QBE’s North America provides exemplary (re)insurance solutions for medical stop loss captives. Our expert team evaluates each risk individually to deliver optimized coverage structures for Single-Parent and Group Captives.
QBE North America
123 Pleasant St
Marblehead, MA 01945
QBE North America was among the first carriers to enter the medical stop loss (MSL) captive market and has become the industry leader in this quickly growing and highly specialized industry segment by pioneering innovative coverage structures, dynamic service capacity, education-oriented knowledge sharing and, assertive medical risk management strategies. We provide customized (re)insurance structures, specialized program management services and medical risk management/cost reduction solutions to exclusively to MSL captives.
Preferred Business Segments
Each captive is unique and represents a distinct opportunity. QBE’s expert captive team will evaluate each risk individually. We specialize in tailoring medical stop loss (Re)insurance solutions for Single-Parent and Group Captives.
Single-Parent Preferred Risk Profile
Larger individual self-funded employers that have an existing single-parent captive for other lines of business and would like to expand the captive to include medical stop loss
QBE is generally industry agnostic however, preferred industries include: Education, Financial/Professional Services, Hospital /Healthcare, Retail/Wholesale, etc.
Minimum MSL premium for an assumed reinsurance structure: $1M (+/-), 1000 (+/-) lives
We will work with smaller risks, such as ERC /Micro captives (aka 831(b) captives) on a traditional MSL policy basis (as opposed to assumed Re structure). These will be considered on a case by case basis.
Group Captive Preferred Risk Profile
New or existing, homogenous group captives. We prefer tightly-controlled membership in specific (homogeneous) industry verticals
Agency-controlled blocks of established MSL business may also be considered for development of heterogeneous “high performer” group captives
Minimum guidelines (general) for consideration or mass required for startup: 6 employers (100 – 500 EE lives each), $2.5M MSL Premium, 2000 lives. Most group captives need to be reviewed and considered on a case by case basis.
QBE Insurance Management Services
Operating as a specialized insurance carrier, a single-parent captive will need to perform many of the same functions of a traditional carrier; just on a smaller scale. QBE requires the purchase of its insurance management services for the segments of risk retained by the captive:
- Underwriting support for retained risk
- Policy manuscript and issuance
- Medical risk management
- Reserve management and block analysis
- Captive claims adjudication and explanation of reimbursement
- Monthly bordereaux
The charge for QBE’s insurance management services is 5.5% of the net risk amount retained by the captive.
Medical Risk Management
Defining and controlling the cost of healthcare is the most difficult issue for a medical stop loss captive and is critical for success within this line of business. QBE has developed a highly specialized Medial Risk Management team that is dedicated exclusively to delivering impactful cost reductions for our captive clients. This objective is accomplished by taking assertive control of medical charges from healthcare providers.
Areas of specialisation:
- Medical Stop Loss (Re)insurance
- Program Management Services
Phillip C. Giles, CEBS
Vice President – Sales & Marketing
Steven A. McFarland
Vice President – Underwriting