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Self-funded health insurance can significantly reduce the overhead costs associated with traditional health care coverage. Along with the benefit of lower premiums and certain tax breaks, it also enables better control over your financial reserves without sacrificing the quality of health care coverage for your employees.

Self-funding can be a cost-effective alternative to traditional insurance but it can also be risky. If several of your employees fall seriously ill, or even one employee files a catastrophic claim, those medical bills could wipe out your entire medical reserves and require additional funds to cover the costs. Medical stop loss insurance from Nationwide can help you guard against this risk.

Benefits of medical stop loss

Using medical stop loss, employers that self-fund their medical coverage will benefit from:
  • Financial stability and the ability to manage claims costs more effectively
  • More control over medical coverage offerings to employees
  • Greater access to data regarding claims cost drivers

Our solutions are designed for businesses with between 10 and 5,000 employees that self-fund their group medical benefits.

We have a full suite of medical stop loss solutions

  • Traditional self-funding: Flexible plan designs and lower administrative costs lead to expense reductions for employers.
  • Level-funding solutions: Employers get the flexibility and cost-saving opportunities of self-funding with the fixed and predictable monthly costs of a fully insured plan.
  • Group captives: Pooling exposure with many other mid-sized companies help employers to minimize risk.
  • Reference-based pricing: Claims are paid according to a percentage of the Medicare schedule, rather than using a traditional PPO network.
Group insurance plans. Key person benefits. Retirement plans. Take a look at all of our employee benefits.

Underwritten by Nationwide Life Insurance Company.

Products are not available in all states. The benefits outlined here are for illustrative purposes only and should not be considered a proposal for coverage. Limitations and exclusions apply. Additional plan options are available with underwriting approval.