Brokers & Partners

Stop Loss FAQs

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CareFirst Stop Loss policies cover all CareFirst COVID-19-related benefit administration changes with no impact to stop loss coverage or reimbursement. No additional plan documentation is required at this time.

ASO clients with commercial stop loss coverage should seek guidance from their broker/consultant and/or stop loss carrier.

Employers who wish to  continue stop loss coverage for employees (and their dependents ) affected by furloughs, lay-offs or reduced hours should send the request for any changes to their plan’s eligibility requirements to their CareFirst Account  Executive in advance of the change in eligibility.

This extended coverage is subject to:     

  • The continued payment of administration fees and stop loss premiums.
  • Modifications to plan documents forwarded to CareFirst within 30 days of the request.

This accommodation does not apply to employees terminated prior to or during a furlough or layoff period. Terminated employees should be offered continued coverage under COBRA.

ASO clients with commercial stop loss coverage should seek guidance from their broker/consultant and/or stop loss carrier.

CareFirst reserves the right to adjust premium rates as a result of changes in enrollment. Please refer to Section IX: Miscellaneous Provisions D. Premium Rate Change of your CareFirst Stop Loss policy for details.

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