Standard Stop-Loss Employer Disclosure Form Endorsed
Self-Insurance Institute of America ( www.SIIA.org) and Society of Professional Benefit Administrators ( www.SPBATPA.org) have endorsed a standardized stop-loss disclosure form, which also includes ICD-9 codes. The documents are intended to help facilitate the sharing of health data information between self-insured entities/TPAs and stop-loss insurers/MGUs for the purpose of medical stop-loss underwriting.
Stop-Loss Carriers and MGUs Adopt the Standardized Form
The list below represents an estimated $3.3 Billion in Stop-Loss premium. Assuming a medical self-funded community Stop-Loss market of $4 Billion, then over 80% of the market has adopted the form.
If you are a Stop-Loss carrier or MGU that has adopted the standard disclosure form, please let us know at Info@MyHealthGuide.com.
- BEST Re on behalf of US FIRE & BEST LIFE
- Cairnstone Re
- HCC Life
- HMA MGU, LLC, MGU
- Independence Holding Company (Standard Security Life Insurance Company of New York, Madison National Life and Independence American Insurance Company)
- Intermediary Insurance Services, Inc. (IISI), MGU on behalf of QBE Insurance Company and American National Life Insurance Company of Texas
- J. Allan Hall & Associates, Inc., MGU on behalf of their underwriting facility, Lloyd’s of London
- Medical Excess
- Medical Risk Managers, MGU
- National Benefit Resources, MGU on behalf of UnitedHealth Group insurance companies
- R. E. Moulton, Inc. / American United Life Insurance Company (OneAmerica Companies)
- RMTS, LLC, MGU on behalf of their carriers Nationwide Life Insurance Company, Gerber Life Insurance Company, and Trustmark Insurance Company (as filed)
- Spectrum Underwriters, MGU
- Star Line Group, MGU on behalf of QBE Insurance Company, Nationwide Life Insurance Company and Lloyd’s of London.
- Stop-Loss Concepts, Inc., MGU on behalf of their carriers, Gerber Life Insurance Company and QBE Insurance Company.
- Swiss Re Commercial Insurance
- Zurich North America