StarLine Group is a special risk accident insurance underwriting manager and Lloyds of London correspondent providing various accident insurances, health insurances, and medical stop loss insurances and reinsurances
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Medical Stop Loss Insurance

Medical Stop Loss Insurance protects a self-funded Group Medical program from unpredictable risks.

Specific Stop Loss: protects against individual "catastrophic shock" claims, providing reimbursement to the Employer for claims paid in excess of a specific per person deductible.

Aggregate Stop Loss: protects against an increase in the overall claims, reimbursing when claims exceed a predetermined amount.

These coverages are available on a domestic policy form or on an Excess and Surplus lines basis, subject to state availability.

StarLine Advantage Program

In creating the StarLine Advantage Program, StarLine Group has assembled the best claims management vendors and made their services available to TPA’s and their clients at a substantial discount.

StarLine Advantage helps TPA's identify potential savings before the claim adjudication process commences.  It is designed to wrap around the services provided by the plan’s TPA, providing a safety net for out-of-network and specialty claims.

Deductible Advantage Program

StarLine's Deductible Advantage Program helps achieve the goal of reducing health care costs to employers by sharing cost savings achieved by the StarLine Advantage program directly with the employer. 

 

StarLine passes 10% of the StarLine Advantage savings back to the  employer via either a credit against that claimant's specific deductible (if the specific deductible has not been reached) or via check (if the claimant's specific deductible has been reached).  Click here for more details.

 

To view or print any of the below forms, your computer must have Adobe Acrobat Reader installed. Acrobat Reader is free software that lets you view and print Adobe Portable Document Format (pdf) files. If your computer does not have Acrobat Reader, you may download it here.

Request for Stop Loss Proposal
Plan Sponsor Disclosure Statement
TPA Questionnaire
PPO Questionnaire

Deductible Advantage Program
Specific and Aggregate Medical Stop Loss Claims Procedures
Specific Claim Notification / Specific Claim Reimbursement Form
Aggregate Claim Reimbursement Form
Specific Only Premium Reporting Form (Domestic Carrier)
Specific Only Premium Reporting Form (Surplus Lines)
Aggregate Only Premium Reporting Form (Domestic Carrier)
Aggregate Only Premium Reporting Form (Surplus Lines)
Specific and Aggregate Premium Reporting Form (Domestic Carrier)
Specific and Aggregate Premium Reporting From (Surplus Lines)