Medical Stop Loss
done differently.
Pay actual costs. Not premiums. Not profits.
The Palmetto Healthcare Stop Loss Program (PHSLP) is a retrospective funding model where you pay actual claims costs — eliminating the profit, surplus, and margins built into commercial stop-loss premiums. Transparent pricing, pooled risk, and a track record of delivering real savings to self-insured employers.
Happy to work through brokers or directly with HR and Benefits Professionals.
PHSLP Program Overview
Video coming soon
Member result — year one
50%+ savings
in year one.
“The County saved more than 50% on the cost of our stop-loss coverage in our first year alone thanks to joining PHSLP. We like the program's retroactive funding structure and having the volatile risk spread across a pool of participating organizations. As members, we also appreciate the transparency related to its operations and cost.”
Why PHSLP is different
from commercial stop loss
The commercial problem
Commercial stop-loss carriers treat your premium as a profit center. They bundle administrative margins, carrier profits, and surplus reserves into your rate — and keep the difference when claims come in lower than expected. You have no visibility into how that number was built.
The PHSLP solution
PHSLP uses a retrospective funding model where clients pay actual costs — eliminating much of the profit and removing the surplus and margins found in commercial stop-loss. When claims come in lower, you benefit. When the pool performs well, surplus returns to members.
- ✓Retrospective funding — pay actual costs, not inflated premiums
- ✓Transparent operations: you see exactly where your money goes
- ✓Risk spread across a pool of participating organizations
- ✓Open to self-insured employers in any industry across most states
- ✓Member-driven: surplus returns to members, not shareholders
Brokers: We actively partner with benefits brokers serving self-insured employers. Bring your clients — we'll run the numbers together.
HR & CFOs: We also work directly with HR and benefits leaders who want to evaluate stop-loss options independently.
Who Can Join?
Self-insured employers in any industry and most states. If your organization self-insures its health plan — or is considering it — you need stop-loss coverage. PHSLP is built around organizations like yours.
- •Self-insured employers with 100+ employees
- •Any industry (healthcare, municipalities, manufacturing, and more)
- •Multi-state participation (currently ~3 states, expanding)
- •Access through brokers or directly with HR/Benefits teams
Established 2011
PHSLP was established in 2011 with the explicit purpose of offering a transparent, member-driven alternative to commercial stop-loss. Over a decade of claims data, member performance, and program refinement backs every recommendation we make.
Ready to see the numbers?
Book time with Janine to discuss our Stop Loss Program and get a preliminary analysis for your organization.
Schedule a CallUnderstand stop loss in 4 short videos
Our explainer series walks you through the concepts behind self-insurance and stop-loss coverage — clear, jargon-free, and built for healthcare HR and finance leaders.
What is Stop Loss?
Video coming soon
What is a Loss Allocation?
Video coming soon
Stop Loss Program Terms
Video coming soon
How Stop Loss Claims Work
Video coming soon
More from our members
$1.4M in refunds
“In today’s competitive healthcare market, fiscal responsibility is a top priority. Being a member in a self-insurance captive has allowed AnMed Health the opportunity to receive refunds in excess of $1.4M.”
Schedule an appointment to discuss PHSLP
Book a call with Janine — we work through brokers or directly with HR and Benefits Professionals. No obligation, just a clear look at what you could save.