Spec and Agg for Employee Benefits

Aggregate Coverage

Aggregate stop-loss insurance protects a self-insured plan from a higher than expected accumulation of losses over an agreed period of time. The cover responds after a pre-determined amount of losses have been paid within the contract period but only takes into account losses after recovery from the specific section.

Specific Coverage

Spec and Agg for Employee Benefits

Specific coverage protects the trust or self-insured fund from large individual losses excess of a deductible (known as an excess or self-insured retention) which can vary in size from $25,000 to as much as $500,000.