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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

Monthly Aggregate Accommodation

A Monthly Aggregate Accommodation endorsement is a provision in an aggregate stop loss policy that allows an employer to receive interim reimbursement during the policy year if cumulative claims are running significantly higher than expected.


Instead of waiting until the end of the year to determine whether the aggregate attachment point has been exceeded, this endorsement provides cash flow relief along the way.

What Monthly Aggregate Accommodation Does

This endorsement allows the carrier to:


  • Compare year-to-date actual claims to a year-to-date adjusted aggregate attachment point.
  • Issue partial reimbursement during the year if claims exceed that adjusted threshold.

It smooths cash flow instead of forcing the employer to wait until year-end.

How the Monthly Threshold Is Determined

At the start of the policy year:


  • Expected annual claims are calculated.
  • An aggregate attachment point is established (e.g., 125% of expected claims).
  • That annual attachment point is broken into monthly increments using a monthly aggregate factor schedule.


Example:


  • Expected annual claims: $1,200,000
  • Aggregate corridor: 125%
  • Annual attachment point: $1,500,000


If evenly distributed, the monthly expected claims would be $100,000 per month, and the running aggregate threshold would grow monthly.

Example Scenario

Mid Year:


  • Expected claims YTD: $600,000
  • Running aggregate attachment (125%): $750,000
  • Actual claims YTD: $820,000
  • Excess: $70,000


With a Monthly Aggregate Accommodation endorsement:


  • Carrier may reimburse the $70,000 during the policy year.
  • The employer avoids carrying that overage for six more months.


Without the endorsement, the employer would wait until year-end to determine total reimbursement.

Carrier Conditions

Because this endorsement accelerates payments, carriers often include:


  • A minimum margin above the running threshold before payment triggers
  • Strict monthly reporting requirements
  • Enrollment stability requirements
  • A minimum aggregate attachment point


It protects the carrier from over-advancing funds too early.

Financial Impact for the Employer

This endorsement provides:


  • Improved cash flow stability
  • Reduced need for large claim reserves
  • Less year-end financial shock
  • Better budgeting predictability


It does not change the final aggregate attachment point — it only changes when reimbursement occurs.

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