A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Question

Quizplus · Accepted Answer

A stop-loss provision is designed to limit the policyholder's out-of-pocket expenses. Once the policyholder has paid up to the specified amount, the insurance company covers the rest of the eligible expenses at 100%.

A Stop-Loss Provision Requires the Policyholder to Pay Up to a Certain