Few questions here - Who pays the premium? is there a dollar amount the employer pays vs the employees, is all assumed by one party(employer)? Is the true policy holder the employee or the employer?
Is the aggregate sum including any individuals that triggered the specific limit? Say I have both coverages and one person has a claim for 5M. Would both coverages activate, or is the aggregate sum going to exclude that individual claim when summing the losses?
Once a claim breaches the specific deductible, all dollars above that deductible are paid for under the specific portion of the policy. Only the dollars below the specific deductible (for each person) count toward the attachment point/aggregate deductible.
I unfortunately don’t have a ton of experience in agg-only products so I wouldn’t be the best person to do a video. I understand them only at a surface level.
I work for a TPA, this simple but direct explanation was very helpful
Starting a new job as an account manager for mid-size groups and this was very helpful. I HOPE I DON'T BLOW IT
Good luck. You won’t blow it 😃
Excellent & informative. Now I understand the basics!!
Thanks , today is my interview.
I am going to binge on this playlist! Great content Spencer!
Look how far you’ve come 👏👏👏👏
Spencer this video was extremely helpful.
Great explanation, Thank you!
it is a really wonderful chart drawn by you. we understood that. i like that.
Great video sir. Thank you!
Thankyou so much...very informative 👍👍
For Specific - Does the employer pay the actual full amount under the deductible? Or is that broken up into coinsurance policies with their TPA?
Thank you ! Really hepls me understand SL Aggregate
Few questions here - Who pays the premium? is there a dollar amount the employer pays vs the employees, is all assumed by one party(employer)? Is the true policy holder the employee or the employer?
Is the aggregate sum including any individuals that triggered the specific limit?
Say I have both coverages and one person has a claim for 5M. Would both coverages activate,
or is the aggregate sum going to exclude that individual claim when summing the losses?
Once a claim breaches the specific deductible, all dollars above that deductible are paid for under the specific portion of the policy. Only the dollars below the specific deductible (for each person) count toward the attachment point/aggregate deductible.
Nice
Is threshold considered for a year or over a period of insurance?!
@@SelfFunded Thanks Man!! Loved your simple way of explaination, you earned a sub👍👍
Thank you for coaching, but we want you to give us examples as well. Thanks
@@SelfFunded Please kindly give me the example of Stop loss's claim. Thanks
@@SelfFunded all right, I really understood what you explained. Thank you so much for your good explanation. Regards
Can we get an agg only video and the difference it means not having a spec? Thank you :)
I unfortunately don’t have a ton of experience in agg-only products so I wouldn’t be the best person to do a video. I understand them only at a surface level.
@@SelfFunded thanks anyway! You are awesome!
Could u Please explain it by calculation