STOP LOSS
Automated Benefits understands that some clients need an element of catastrophic risk insurance under an Administrative Services Only (ASO) arrangement. Automated Benefits offers separate stop loss coverage through Royal & Sun Alliance at preferred rates in addition to supporting the requirements of an insurance provider through the Adjudicare system.

Rates are based on a large block of business so you can actually obtain coverage at different attachment points – for example, individual claim points of $3,500, $5,000 or $10,000 – for any group with more than five employees. For groups of more than 25 employees, special rates can be quoted.

This is true stop loss coverage, not “shock loss”, since attachment points don’t increase after a bad claims year. This offering allows you to be reimbursed for claims as soon as attachment points are hit. This means no out of pocket expenses.

OUT OF COUNTRY/OUT OF PROVINCE INSURANCE
Similar to its stop loss coverage, Automated Benefits also offers an insurance product that covers out of country and out of province medical expenses. This product is also insured by Royal & Sun Alliance.

The coverage has rates dependent upon the duration of the trip – 30 days, 60 days, 90 days, 120 days, 180 days, etc. Similar to the stop loss coverage, this offering is also available for groups with five or more employees and special rates for groups with more than 25 employees.

There are no exclusions, but coverage differs for special classes. Retirees, for example, must be quoted on a special consideration basis.
 
 
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