Stop Loss Risk
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  • Self Funded vs Insured
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  • Specific Stop Loss
  • Aggregate Stop Loss
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Policy Endorsements
  • Advanced Funding
  • Plan Mirroring
  • No New Laser (NNL)
  • Rate Cap
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  • Monthly Agg Accommodation
  • Gapless Renewal
  • Terminal Liability
  • Transplant Vendor
Captives
  • What is a Captive?
  • Good Fit for a Captive?
  • Captive Reinsurance
  • Captive Structures
Stop Loss Risk
Home
Stop Loss Basics
  • Self Funded vs Insured
  • Brokers & Consultants
  • Placing Benefits
  • Why is Stop-Loss Needed?
  • Specific Stop Loss
  • Aggregate Stop Loss
  • Contract Types
Policy Endorsements
  • Advanced Funding
  • Plan Mirroring
  • No New Laser (NNL)
  • Rate Cap
  • Experience Refund
  • Monthly Agg Accommodation
  • Gapless Renewal
  • Terminal Liability
  • Transplant Vendor
Captives
  • What is a Captive?
  • Good Fit for a Captive?
  • Captive Reinsurance
  • Captive Structures
More
  • Home
  • Stop Loss Basics
    • Self Funded vs Insured
    • Brokers & Consultants
    • Placing Benefits
    • Why is Stop-Loss Needed?
    • Specific Stop Loss
    • Aggregate Stop Loss
    • Contract Types
  • Policy Endorsements
    • Advanced Funding
    • Plan Mirroring
    • No New Laser (NNL)
    • Rate Cap
    • Experience Refund
    • Monthly Agg Accommodation
    • Gapless Renewal
    • Terminal Liability
    • Transplant Vendor
  • Captives
    • What is a Captive?
    • Good Fit for a Captive?
    • Captive Reinsurance
    • Captive Structures
  • Home
  • Stop Loss Basics
    • Self Funded vs Insured
    • Brokers & Consultants
    • Placing Benefits
    • Why is Stop-Loss Needed?
    • Specific Stop Loss
    • Aggregate Stop Loss
    • Contract Types
  • Policy Endorsements
    • Advanced Funding
    • Plan Mirroring
    • No New Laser (NNL)
    • Rate Cap
    • Experience Refund
    • Monthly Agg Accommodation
    • Gapless Renewal
    • Terminal Liability
    • Transplant Vendor
  • Captives
    • What is a Captive?
    • Good Fit for a Captive?
    • Captive Reinsurance
    • Captive Structures

Different Types of Captives

Stop loss captives are not one-size-fits-all structures. Different models allocate risk, capital, and underwriting gains in different ways — which directly impacts how (and when) participants receive earnings.

1. Group (Homogeneous) Stop Loss Captive

2. Segregated Cell (Protected Cell) Captive

2. Segregated Cell (Protected Cell) Captive

2. Segregated Cell (Protected Cell) Captive

2. Segregated Cell (Protected Cell) Captive

2. Segregated Cell (Protected Cell) Captive

3. Single-Parent (Pure) Captive

2. Segregated Cell (Protected Cell) Captive

4. Sponsored / Association Captive

4. Sponsored / Association Captive

6. Corridor (Risk-Sharing) Captive Model

4. Sponsored / Association Captive

5. Quota Share Captive Model

6. Corridor (Risk-Sharing) Captive Model

6. Corridor (Risk-Sharing) Captive Model

6. Corridor (Risk-Sharing) Captive Model

6. Corridor (Risk-Sharing) Captive Model

6. Corridor (Risk-Sharing) Captive Model

1. Group (Homogeneous) Stop Loss Captive

Structure


Multiple unrelated employers participate in a shared captive.

Typical layers:


  • Employer retains claims to its specific deductible (e.g., $100,000)
  • Captive assumes a shared layer (e.g., $100,000–$500,000 
  • Reinsurer covers catastrophic excess


All participating employers share risk in the captive layer.


How Earnings are Distributed


After the policy year:


  1. Captive premiums are collected from all members.
  2. Claims in the captive layer are paid.
  3. Expenses and reinsurance costs are deducted.
  4. Remaining surplus becomes underwriting profit.


Distribution methods:


  • Pro rata based on premium contribution
  • Loss ratio-adjusted allocation (better performers receive more)
  • Dividends declared by captive board


In some models:


  • Surplus is returned after a multi-year development period (e.g., 24–36 months)
  • Funds may be retained as surplus to stabilize future years


Key Facts


  • Risk and reward are pooled.
  • Strong performers benefit from overall group performance, not just their own results.

2. Segregated Cell (Protected Cell) Captive

Structure


Each employer participates in its own legally segregated “cell” within a larger captive.

Risk layers:


  • Employer retention
  • Individual employer cell layer
  • Reinsurance layer


Each employer’s results are financially separated.


How Earnings are Distributed


Because risk is isolated:


  • Surplus in a cell belongs to that specific employer.
  • Losses in one cell do not affect others.


Distribution methods:


  • Dividends credited directly to that employer
  • Premium credits for renewal
  • Retained surplus inside the cell for future risk funding


Key Facts


Risk and reward are individualized, not pooled.


This model is attractive to employers who want:

  • No cross-subsidization
  • Direct performance ownership

3. Single-Parent (Pure) Captive

Structure


A large employer forms its own captive insurance company.

The captive:


  • Retains a defined stop loss layer
  • Purchases reinsurance above it


There are no unrelated participants.


How Earnings are Distributed


Because the employer owns the captive:


  • All underwriting profits remain inside the captive.
  • Surplus increases captive capital.
  • Funds may be:
    • Retained for future claim volatility
    • Used to offset future premium
    • Distributed as dividends (subject to regulation)


There is no shared distribution formula.


Key Facts


Complete control and complete ownership of results.

4. Sponsored / Association Captive

Structure


A consultant, broker, or trade association sponsors the captive.

Employers join under common underwriting guidelines.


Risk may be:


  • Fully pooled
  • Partially pooled
  • Blended with performance adjustments


How Earnings are Distributed


Common approaches include:


1. Tiered Distribution


  • Employers with lower loss ratios receive higher dividend percentages.
  • Poor performers may receive little or no return.


2. Corridor-Adjusted Allocation


  • Captive retains a shared layer.
  • Losses within corridor affect individual allocation.
  • Catastrophic results shared broadly.


3. Experience-Based Weighting


  • Profit allocation formula adjusts based on individual claims performance.


Often:

  • Surplus is returned after 2–3 years.
  • Some retained for stability reserve.

5. Quota Share Captive Model

Structure


The captive takes a fixed percentage of the stop loss layer.


Example:

  • Captive assumes 50% of $100,000–$500,000 layer.
  • Reinsurer assumes remaining 50%.


Risk is partially shared between captive and reinsurer.


How Earnings are Distributed


Because the captive holds proportional risk:


  • Earnings are directly tied to that percentage share.
  • Surplus allocated based on premium contribution.
  • Often simpler dividend formulas.


This model can smooth volatility because the captive does not hold 100% of the working layer.

6. Corridor (Risk-Sharing) Captive Model

Structure


Employers share a defined risk corridor collectively.


Example:


  • Captive covers $100,000–$250,000.
  • Losses above $250,000 fully reinsured.


How Earnings are Distributed


Distribution depends on corridor performance:


  • If corridor claims are low → shared surplus returned.
  • If corridor claims are high → surplus reduced.
  • May include performance adjustment by employer.


This structure emphasizes shared mid-layer performance.

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