March 20, 2014

Segal's Stop Loss Database Shows Noteworthy Changes in the Market

Segal Consulting has released information from its 2014 Segal Medical Stop Loss Database showing noteworthy changes in the stop loss market. Among the key findings:

  • Specific stop loss deductibles range from $75,000 to $2 Million
  • The most common specific deductible is $200,000, unchanged from last year
  • The second and third most common specific deductibles were $300,000 and $250,000, respectively

The database covers 212 distinct policies used for a comparative analysis of premiums policy terms and rating trends.

According to Edward A. Kaplan, Segal senior vice president and national health practice leader, the data showed wide variation in premium rates within deductible levels. “Some of the variance is due to different group demographics, medical and plan designs and the specific insurer’s book of business,” he said. “We believe that health plan sponsors should be aware of these rate swings and review their stop loss policy coverage limits to make sure they have adequate coverage and are paying competitive premium rates.”

For more information or to speak to Ed Kaplan, please contact Todd Kohlhepp.

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Segal Consulting (www.segalco.com), a member of The Segal Group, is a leading, independent firm of benefit, compensation and human resources consultants. In 2014, The Segal Group is celebrating the 75th anniversary of its founding by Martin E. Segal. Segal is headquartered in New York and has nearly 1,000 employees throughout the U.S. and in Canada. Clients include corporations, non-profit organizations, professional service firms, state and local governments and joint boards of trustees administering pension and health and welfare plans under the Taft-Hartley Act.

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Edward A. Kaplan

Edward A. Kaplan

SVP, National Health Practice Leader