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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 market, HM Insurance Group works to deliver smart solutions, exceptional performance and unparalleled support. You can tailor our 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 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 relationships that last.

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 protection.

Claim Services from Dedicated Teams

Since we underwrite to pay claims, not to dispute them, you can count on responsive, timely administration. 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

  • The Truth Revealed: Secret Elements of HM Underwriting

    The time has come. I’m about to tell you some inside secrets about the way HM underwrites our Stop Loss business. This is the secret formula kind of stuff…the inside scoop…the truth exposed. Some might call it brazen to share such details, but I want you to know what goes into our process.

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  • Taking Action Against High Cost Claims

    Well, the Stop Loss industry seems to be a rousing one these days. Claim incidences and expenses are on the rise (with no end in sight) – and we have to figure out how to contain the costs to protect everyone’s bottom line. Our sleeves are rolled up at HM. Who else is in? This is going to take a pretty big effort from all of us if we are to minimize the risk.

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  • The Contract Is the Cornerstone

    Having been around the Stop Loss world for 30 years, I know that without a solid foundation of expectations and the type of commitment that HM has with our producers and our mutual clients, good partnerships can fall apart. And in the Stop Loss realm, the groundwork starts with a well-constructed contract.

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