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CASE STUDY: New Jersey Multi-Employer Group Stop Loss Insurance

A New Jersey Multi-Employer Group needed to reduce its Stop Loss insurance renewal cost. HCP National decreased Stop Loss costs by 35%, while also identifying Liability coverage gaps.

THE CHALLENGE

A New Jersey Multi-Employer Group faced a significant challenge in saving money on their $6 million Stop Loss expense for the 23,000 lives covered under their self-insured medical plan. The Group’s insurer proposed a renewal rate increase of over 20%. Each year, this was their typical renewal offer. In addition to skyrocketing costs, the group was concerned about the adequacy of their Liability coverages.

The Solution

HCP National identified several areas where the Group’s current Stop Loss insurer could deny coverage. HCP marketed the coverage to determine the best alternative option. Then, HCP further designed the policy language in accordance with HCP’s strict coverage standards. Once the necessary coverage language was obtained, HCP paid for a final legal review by an expert Stop Loss and ERISA attorney. Thereby, providing the client with the broadest Stop Loss coverage possible.

When conducting a total review of the Group’s risks and Liability coverages, HCP found missing coverage and incorrect coverage, which were immediately corrected.

Results

  • HCP negotiated a 15% decrease for the Group’s Stop Loss coverage (versus the proposed 20% increase); this resulted in a 35% overall price reduction.
  • HCP limited the client’s Stop Loss renewal increases to an average of 8% over a seven-year period.
  • Stop Loss claims were never denied; all claims were paid in full.
  • The Group’s Liability coverage was corrected, fully protecting them from numerous claims when the pandemic caused their insolvency.

Why HCP NATIONAL?

HCP National covers more than 1 million lives and members for Stop Loss and Reinsurance, helping clients save money and reduce their exposure. HCP’s commitment to providing superior service and delivering measurable results helps build long-term relationships with clients; HCP’s average client tenure is 12 years.

Founded in 1994, HCP National Insurance Services, Inc. is a certified MBE & WBENC insurance brokerage.

Ready to get started? HCP’s top priority is finding clients the best possible coverage and terms at the lowest possible cost. 

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