Partially self-funded insurance programs that limit the self-insured portion of an employee's medical coverage to a specific amount is commonly referred to as an aggregate stop loss limit.

Question

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An aggregate stop loss limit refers to the total amount a self-funded insurance plan will pay in claims over a specified period, not the limit on the self-insured portion of an individual's coverage.

Partially Self-Funded Insurance Programs That Limit the Self-Insured Portion of an Employee's