Managed care

Best-in-class solutions for the health reinsurance market

Carbon Stop Loss Solutions is the industry authority on managed care reinsurance. Our highly experienced team of managed care advisors have a proven track record of helping HMOs, physician groups and other healthcare providers manage medical risk and contain costs.

Managed care reinsurance services

HMO reinsurance

Excess of loss reinsurance for health plans and health maintenance organizations (HMOs) throughout the U.S. and U.S. territories, including commercial, Medicare and Medicaid regional health plans as well as large national organizations operating regional plans in multiple states

Coverage includes Continuation of Coverage in the event of plan insolvency when required by state regulation.

Provider excess

Excess of loss insurance for healthcare providers such as hospitals, hospital systems, physician groups, accountable care organizations and other healthcare providers who have assumed medical risk by entering into risk-bearing contracts with HMOs, health plans, managed care organizations, insurers, state Medicaid programs, CMS for Medicare programs or self-funded employer groups

Medical reinsurance

Excess of loss reinsurance for regional health insurance companies, captive insurance companies and risk retention groups throughout the U.S., U.S. territories and other offshore locations

Covered underlying products can include, but are not limited to, first dollar medical (commercial or Medicare), exchange, limited benefit, short-term medical and organ transplant. Coverage is available on a period certain or risks attaching basis.

Client captive programs

Risk participation programs utilizing client captive insurance companies

Services include client risk sharing evaluation/structure, pricing and ceded reinsurance claim administration.

Program highlights

Unmatched underwriting, actuarial and claims services
Custom solutions meticulously designed with a flexible, creative approach
Expert risk analysis and management to effectively address high-cost specialty pharmacy spend

Value-added cost containment platform to address complex, high-risk cases
Innovative financing and risk mitigation solutions for novel cell and gene therapies
Top-notch service ensuring clients and brokers receive the attention and support they deserve

Cost containment

Our value-based cost containment services, provided by a team of clinical and medical management specialists, address high-risk cases and significantly improve financial outcomes.

Uncover savings

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Carbon Stop Loss Solutions services are provided by IOA Re, LLC (NPN #2006648) and Sequoia Reinsurance Services, LLC (NPN #18853752). Rockport Benefits operates as a division of IOA Re, LLC.