Spec and Agg for Employee Benefits

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 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.