Avalon offers smart, practical stop loss solutions to protect employers from absorbing all of the costs associated with severe medical events.

Plans include specific and aggregate coverage for groups of 100 or more employees.

Specific

Claims are reimbursed on any covered individual in the plan that exceed a predetermined deductible such as $25,000 or $100,000.

Aggregate

Claims are reimbursed for a group’s claim that in total exceeds a predetermined level such as 125% of the amount expected in a given year.

Avalon Stop Loss offerings include:

• Variety of reimbursement amounts
• Choice of aggregate corridor deductibles
• Terminal liability options
• No new lasers at renewal
• No claim forms
• Prompt claim payments

We automatically coordinate the processing of your stop loss claims as soon as adjudication under the medical and/or prescription drug program is complete. You don’t need to fill out claim forms, and our direct communication with your medical carrier means you’ll be reimbursed faster.

Questions?
Please contact us by phone, email, or in person.