Title:
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Approval of the Stop-Loss/Reinsurance contract renewal for calendar year 2026. Countywide (Christina Brandolini, Human Resources Director)
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Division:
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Human Resources - Employee Benefits
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Authorized By:
Christina Brandolini, Human Resources Director
Contact/Phone Number:
Christina Brandolini/407-665-7940
Background:
Specific Stop-Loss/Reinsurance and Aggregate coverage provide protection for self-funded insurance plans. This coverage is utilized to protect the County against catastrophic claims. Current deductibles are $350,000 for individual-specific claims and $400,000 for aggregating specific deductibles.
The increase for Specific Stop-Loss plus Aggregate Stop-Loss for Plan Year 2026 is 11.4% above Plan Year 2025. A 3% multi-coverage reduction has been applied for the hospital indemnity coverage now offered through Sunlife to County employees.
The 11.4% final renewal is less than the 18% estimated during the August 12, 2025, annual benefits presentation.
Requested Action:
Staff requests approval of the renewal of the Stop Loss contract using the current deductibles and coverage as quoted with SunLife.