High Deductible Aggregate "Wrap" Stop Loss: 25+ Lives

In some states, BCBS and other fully insured carriers, will offer substantial rate reductions for $2,000 thru $10,000 high deductible options. Employers are often intrigued by the cost savings (up to 50% for a $5,000 deductible option) but have concerns about claims administration on the deductible portion and the overall liability.

A high quality TPA can be hired to administer claim payments on the first $5,000 of deductible expense, according to the employer's wishes. A plan document would be drawn to detail the payment of these "discounted" claims. Claims below $5,000 would have the BCBS or ASO discounts applied before payment is made.

AMF can provide a "cap" on the overall liability of the employer's deductible reimbursement portion of the plan. If the deductible is properly priced by the insurer, AMF may be able to guarantee a maximum cost exposure that will not exceed the cost of the carrier's otherwise fully insured renewal. Our insurance will provide the employer with peace of mind to facilitate the cost savings of a high deductible program, without the liability!!

Click here to download PDF 1 - High Deductible Aggregate "Wrap" overview [PDF]

Click here to download PDF 2 - High Deductible Aggregate "Wrap" overview [PDF]