Standard Security Life Insurance Company of New York

Provider Excess Loss Insurance
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Like HMO Reinsurance, Provider Excess Loss Insurance provides financial protection from unexpected high volume or high cost medical claims. Standard Security Life offers this coverage to hospitals, physicians and other health care provider groups that are paid on a capitated basis.

Under capitation, the provider group is compensated by the HMO on a prepaid, predetermined amount. In the event the provider group experiences higher than anticipated frequency or cost of individual claims, the provider group could experience a significant financial loss. Provider Excess Loss Insurance gives protection to providers with individual claims deductibles ranging from $10,000 to $50,000 for physician coverage and $50,000 to $500,000 for hospital coverage.

Coverage is offered for all types of membership categories including commercial, Medicare, Medicaid, Point of Service and others.

In addition to financial protection for the provider group, Provider Excess Loss Insurance from Standard Security Life also includes access to national transplant and PPO networks, and includes some case management, disease management, and claims assistance.