Aggregate Stop Loss Amount definition

Aggregate Stop Loss Amount is the total dollar amount of Eligible Claim Expenses that must be paid by the Insured for all Members during the Policy Year before Aggregate Stop Loss benefits are payable. It is determined at the end of the Policy Year and is based on: (a) the sum of each month’s number of eligible employees reported to Alliant, multiplied by (b) the Aggregate Stop Loss Factor(s).
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Aggregate Stop Loss Amount is the total dollar amount of Eligible Claim Expenses which must be paid by the Insured for all Participants during the Policy Year before Aggregate Stop Loss benefits are payable. It is determined at the end of the Policy Year and is based on: the sum of each month’s number of eligible employees reported to Alliant multiplied by the Stop Loss Factor(s). The Aggregate Stop Loss Amount does not include claim payments made during a Policy Year on behalf of a Participant in excess of the Individual Stop Loss Amount set forth in the Schedule of Insurance or any amounts reimbursable to the Insured as Individual Stop Loss payments.
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Examples of Aggregate Stop Loss Amount in a sentence

  • Alliant agrees to make an Aggregate Accommodation payment to the Insured at any time during the Policy Year when the Eligible Claims Expenses paid from the first day of the Policy Year, in the aggregate, exceeds (i) the estimated Aggregate Stop Loss Amount per month accumulated since the first day of the Policy Year, less (ii) any Aggregate Accommodation payments previously paid and not repaid.

  • If, at the end of any Policy Month, the sum of Aggregate Accommodation payments paid to the Insured during the Policy Year exceeds (i) the Eligible Claims Expenses paid from the first day of the Policy Year, less (ii) the estimated Aggregate Stop Loss Amount per month accumulated since the first day of the Policy Year, this amount shall be repaid to Alliant within 30 days after Alliant requests such repayment.

  • In no event will Stop Loss payments in any Policy Year for Eligible Claim Expenses in excess of the Aggregate Stop Loss Amount exceed the Maximum Annual Aggregate Stop Loss Payment Amount shown in the Schedule of Insurance.

  • Alliant will reimburse the Insured for Eligible Claim Expenses during a Policy Year that are in excess of the applicable Aggregate Stop Loss Amount.

  • The Minimum Aggregate Stop Loss Amount applies when aggregate Stop Loss coverage is elected.

  • This is the greater of: • The Minimum Aggregate Stop Loss Amount indicated on the Stop Loss Application And Schedule Of Insurance.

  • The total amount payable is also subject to the Minimum Aggregate Stop Loss Amount, as indicated on the Stop Loss Application And Schedule of Insurance.

  • Alliant will reimburse the Insured for Eligible Claim Expenses during a Policy Year, which are in excess of any of the the Aggregate Stop Loss Amount.

  • For any Policy Period, the Aggregate Stop Loss Corridor is subject to a Minimum Aggregate Stop Loss Amount.