stop loss insurance

Insurance that protects a self-insured employer from catastrophic losses or unusually large health costs of covered employees.

• Stop-loss insurance essentially provides excess coverage for a self-insured employer. The employer and the insurance carrier agree to the amount the employer will cover, and the stop-loss insurance will cover claims exceeding that amount. [Cases: Insurance 2523, 2525(1). C.J.S. Insurance § 930.]


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