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Health Insurance FAQs

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Health Insurance FAQs

questions and answers about health insurance and employee benefits

Stop-Loss

Stop-loss insurance protects a self-funded employer from catastrophic claims. These FAQs explain specific and aggregate stop-loss and how they work.

What is stop-loss insurance (specific vs. aggregate)?

HealthInsuranceFAQs, June 16, 2026June 16, 2026

Stop-loss insurance protects a self-funded employer from catastrophic claims. Specific (individual) stop-loss caps the plan’s exposure to any one person’s claims above a set deductible; aggregate stop-loss caps total claims for the whole group above an expected threshold.

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