Results-Oriented Medical Stop Loss Placement and Renewal
For many plan sponsors, the annual increase in medical stop loss renewal rates represents one of the most significant and costly components of their benefit plans. Often, a lack of familiarity with stop loss coverage—whether on the part of the plan sponsor, their advisor, or both—can lead to frustration and missed opportunities for savings.
When a renewal requires switching to a different underwriter, it may offer potential cost reductions but also introduces transitional risks. These risks include coverage gaps and the possibility of “lasers” on high-cost claimants, resulting in higher deductibles or outright exclusions.
By adopting a strategic and thorough approach to stop loss placement and renewal, many plan sponsors can secure meaningful premium reductions. Since stop loss coverage typically has little to no impact on employee enrollment or coverage decisions, it presents an attractive avenue for controlling benefit plan costs.
At Aegis Risk, our dedicated focus on medical stop loss enables us to help clients and partners avoid costly pitfalls and maintain robust coverage. Here are some of our proven strategies for achieving cost-effective, high-value placements and renewals:

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Leverage Data
Stop loss underwriters dislike uncertainty. Providing up-to-date claims data, verifying PPO discount assumptions, and referencing competitive premium benchmarks—such as our Aegis Risk Medical Stop Loss Premium Survey—strengthens your position.
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Time It Right
Finalizing renewals too early can increase premium margins due to uncertainty. Targeting renewal completion about 60 days before the effective date is optimal.
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Choose the Right Underwriter
Different carriers favor different populations. Understand which underwriters align best with your ASO/TPA and network. Weigh the benefits and drawbacks of using an MGU versus a direct writer.
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Index Your Deductible
Align your stop loss deductible with underlying medical trends to avoid over-insuring and overpaying.
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Be Assertive
Don’t hesitate to ask for what you need—negotiation is key.
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Utilize a Knowledgeable Advisor
Experience and strong industry relationships make a significant difference. Our clients consistently attest to the value we bring to the process.
Contact us today to learn more about our approach, market insights, and to receive a complimentary review of your current coverage. We look forward to assisting you with your upcoming renewal.
We proudly partner with both employers and other brokers and consultants.
