Medical Stop Loss done differently.

The stop loss program is a retrospective funding model where you pay actual claims costs — minimizing 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.

We can work through brokers or directly with HR and Benefits Professionals.

Medical stop-loss insurance protects the employer
How It Works

Our program 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.

Doctor and nurse reviewing patient records in a hospital corridor
FEATURED OFFERING

Retrospective Funding

pay actual costs, not inflated premiums

Transparent Operations

you see exactly where your money goes

Open to Self-Insured Employers

in any industry across most states

Member-Driven

decision making by members

Nurse consulting with colleagues in a hospital hallway

Our Stop Loss Solution

Our program 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, clients pay less.

Who Can Join?

Self-insured employers in any industry. If your organization self-insures its health plan – you need stop-loss coverage. Our program is built to serve organizations like yours.

  • Self insured employers
  • Any industry
  • Accessible through brokers or directly
CFO testimonial — Joanne Smith
CFO TESTIMONIAL
HR & CFOS:

We also work directly with HR and benefits leaders who want to evaluate stop-loss options independently.

Broker testimonial — Rick Gant
BROKER TESTIMONIAL
BROKERS:

We actively partner with benefits brokers serving self-insured employers. Bring your clients — we'll run the numbers together.

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.”

Rita Davis|Finance Manager, Anderson County

Contact us to discuss stop loss

Contact us – we work through brokers or directly with HR and Benefits Professionals. No obligation, just a clear look at what you could save.