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  Entire guide (pdf) get Adobe Acrobat Reader (needed for pdfs)
  Underwriting guide (pdf)
  Risk Management guide (pdf)  
  Administration guide (pdf)  
  Claims guide (pdf)  

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Introduction

HISTORICAL PERSPECTIVE

SLG Benefits and Insurance, LLC is a medical stop loss insurance Program Management Company. The company was created to surpass the needs of Third Party Administrators (TPA's) and broker/consultants specializing in the self-funded employee benefits marketplace. In the challenging arena of catastrophic claim management and healthcare funding products, the TPA’s and broker’s need for delivery of ideas from stop loss providers has become inconsistent with the rigid operating structure of some of the larger carriers and MGU's. Out of this business opportunity, SLG Benefits was formed to provide expertise and timely solutions to the medical stop loss and claim administration community. We plan to leverage our collective years of experience and personal standing in the benefits marketplace to provide medical reinsurance & insurance products and services that are in great demand. The Benefits Community expects delivery of ideas, answers to questions, direct access to decision makers and timely producer support. SLG Benefits has the expertise to exceed those expectations.

REINSURANCE

Our medical stop loss reinsurance agreements are with highly rated and qualified insurance carriers.  SLG Benefits serves as a stop loss underwriting, claims and risk manager on their behalf.  SLG Benefits will market stop loss products to a select group of producers and administrators nationwide. We believe our strength and dedication to the employer stop loss market will offer contractual and financial security to our producers and prospective policyholders.

THE MISSION  top of page

Our mission is to offer a medical stop loss product that will help our TPA and broker partners grow their businesses and support the self-funding concept. With increases in medical inflation, Plan Sponsors will increasingly rely on their brokers and TPA's to provide funding solutions. Our goal is to provide unparalleled product and expertise to our business partners. Our priority is to exceed the needs of our clients and deliver superior results to our risk takers.

PHILOSOPHY  top of page

At SLG Benefits, we recognize that the most valuable asset we have is our people. We have complimented our staff with a fully integrated computer system that allows us to work intelligently and efficiently to deliver all of our services at an elite business level. Claims, Administration, Accounting and Risk Management are all carefully woven into the underwriting process in an effort to produce superior results. Our underwriters are trained to understand the vast resources available to them which truly provide them with the tools necessary to “think outside the box”. The automated underwriting system backstops the entire process by flagging important underwriting and policy triggers. This intelligence serves to cut down on errors, elevate difficult risks to senior management and focus our efforts on risk selection and closing business.

PROCESS OVERVIEW  top of page

  • Underwriting Staff is trained to seek counsel on difficult risks. We advocate a strict referral system that gets the most complex cases into the hands of the most experienced decision makers.
     

  • Underwriting Staff is highly trained in Managed Care Principles in an effort to steer our producers toward the best managed care environment to offset medical trend.
     

  • Underwriting System includes sophisticated management tools used to track quote turnaround, quoting ratios and closing ratios from a variety of parameters.
     

  • Medical Underwriting is handled by trained medical professionals to provide current, critical data to assist the underwriter in selecting profitable risk.
     

  • Administrative Staff is highly trained to recognize the important pieces of information necessary to bind a risk such as Disclosure, Application, Schedule of Insurance and Binder check. In addition, they understand the urgency associated with these items and the ramifications of taking immediate action upon receipt.
     

  • Claim Staff shares critical information with Underwriting and Marketing such as trigger claim notifications within the renewal or new sale window.

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