Risk Transfer Initial Inquiry Service Employee Benefits Stop Loss

Our risk transfer initial inquiry service is available to service provider members seeking insurance and reinsurance solutions for their clients.

The service is designed to allow you to source potential providers and save time by providing initial information which will allow them to respond to you if they can assist you.

You can select which providers you wish to send the information to once you have completed the information below.

You can choose to provide as little or as much information as you wish but the more detail that you provide will allow a more detailed response.

Once a provider has expressed interest then in most cases you will be required to supply a more detailed application as required by each provider.

Submit your Inquiry

Client Information

About the Cover

Type of Contract Requested

Covered Lives

Claims Data

Loss Experience (last 2 years)

Year Number of Covered Lives Total Paid Medical Total Paid Medical after stop loss recoveries

Large Losses

Funding

Loss Control