Small Group Medical/Dental Stop Loss: 10-100 Lives
AMF can provide stop loss on groups with as few as 10 eligible employees. For groups employing 10-35 eligible employees, AMF offers a "simplified health questionnaire" to evaluate the overall suitability of self funding. The simplified health questionnaire is not required for groups of 35+ but may result in lower rates if provided. Stop loss limits of $10,000+ are available, depending on state law.
For small group self funded programs to be effective over the long term, the following criteria are important:
1. The age of the group should be average to young
2. PPO discounts and managed care capabilities need to be competitive
3. The plan should be administered by a competent TPA
4. The plan should incorporate strong financial incentives directed towards cost effective, quality treatment.
Note: AMF can provide sample benefit design options for review.
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