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.
Claims are reimbursed on any covered individual in the plan that exceed a predetermined deductible such as $25,000 or $100,000.
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:
*With our preferred medical carrier/partner, we automatically coordinate the processing of your stop loss claims as soon as adjudication under the medical and/or prescription drug program is complete. This simultaneous funding feature includes aggregating specific deductible and lasers. You don’t need to fill out claim forms, and our direct communication with your medical carrier means you’ll be reimbursed faster.
As an employer, you take care of your employees by offering them quality health care coverage. Even with the best of care, you may have employees who develop serious health conditions.
To help protect your business from these potentially high costs, you want a stop loss carrier with the financial strength to pay sizable, catastrophic claims quickly and without hassle.
When you choose Avalon Insurance Company as your stop loss coverage provider, you are choosing a strong, stable organization that is part of a family of companies with the financial strength of $1.4 billion in total assets. Avalon is a subsidiary of a Harrisburg, Pennsylvania based health benefits company trusted for nearly 80 years and is a member of the Pennsylvania State Guaranty Fund and the Self-Insurance Institute of America.
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