12700 Townepark Way Ste. 105
Louisville, KY. 40243
For an overview of Our products, please view this brochure.
In order to request a consultation or proposal from Stop-Loss Brokerage; please complete and forward the following requested plan information; and advise which particular programs (Traditional Self-Funded ; Corporate Medical Tourism Program; etc.) that you are most interested in.
- Group Name; location(s); SIC or type of industry
- Contact representative (e-mail address and phone)
- Current census (please provide dependent status for two; three; or four-tiered rates); and ee. zip codes
- Current Plan Design (PPO; HMO; HSA; HRA) single; dual; or multi- option plans available
- In-force Platform Specifics (Fully-Insured Carrier or Reinsurance Carrier; TPA; Managed Care Network(s)
- Rate History (In-force; renewal rates)
In addition to the above info. if the plan is currently self-funded; additional plan data is required:
- In-force TPA; reinsurance carrier
- Specific retention level and contract type for Specific and Aggregate contracts (ie: 12/12; 12/15; 12/18; PAID)
- In-force and renewal reinsurance rates; agg. factors
- 50% spec. report for current plan year with Trigger Diagnosis reports
- Minimum of 2 years utilization history (paid claims; and shock claims $25k + with prognosis info.
- Updated Summary Plan Description or Standard Plan Document
Copyright 2012: Stop-Loss Brokerage, Inc. | Erisa Consultants | All rights reserved.
12700 Townepark Way, Ste. 105, Louisville, KY. 40243 502-245-1508 | email@example.com