How does stop-loss handle claims related to services provided by non-licensed practitioners

Jun 10, 2015 ... ... Informational Memorandum DFS-03-001M, Mar. ... 51 or more covered employees be considered health insurance if the plan's stop-loss coverage has an. Dec 20, 2024 ... As healthcare costs continue to rise, driven by increasing claim frequency and severity, self-funded employers face greater financial risks. (Note: This is NOT for complaints about hospitals or other health care facilities.) ... Find more information about surprise billing protections at the Division ... This page was last updated on January 31, 2025. Topics covered: Rights under New York law. Private Health Insurance Plans. Medicaid plans. Medicare plans. Jun 4, 2024 ... Last year, we distributed $8 million pro rata back to businesses in the stop-loss captive. Benefits of a Group Medical Captive. information ... Stop loss or excess insurance may be purchased in the same manner as group health ... informational packet sent to employees or members, or by January 1 ... ... information required by health care providers to ... automobile liability insurance; stop loss or excess risk insurance; workers' compensation or similar. The Essential Plan: Has no deductible, so the plan starts paying for your health care right away. Covers comprehensive benefits, including dental and vision, ... If a policy for stop-loss insurance for a group health plan does not meet the criteria set forth in this section, the policy will be deemed to be a health ... Jun 15, 2012 ... A copy of the stop-loss insurance policy should be attached, as applicable. Additional Information: As a self-insurer, an employer must show ...