During this uncertain time, we want to assure you Tokio Marine HCC – Stop Loss Group (TMHCC) is here and ready to serve you. We are committed to keeping you and your clients up to date on COVID-19. Our stop loss policyholders and their advisors are exploring ways of keeping plan participants safe and providing them with coverage options that may be outside their normal suite of benefits.
TMHCC will honor the following actions and eligibility requirements:
- Waiver of deductibles, co-pays and cost sharing on covered participants for COVID-19 testing – We will allow these costs to apply under the stop loss coverage. No prior notification to TMHCC is required.
- Waiver of cost sharing for virtual visits or telemedicine – We will allow these costs to apply under the stop loss coverage. No prior notification to TMHCC is required.
- Early refills of medication to ensure participants have a 30-day supply – We will allow these additional costs to apply under the stop loss coverage. No prior notification to TMHCC is required.
- NEW UPDATE: Determination of who is actively at work and covered under the plan will be made by the employer. This includes determination for employees who have been furloughed or have reduced hours but will still be considered eligible for the purposes of plan coverage. TMHCC is agreeable to accepting any notification of how the plan will address and administer their updated guidelines. We will also allow retroactive changes that keep currently covered members on the plan for as long as employees are included in the census and the applicable stop loss premiums are paid.
TMHCC is a leading provider of medical stop loss coverage provided through brokers, consultants and third-party administrators. By listening to the demands of the market, we have developed exceptional products, unparalleled resources and value-added services that set us apart in the industry. Visit our website to learn more about our innovative stop loss, Taft-Hartley, captive and organ transplant solutions.
