Medical Stop-Loss Insurance Checklist

Highlights from the checklist

The checklist can assist you with:

• Determining the adequacy of your current stop-loss coverage by reviewing your actual claims data
• Setting up monthly high-cost claim reporting
• Implementing third-party audit protocols for any known inpatient hospital or drug claim with $100,000 or more in submitted claims pending
• Obtaining current plan coverage documents and amendments annually
• Requesting bids every two to three years to make sure you’re getting the best possible deal on your stop-loss coverage

There are many other important points covered in the full checklist.