Description: Medical stop-loss reinsurance continues to play a vital role in containing employers’ health care costs. Managing general underwriters [MGUs], who originally handled these programs, have lost market share to large direct writers. This article discusses how health care reform and highly disciplined underwriting tools offer growth opportunities to MGUs.

Description: This session from the 2003 SOA Spring Meeting discusses how the employer stop-loss market has experienced turbulence in recent years. Panelists discuss their views on this market, including market size and growth, whether or not pricing is softening, claim cost trends and underwriting. Session 3PD.

Description: 1993 SOA Spring Meeting, San Diego. This session is about stop loss insurance and some of the issues associated with it. Product issues discussed included: 1. Issuance of stop-loss policies with internal limits that don't match up with the underlying plan document. 2. The use of 12/12 renewals under which the stop-loss policy only covers claims incurred and paid in the twelve-month contract period. 3. Offering two-year rate guarantees. 4. Offering of lifetime limits in excess of $1 million.

Description: Cell and Gene Therapy (CGT) are life-changing treatments where conditions such as cancer, hemophilia, spinal muscular atrophy and blindness are being cured. These are great for individuals and society, but the treatment costs are expensive which is bad for payers and reinsurers. This article explores ways for health reinsurance actuaries to participate in the space and evaluate the risk associated with these treatments

Description: Panelists discuss how the provider excess stop-loss reinsurance market is changing, as providers move away from capitation. They look at the current capitation and reinsurance markets, from the actuary's and underwriter's viewpoints. They also discuss the reinsurance pricing considerations. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 41PD of the San Francisco Spring Meeting.

Description: Employer stop loss is an insurance coverage offered to employers who self-fund their employee benefits program pursuant to an ERISA plan document. From Reinsurance Section News, November 2007, Issue No. 61.

Description: Specific and aggregate stop loss insurance reinsurance is a product that has unique characteristics. The product is a special type of policy that covers employers or their self-funded employee benefit plans for larger health claims. The product has some unique reserving challenges for the health/reinsurance actuary.