Our long-term relationships with specialized carriers in this field are an asset in seeking and negotiating coverage. From implementing your policy to educating your staff and a superlative claims department-McPhee & Associates offers the best service in the industry.
Services
McPhee & Associates, Inc. has been providing stop-loss insurance and reinsurance exclusively since 1983. The final product for our company is "Satisfied well serviced clients who have been protected from financial loss, who rely on us for their risk needs and who are so satisfied that they will continue to do business with us."
McPhee & Associates, Inc. was founded in 1983 specifically to work with the Managed Care Industry to provide new markets for stop-loss reinsurance. While working as a Lloyd's of London broker, the founder, A. Lloyd McPhee, created a new market for HMO stop-loss reinsurance. This provided much needed competition to overcome the exorbitant rates charged by the two insurers offering stop-loss reinsurance coverage at that time.
Provider Stop-Loss/Capitation Stop-Loss coverage is coverage for catastrophic claims incurred based on a capitation agreement between the health plan and a provider. Stop loss "kicks in" and picks up the tab when a claim exceeds a specific amount (deductible/retention). A certain percent of health claims will be catastrophic, meaning a claim that requires extensive medical treatment at a high cost.
In the managed care market for most HMOs Reinsurance is a necessity. With healthcare expectations and unforeseen catastrophic claims, HMO Reinsurance limits your risk exposure and is essential to risk management strategy. This insurance helps health plans and other managed care organizations throughout the country protect their capital and cash flow.
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