1. What is medical stop loss insurance?
Medical stop loss insurance provides financial coverage to self-funded health benefit plans for catastrophic and unexpected medical claims made by enrolled individuals or the group.

2. What should our deductible be?
American Stop Loss helps you determine the optimal deductible by balancing your size, location(s), plan benefits, financial resources, loss histories, tolerance for risk and other factors.

3. How quickly can you produce a quote?
American Stop Loss typically provides your quote 5 to 7 working days after you give us all the needed data.

4. How quickly can you produce a quote if it's an emergency?
We can produce high-priority quotes in 48 hours when clients have given us all the necessary data.

5. Can you be competitive on every quote?
Yes. Because we specialize in medical stop loss insurance, work with top carriers and MGUs in the industry, and sell millions of dollars in premiums every year, we have the expertise and resources to offer consistently competitive quotes.

6. Are there any industries you won't quote?
Generally no. A key strength of American Stop Loss is the ability to get quotes for difficult industries and specific cases.

7. Are you licensed to operate in our state?
American Stop Loss is licensed in 48 states. The exclusions are Hawaii and Alaska.

8. How is American Stop Loss compensated?
ASL receives commissions and/or fees for its services and may, from time to time, receive additional compensation based on factors such as premium volume, new production and persistency, as well as lodging, meals and other benefits associated with occasional educational conferences and social events.

9. What is the minimum number of lives you'll insure?
Our carriers have provided coverage for groups with as few as 50 employees.

10. Can you work with my third party administrator (TPA) or health plan?
Our carriers can work with any TPA, health plan or carrier. In the event your TPA is not approved by a specific carrier, we can lend assistance in the TPA approval process.

11. How quickly do you pay claims?
Claims are paid by the carrier or MGU where your coverage is placed. We submit your claim to the MGU/carrier as soon as your TPA or carrier has given us the data and we begin monitoring its status actively. "Clean claims" are often reimbursed in 10 - 20 days. If you've opted for Advance Payment terms in your contract, you can collect sooner.

12. Are the carriers you represent financially sound?
Yes. All of American Stop Loss's insurance carriers are financially sound. A.M. Best ratings are available upon request.

13. What are your carriers' renewal policies?
Each carriers' renewal procedures and policies differ, though as a rule, they will work hard to renew a case that is in force. At renewal time, American Stop Loss will work in your client's interest to identify coverage that best meets their needs.

14. How do we get a quote from American Stop Loss?
Call 800-944-7659, extension 3003, or email us for more information.

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1. Are you a Managing General Underwriter (MGU)?
No. American Stop Loss is the nation's largest independent, wholesale broker of medical stop loss insurance. Instead of being tied to one or two carriers, we're a value-added intermediary between you and many top-rated carriers.

2. Which carriers do you broker for?
We broker for the leading carriers in the industry, including ING/ReliaStar, AIG, Standard Security of New York, Life Investors and many others.

3. How can American Stop Loss help my brokerage?
We help you sell and renew cases by accessing quotes on your behalf that are more competitive and comprehensive.
• Our rates are "competitive."
• We have the expertise to place difficult cases.
• We offer multiple quotes.
• Our turnaround is fast.
• Some of our carriers offer "immediate" claim reimbursements.
• We provide compliance support on every policy.
• We reduce your E&O exposure.

4. How can American Stop Loss help my consultancy?
You get paid for your know-how. We provide you specialized expertise in a complex area and preferred access to top carriers. Because we specialize in difficult cases, we have a thorough knowledge of the industry that helps you provide superior service.

5. How can a TPA benefit from doing business with American Stop Loss?
We help you reduce paperwork and administrative costs without additional premium costs. With American Stop Loss, you're overhead is lower and you provide a better service to your clients.

6. How do you compensate brokers?
American Stop Loss pays excellent broker commissions.

7. Can you work with multiple TPAs, health plans or carriers?
Yes. American Stop Loss can consolidate reports from multiple TPAs, health plans and carriers, reducing paperwork and streamlining service.

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1. Will you provide a two year rate guarantee? If no, how long will you guarantee your rates?
Carrier rates are typically guaranteed for 12 months. Rates are sometimes guaranteed for two years depending on the details of the case and the carrier's policy.

2. Do you agree that renewal rate adjustments will not be made more than once in any 12 month period?
Yes. Carrier rates are guaranteed for the full year unless there is a change in the risk profile (e.g., enrollment change of more than 10%).

3. Describe your implementation process and timing.
Once you decide to accept our carrier's proposal, we ask you to submit documentation on shock losses and other details of your plan. After the carrier receives and approves the application, disclosure statement, other requested documentation and the premium, and a policy will be issued.

4. How and when are specific claims reimbursed to the policy holder?
Eligible specific claims are typically reimbursed by the MGU/Carrier upon receipt of complete claim data

5. What documentation is typically required from the Administrator for a specific claim?
Proof of eligibility, individual name, date of service, amount billed, proof of amount paid and service codes.

6. During a renewal year, is coverage provided for the run-out of the prior year's claims?
Yes, if a run-out contract is taken at renewal.

7. Is aggregate liability reduced by specific stop-loss payments?
No, specific stop loss payments are not applied toward the aggregate liability.

8. What is the basis of the contract you are quoting, i.e., 12/12, 15/12, or 12/15?
Our proposal will reflect the contract terms you specify and we may recommend other terms as additional options.

9. What are your required reporting procedures?
Your stop loss policy obligates you and your TPA to report loss data on a monthly basis. While this can be reported directly to the carrier, we strongly encourage you to report through ASL. This monthly loss report must list individuals who have exceeded the deductible, who have exceeded 50% of the deductible or who are expected to exceed 50% of the deductible. If aggregate coverage has been purchased, you must submit a report showing the number of enrollees and paid claims for that month and year-to-date. Other pertinent medical data, such as Large Case Management notes, must also be included.

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