What is a specific attachment point?

Specific stop-loss insurance covers claims incurred by a single participant above a certain amount.

Stop-loss insurance protects an employer from catastrophic claims, both on a per participant basis and for the plan as a whole. Specific stop-loss insurance covers claims incurred by a single participant above a certain amount. That amount is the specific attachment point.

Let’s assume that an employer’s stop-loss insurance has a specific attachment point of $50,000. That means that the employer is solely responsible for medical claims of a single participant up to $50,000. Once that participant’s medical claims exceed $50,000, the employer would be reimbursed by its stop-loss insurance. In this context, specific means single.