Stop loss

Our policy mirrors your plan document without any conflicting limitations or definitions.

We’re committed to delivering claim payments as expected, while finding opportunities to help control costs without sacrificing quality of care. Our strategic partnerships with cost-containment vendors help claims administrators maximize successful outcomes and savings on medical and pharmaceutical claims.

• Working together, we can deliver the right stop loss policy for your clients at the right price.
• Referenced-based pricing with single and dual option capabilities.
• No individual health questionnaires.
• No signed disclosure statements required on new business or renewals.
• Access to Peer Group Benchmark metrics.
• Maximum renewal rate cap guarantees.¹
• No new or increased lasers at renewal.¹
• No declined renewals due to poor claims experience.
• Limited general exclusions: Worker's compensation claims and administrative fees.

A $5,000 step-down deductible is available to groups who have a Symetra Stop Loss policy and offer Symetra Critical Illness Insurance.

We pay claims quickly. Catastrophic claims are reviewed within 24 hours and processed within 48 hours through our Preferred ASO Claim Advance Program.

Every Symetra policyholder has access to Group Online (GO), our administration portal, which provides convenient, 24/7 access to manage policy information, view claim details, make electronic payments, print explanations of reimbursements and more.

Each group is assigned a dedicated account manager who provides an exceptional implementation experience and ongoing support and service throughout the year, including policy activity monitoring, midpoint reviews and collaboration with your Symetra sales representative to make the renewal process as simple as possible.