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Contract Types

Our Stop Loss Contract has six (6) standard contract types for specific and aggregate coverage.

Incurred and Paid Basis Contracts

  1. 12/12

    • Incurred during the policy period AND

    • Paid during the policy period

     

  2. 12/15 (Note A)

    • Incurred during the policy period AND

    • Paid during the policy period or within three months thereafter

     

  3. 12/18 (Note B)

    • a. Incurred during the policy period AND

    • Paid during the policy period or within six months thereafter

     

  4. 15/12

    • Incurred during the policy period or within three months prior to the beginning of the policy period AND

    • Paid during the policy period

     

  5. 18/12

    • Incurred during the policy period or within six months prior to the beginning of the policy period AND

    • Paid during the policy period

     

  6. 24/12

    • Incurred during the policy period or within twelve months prior to the beginning of the policy period AND

    • Paid during the policy period

 

 

Notes
A. A 12/15 aggregate must be accompanied with a 12/15 specific.
B. A 12/18 aggregate must be accompanied with a 12/18 specific.

 
 
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