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Stop Loss

Product Information

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In response to mandates established by the new Patient Protection and Affordable Care Act (PPACA), Symetra is providing answers to frequently asked questions relating to Symetra stop loss insurance.

Symetra Excess Loss Policy Hightlights

  Available to groups with      51 or more employees.

  Minimum Specific      Deductible of $25,000.

  Licensed in 49 states.      (New York is under a      different company name)

  No new lasers on      renewals.

Self-funding is an alternative approach to traditional medical insurance. When a health plan is self-funded, the employer pays for medical claims from a cash reserve which is established based on anticipated claims for the year or policy period. Employers who do not want to assume 100 percent of the claims risk will purchase a medical stop loss policy also called excess loss.

A medical stop loss policy insures an employer against potentially large losses under the plan. An insuring company, like Symetra, becomes liable when claims payments exceed the employer’s medical stop loss policy deductible.

To learn more about self-funding, please visit our
Frequently Asked Questions page.