The Tokio-Marine HCC 2025 Stop-Loss Report: 5 Key Takeaways
The stop-loss market is hardening. Renewals are tougher than they've been in years, and underlying medical costs are projected to climb 9-10% in 2025. But what are the specific trends driving this shift?
It's that time of year again—I'm breaking down the annual Tokio Marine HCC Stop-Loss Report to give you the insights you need to navigate the current market.
In this episode, I walk through my 5 key takeaways from this year's report. We'll explore the shocking increase in large claims (with $2 million claims now 1,250% more frequent than in 2013), the surprising data on how much COBRA claimants really cost a health plan, the frequency of lasers, and the crucial concept of loss ratio maturity.
Read the full report here - https://www.tmhcc.com/en-us/-/media/project/tokio-marine/tmhcc-us/documents/2025-annual-report.pdf
Chapters:
(00:01:28) The 5 Key Takeaways for 2025
(00:02:44) Diagnostic Categories: Frequency vs. Severity
(00:07:07) Why $2M Claims are Now 1,250% More Frequent
(00:10:04) The True Cost of COBRA Claimants
(00:11:42) Why Stop-Loss Carriers Laser Policies
(00:13:00) Understanding Loss Ratio Maturity & Renewals
