Matrix Group Benefits L.L.C. approaches Medical Stop Loss for Partially Self Funded Plans from a financial planning perspective using a multiple year financial model predicated upon the foundation of a stable portfolio of business with a limited number of benefit management consultants. Our model is derived from managed care risk management approaches with pricing predicated upon the design of payer-provider contracts, the risk sharing elements present within the contracts, and the scope of medical management services present.
Our Medical Stop Loss products are provided through our relationships with two A+ rated (AM Best) Insurance Companies.
The coverage available is based on a minimum of 100 enrolled employees and a minimum specific deductible of $25,000. Beyond these two minimum requirements, the coverage available for both specific and aggregate contracts is consistent with industry standards.