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Symetra Life isn't just a medical stop loss pioneer–we introduced the product to the marketplace back in 1976–we're also an industry leader who has built one of the best and largest medical stop loss organizations in the country.
Today we continue to grow our business by delivering on promises and maintaining our commitment to help independent distribution partners serve the needs of their clients.
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Specific Stop Loss Coverage |
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Aggregate Stop Loss Coverage |
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Sample Policy |
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Frequently Asked Questions |
Specific Stop Loss Coverage
Our Specific stop loss coverage protects against catastrophic claims above the plan document's Specific deductible.
Specific deductibles start at $25,000.
Aggregating Specific is available.
Prescription drug and terminal coverages are offered.
Unlimited annual and lifetime benefits are available.
Aggregate Stop Loss Coverage
Symetra Aggregate stop loss coverage protects a self-funded plan in the event that actual claims for a group exceed planned, budgeted claims.
Flexible attachment points–125 percent is standard; others may be available.
Prescription drug and terminal coverages are available.
Up to $10,000,000 maximum may be considered upon request.
Frequently Asked Questions
No. Symetra does not have an actively-at-work provision.
No. Our stop loss policy does not have exclusions for late entrants or those actively at war.
Symetra will not introduce a new laser at renewal unless specifically requested by the policyholder or administrator.
The Symetra stop loss policy only has three general exclusions: workers' compensation claims, administrative fees, and experimental and investigational claims as defined by the employer's plan document.
No.
There are no exclusions or limitations for transplants.
Groups are typically reviewed for renewal by utilizing information through 10 months of the open policy period. The group's demographics, geographical break-out, managed care networks, policy, and Specific deductible level are some of the items used to develop a Specific manual rate along with the group's reimbursement history. For Aggregate coverage, the prior period, open period and running 12 months of first-dollar-claims data is reviewed and an attachment point is determined.
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Article: How Well Do You Know Your Contract?
What's New
In response to mandates established by the new Patient Protection and Affordable Care Act (PPACA), Symetra is providing answers to frequently asked questions  relating to Symetra stop loss insurance.
2010 Symetra Community Champions Awards, - Is there an unsung hero in your community? Someone who is working to make a positive difference in his or her community?
Nominate your Community Champion
Symetra's Stop Loss Policy Highlights
Minimum group size of 51 or more eligible lives.
Specific advance funding standard on all policies.
No new lasers or increase on existing lasers upon renewal.
Licensed in 49 states. (New York is under a different company name)
For more information, contact your Regional Group Manager.
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