STOP LOSS REINSURANCE
Reinsurance is currently provided by United Healthcare Insurance Company and covers the City's medical benefits administered
by both Tufts Health Plan and Harvard Pilgrim. It includes the prescription drug benefits administered by both plans. The
attachment point is $250,000 specific. There is a separate re-insurance policy for the Tufts Medicare Complement Plan which is a
medigap plan which also includes a prescription drug benefit and an annual physical. The attachment point for this plan is also
$250,000 specific.
The current plans administered by Tufts are an EPO Plan which only allows utilization of in-network providers, a POS Plan in
which utilization of in-network providers has been at 94.8% with the exception of the Out-of-Network subset (see #1 below), and a
the Medicare Compliment Plan.
