For aggregate stop-loss insurance, it is the point at which the stop-loss insurance carrier begins to reimburse the employer based upon the cumulative total of claims paid within a policy year. For sp [..]

Incurred, But Not Reported – A reserve for claims that have been incurred but have not yet been submitted for payment. This is the reserve intended to cover claim run-out upon termination of the progr [..]

An employer is responsible for paying all claims up to an agreed upon aggregate limit, with the insurer responsible for any excess amount.

Refers to a specific amount of claims established to cover “run-out” in the event a group should terminate for any reason.