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Stop Loss
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Stop Loss Insurance

Protection for Self-Funded Employers

With more than 35 years in the Stop Loss insurance market, HM Insurance Group (HM) works to deliver smart solutions, exceptional performance and unparalleled support. Our Stop Loss coverage can be tailored to satisfy each client's level of risk tolerance, and you can trust that our underwriting experts are working to protect our policyholders’ financial well-being based on individual experience and group dynamics. With a wide range of deductibles and contract periods, our Stop Loss plans can be structured to meet specialized needs and mitigate potential claim risks.

Performance Distinction

As a leading Stop Loss carrier and direct writer, we work to optimize coverage through experienced risk management, excellent operational performance and successful cost containment practices. You can rely on quick, accurate payment of claims and an exceptionally high level of performance that enables you to focus on your own business goals. Talk with one of our experienced leaders to learn more about our approach to the market and build a relationship that lasts.

A Solid Contract

HM offers clients a Stop Loss policy that provides clarity, financial protection and choice. We know that the contract is the core of the carrier-client relationship and the foundation for mutual obligations. Our streamlined contract helps to ensure our policyholders know their coverage details. It’s written in language employers understand and offers choices for customized Stop Loss protection.

Claim Services from Dedicated Teams

Since we underwrite to pay claims, not to dispute them, you can count on responsive, timely administration of Stop Loss insurance claims. Our dedicated claims team uses streamlined processes to provide accurate and efficient reimbursement. Highlights include:

  • eClaims and low documentation submission options
  • Access to Centers of Excellence
  • Out-of-network discount negotiation services
  • Subrogation recovery
  • Collaboration on unusual/questionable services

Our Promise

We know that the heart of a smart business decision is the integrity of the transaction. Guided by knowledge and experience, we make sound, disciplined decisions to guard the financial health of our policyholders. When you work with HM, you can have confidence in the quality of what we are delivering.

Blog

Stop Loss Insights

  • Never Lose Sight of What Happened

    Few events will have a profound impact on both your business and personal lives, and that statement could not be truer than in reflection of what we experienced 20 years ago. On the morning of September 11, 2001, I was in a meeting with a number of reinsurers and our attorneys in a New York City skyscraper on the corner of Park Avenue and 50th Street. There were about 20 of us in a boardroom discussing a legal matter in which we had a common interest. There was an arbitration coming, and we were discussing strategy and timing.

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  • The Long Haul of COVID-19

    Coronavirus, SARS-CoV-2, COVID-19. These terms come up all the time now in the industry and in our daily lives – so much so that they can sound normal, and it can feel like this virus has been around forever. But then I remember that it’s only been a little over a year since the pandemic really started. And in science, one year really isn’t very long at all. It is, however, long enough to see both a light at the end of the tunnel – and the potential for lasting effects.

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  • Assessing Your Game

    The NCAA Women’s College World Series is one of my favorite sporting events of the year. While I lived in New Jersey, I was lucky enough to be the volunteer assistant coach for the Rutgers University women’s softball team for 10 years. During that time, we were never a great team, but I enjoyed being around the players because of their enthusiasm for the game and the joy they brought with them – to the games, to the practice field and even to lifting, study hall and team meetings. (Okay, that last one was a stretch…)

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