About the Program
RLJ Insurance Services (RLJ) offers innovative Stop Loss solutions and flexible programs tailored to meet an employer’s level of risk tolerance. We service a diverse client base which is national in scope, and we possess the authority to write in all 50 states and Puerto Rico.
RLJ underwrites specific and aggregate stop loss coverage, issue policies, bills and collect premiums, manage large catastrophic losses, adjudicates claims and disburses both claim and commission payments.
Our financial strength along with our diverse product portfolio and strategic relationships allow us to maintain our position as a leader in the Stop Loss arena with the ability to offer unique programs and compete in all market places. RLJ has the experience and knowledge required to provide the highest level of service with 90% of all clean claims adjudicated and processed within ten (10) business days.
Realizing that clients have different needs, different demographics, different paid claims experience and different plan design preferences, we can tailor policy features with aggregate specific options, various contract basis, family deductible and other creative solutions with our various carrier relationships.
Specific Stop Loss
A Stop Loss Specific Policy limits the employer’s exposure on an individual claim basis. With this coverage, a cap is placed on how much the employer will pay in the event of a catastrophic claim. Once this deductible is exceeded, the Stop Loss carrier assumes responsibility for charges in excess of the cap for the remainder of the plan year. Maximum benefit level as high as $5 million.
Aggregate Stop Loss
Stop Loss Aggregate Coverage limits the employer’s exposure on a total claim basis. Coverage can include medical, dental, prescription drug and short-term disability benefits. Once the company’s total claims reach the cap, the policy reimburses excess expenses. Maximum benefits are normally provided at $1 million/year, but higher levels may be secured.
