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Specific Stop Loss
Specific stop loss limits the claims exposure, per person, up to a level you choose.
Claims exceeding this level are covered at 100% by the stop loss coverage.
Aggregate Stop Loss
Aggregate stop loss limits the claims exposure for your entire group. If total claims
paid by your group reach this level, the stop loss coverage assumes 100% of eligible
expenses for the remainder of the plan year. This Aggregate stop loss limit is
pre-determined by an underwriter and is based on your choice of Specific stop loss
level and plan benefit design.
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