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Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 1/5

A self-funded employer group health plan purchases stop-loss insurance. What is the main purpose of this coverage?

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

In a self-funded plan, the employer pays claims from its own funds and bears the risk of high claims. Stop-loss insurance caps that risk: the insurer reimburses the employer for claims that exceed a specific dollar level per individual, or a total aggregate level for the whole group in a plan year. This lets the employer keep the flexibility of self-funding while protecting the business from catastrophic loss. Stop-loss is not a health benefit for employees; it is a risk-transfer tool for the employer, and its terms are negotiated between the employer and the insurer.

Why the other options are wrong

  • B) Stop-loss supplements a self-funded plan; it does not replace it, because the employer continues to self-fund the base claims.
  • C) Stop-loss is a risk management contract for the employer's claim exposure, not a subsidy for employee premiums.
  • D) Employees excluded from the plan have no benefits under the self-funded arrangement, and stop-loss does not create coverage for them.

Memory hook

Stop-loss stops the employer's bleeding: once claims pass the threshold, the insurer takes over the loss.

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