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Employer Benefits IQ
Stop-Loss

Specific Stop-Loss

Coverage that reimburses claims above a per-person deductible.

LinkedInX

Full Definition

Specific stop-loss (also called individual stop-loss) reimburses the employer for claims exceeding a set deductible for any single covered individual in a plan year. Once a member's claims exceed the specific deductible, the stop-loss carrier pays all additional covered claims for that individual.