with limited exclusions helps to ensure your clients know their coverage details. It’s written in language employers understand, mirrors the underlying plan and offers choices for customized Stop Loss protection.

Claim Services from Dedicated Teams

Since we underwrite to pay claims, not to dispute them, you can count on responsive, timely administration of Stop Loss insurance claims. Our dedicated claims team uses streamlined processes to provide accurate and efficient reimbursement. Highlights include:

  • eClaims and low documentation submission options
  • Access to Centers of Excellence
  • Out-of-network discount negotiation services
  • Subrogation recovery
  • Collaboration on unusual/questionable services

Our Promise

We know that the heart of a smart business decision is the integrity of the transaction. Guided by knowledge and experience, we make sound, disciplined decisions to guard the financial health of our policyholders. When you work with HM, you can be confident in the quality of what you are delivering to your clients.

Blog

Stop Loss Insights

  • Reference-Based Pricing Brings Transparency to Health Care Costs

    Adding a reference-based pricing component to an employer’s health plan brings an element of clarity to benefit costs by determining, from the start, what is to be paid for medical services and procedures. It’s no surprise that reference-based pricing is a hot topic in the market today, especially when claims exceeding $1 million are more and more common. Reference-based pricing is part of a greater movement toward transparency, helping to establish some type of a standard for what is paid for medical care.

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  • Who Does Your Heavy Lifting?

    The insurance market changes every year. But for some time now, we’ve been watching the frequency and severity of claims rise, which increases the financial exposure of self-funded groups. With this, the need for Stop Loss protection has grown, along with the importance of working with a Stop Loss carrier that truly knows the intricacies of the market and what must be done to help ensure that the financial health of self-funded employers is properly guarded.

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  • Maintaining a Thoughtful Approach to the Business of Risk & Relationships

    HM is a Stop Loss carrier, which means we’re in the risk-taking business. We don’t shy away from it. We don’t avoid it. We bring a thoughtful approach to our underwriting process. But what does this mean for our clients?

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