Cash-flow features such as Advance Funding,. Monthly Aggregate Accommodation ... #1 independent U.S. stop-loss carrier1.
Life’s brighter under the sun
STOP-LOSS
Fact sheet Rely on our expertise. Get the solutions, specialization, and strength that your business needs. About Sun Life
Solutions
Sun Life provides
Choice
protection and wealth
•
products and services to millions of people
S pecific and Aggregate products that provide the right mix of coverage to mitigate risk according to each employer’s self-funded strategy
worldwide and is a
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Wide variety of run-in, run-out, and paid options
member of the Forbes
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E arly rate locks for the ability to make stop-loss coverage decisions sooner (requires nine months of your claims data prior to the effective date)
Global 2000. Independent 3
financial strength ratings place us among the top of
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ash-flow features such as Advance Funding, C Monthly Aggregate Accommodation option, and direct deposit via electronic file transfer
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any ways to tailor the policy by using the M Cancer rider, Mirroring Endorsement, Aggregating Specific deductible, Clinical Trials rider, Terminal Liability rider, Gapless Renewal option, and more
North American insurance organizations. Our Sun Life Stop-Loss block size as of year-end 2016 is: • Business
in force $1.2B
• Policyholders • Covered
1,899
lives 4.6M
Consultation S uite of value-added services for Sun Life Stop-Loss customers that deliver insight and cost containment through: •
S unResources® vendor-services access program for dialysis, specialty Rx, out-of-network claim negotiation, and more
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SunExcel® transplant-vendor access program
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SunEliteSM medical plan document review service
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S un Life Stop-Loss Benchmark customized report of the self-insured marketplace
Predictability •
o New Lasers at Renewal option with Renewal N Rate Cap
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No re-disclosure requirement at renewal
Specialization Knowledge •
thorough understanding of the intricacies of A self-insured plans and how stop-loss insurance can help reduce risk
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S pecialized stop-loss executive, underwriting, sales, and service teams all dedicated to helping self-funded clients
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Extensive experience successfully working with:
–employers that are using an independent stop-loss provider for the first time, –third party administrators, and –administrative-services-only carriers
Autonomy •
etention of virtually all of the risk—for both R Specific and Aggregate
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F aster responses to customers’ underwriting and claim reimbursement requests because we don’t need a reinsurer’s approval
Excellence •
imely claims reimbursements provided in an T average of seven business days for complete Specific claims (2015 data)
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ore than $2.7B in reimbursements provided M (2013–2016 data)
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ost-savings opportunities provided by Sun Life C Nurse Consultants both before and after a claim is referred by a case manager or administrator— which actually add up to millions in savings every year4
Strength •
#1 independent U.S. stop-loss carrier1
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S trongly rated by independent financial rating agencies2
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F inancial strength to reimburse even the largest catastrophic claims
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ore than 30 years of experience in the M stop-loss industry
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P remier Member of the Self Insurance Institute of America (SIIA)
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Advocate for the self-insurance industry
Continued
Life’s brighter under the sun
To learn more, contact your Sun Life Stop-Loss Specialist.
One Sun Life Executive Park Wellesley Hills, MA 02481 www.sunlife.com/us
GSLFL-136dd
1. The #1 ranking is based on the National Association of Insurance Commissioners 2015 Accident and Health Policy Experience Report. 2. To see current ratings, please visit www.sunlife.com. The Sun Life Financial group of companies operates under the “Sun Life Financial” name strictly as a marketing name, and no legal significance is expressed or implied. In the United States and elsewhere, insurance products are offered by members of the Sun Life Financial group that are insurance companies. Sun Life Financial Inc., the publicly traded holding company for the Sun Life Financial group of companies, is not an insurance company and does not guarantee the obligations of these insurance companies. Each insurance company relies on its own financial strength and claimspaying ability. 3. Sun Life is #239 in the 2017 edition of the Forbes Global 2000 on www.forbes.com. The Sun Life Stop-Loss catastrophic cancer claim reimbursement must be based on the International Statistical Classification of Diseases and Related Health Problems (ICD-9) cancer codes 140–239. To receive a reduction in the Sun Life Stop-Loss Specific deductible, the Sun Life Cancer rider must be in force as well as either a Sun Life Critical Illness and Cancer Insurance or a Sun Life Critical Illness Cancer-Only Insurance policy. Issuance of the Sun Life Critical Illness/Cancer policies is dependent on meeting underwriting guidelines and participation requirements. Product offerings may not be available in all states and may vary depending on state laws and regulations. 4. Data based on 2013–2015 data. Bill negotiation: savings were calculated once newly negotiated bills were approved; total billed charges were $2,373,975.81; savings were $1,388,947.03; percentage of savings was 58.5%. Total transplant fees that Sun Life paid was $3,078,154.83. SunExcel® savings were $49,055,416.62, which was an average savings of 41.6%. The following services are not insurance and carry a separate charge included with the price of coverage: SunResources®, owned by Sun Life; SunExcel®, owned by Sun Life and SunEliteSM, owned by Sun Life with services provided by third party The Phia Group, LLC. Sun Life is not responsible or liable for the services or advice provided by any third party vendor. Sun Life reserves the right to discontinue any service at any time. Group stop-loss insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 07-SL REV 7-12. In New York, group stop-loss insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 07-NYSL REV 7-12. Product offerings may not be available in all states and may vary depending on state laws and regulations. © 2017 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us. SLPC 24937 06/17 (07/18)
