Introducing Stop-Loss Benchmarking

For years, self-funded employers have asked us: "Can you benchmark stop-loss?"

We heard you. Today, we're launching stop-loss benchmarking on the Bnchmrk platform.

Why Stop-Loss Matters

Self-funded health plans expose employers to claim risk. Stop-loss insurance is how they manage that exposure. There are two types:

Specific stop-loss protects against catastrophic individual claims. Once any one person's claims exceed the specific deductible, the stop-loss carrier pays the excess.

Aggregate stop-loss protects against higher-than-expected total claims. If the entire group's claims exceed a threshold (typically 125% of expected), stop-loss covers the excess.

The decisions employers make about stop-loss—deductible levels, attachment points, rate structures—have significant financial implications. A specific deductible that's too low means overpaying for coverage. Too high means unexpected exposure.

Until now, these decisions have been made with limited benchmarking data.

What's Now Available

Specific Coverage:
• Specific deductible levels
• Single and family rates
• Number of lasers and laser amounts

Aggregate Coverage:
• Aggregate rates

What's Planned For Future Releases

• No-new-laser provisions
• Aggregate corridors (125%, 130%, etc.)
• Aggregate attachment points
• Contract basis (paid vs. incurred)
• Rate cap provisions

How Consultants Are Using It

Early users have found stop-loss benchmarking valuable in several scenarios:

Renewal negotiations — Show clients how their current stop-loss terms compare to market. Identify where there's room to negotiate or where they're already well-positioned.

New client assessments — Quickly evaluate a prospect's stop-loss program and identify potential improvements.

Self-funding feasibility — When evaluating whether a client should move to self-funding, benchmark the stop-loss costs they can expect.

Built on Verified Data

Like all Bnchmrk data, our stop-loss benchmarks come from verified employer documents—not surveys, not carrier aggregates. When you present stop-loss benchmarking to a client, you can stand behind the numbers.

Stop-loss benchmarking is available now for all platform subscribers.