• Comprehensive loss insurance is designed to protect an employer that is self-funding its employee health plan from higher-than-expected claims payments.

  • Loss insurance is similar to high deductible insurance and the employer remains liable for claims below the deductible amount.
  • The deductible or investment for cumulative stop loss insurance is calculated based on several factors, including the estimated value of claims per month, the number of employees enlisted, and a stop loss multiplier that is typically around 125% of expected claims.