As a reminder, UnitedHealthcare’s business policy is such that no carrier with a competing network, or affiliated with an entity with a competing network, may write Stop Loss coverage (Individual or Aggregate) on top of a UnitedHealthcare network. This policy has been in place for years and remains unchanged.
Stop Loss coverage protects against large losses that occur for one individual (sometimes called “specific”) or the membership in total (also called “aggregate”). This allows employers to manage the predictability of cash outflows and transfer a portion of the risk associated with a self-funded plan to a financially stable stop loss carrier.
Brokers or consultants that use a third party broker, including but not limited to a Managing General Underwriter (MGU) or Managing General Agent (MGA), to market stop loss products for their clients are responsible for informing the marketing broker of UnitedHealthcare’s policy and ensuring adherence. Please note, this policy applies to all UnitedHealthcare ASO businesses with 100+ eligible employees including UMR.
For more information, please contact your UnitedHealthcare representative.