Voya Stop-Loss

Public facts

Direct-written medical stop-loss

ReliaStar-underwritten Voya Employee Benefits stop-loss for self-funded groups (typically 100+ lives), including unbundled paper, cost-containment vendors, and Stop Loss Edge for mid-market pools.

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Overview

Voya Stop-Loss is excess-risk insurance underwritten by ReliaStar Life Insurance Company (Minneapolis) and ReliaStar Life Insurance Company of New York (Woodbury); only RLNY is admitted in New York. Policy form RL-SL-POL-2013 (NY: RL-SL-POL-2013-NY). Voya describes itself as a dedicated direct writer and, using 2023 statutory premium, among the top three U.S. direct writers excluding managed-care providers. Standard features named: plan mirroring, individual advanced funding, and ASO expedited reimbursement. Individual deductibles go down to $25,000. Groups are supported down to 100 lives (150 enrolled-employee minimum in CA, CO, CT, NY, or VT). Stop Loss Edge is a pooled renewal/rewards program for mid-market sponsors (100–500 employees). Ancillary Voya products remain on voya.md.

Why it matters Voya is a large direct stop-loss writer that publicly supports unbundled (carved-out) paper and mid-market Edge pooling—separate from Voya life/disability on voya.md.

Target buyer: Self-funded employers carving out stop-loss from the ASO/TPA, and mid-market groups considering Stop Loss Edge.
Pricing model: Quoted stop-loss premium; Edge uses pooled renewals and rewards; No public rates. Footnotes: features often need underwriting approval. Cost-containment fees are a fixed percent of savings and can be reimbursed inside the stop-loss claim. Average claims TAT 9.6 business days (94,996 claims, 2022–2024).
Availability: National
Research: Last researched 2026-08-23; Public facts category

Key features

Individual and aggregate excess risk (medical and Rx)
Plan mirroring, advanced funding, ASO expedited reimbursement
Optional laser-free renewal, rate cap, gapless renewal, step-down deductible, terminal liability
Industry-leading 85% minimum aggregate deductible (vendor)
Stop Loss Edge pooled mid-market program
Eligibility Fast Pass census process
Included-but-voluntary cost-containment vendors (transplant, specialty Rx, CGT, dialysis, claim negotiation, cancer/CTCA access)

Integrations

ASO/TPA administrators (expedited reimbursement path)
PPO, RBP, hybrid, and direct-contract plan designs (flexibility claim)
Third-party cost-containment vendors (not Voya affiliates)

Overview

This page is Voya’s medical stop-loss product. Life, disability, and Benefitfocus are on the Voya ancillary page.

Voya Employee Benefits (a ReliaStar division) writes Individual Excess Risk and Aggregate Excess Risk. Covered lives can include employees, spouses, dependents, retirees, and COBRA participants. Voya stresses unbundled stop-loss (choose admin and stop-loss separately) versus bundled ASO packages, including a “second set of eyes” on catastrophic claims.

Ranking footnote: top-three direct writer based on 2023 Accident and Health Policy Experience Exhibit premium as compiled by MyHealthGuide (July 24, 2024), excluding managed-care providers.

Key Capabilities

Individual deductibles to $25,000; aggregate with vendor-claimed 85% minimum attachment.
Standard: plan mirroring, individual advanced funding, ASO expedited reimbursement.
Optional: no-new-laser renewal, rate cap, individual gapless renewal, step-down deductible (cancer, kidney failure, transplant), individual/aggregate terminal liability, monthly aggregate reimbursement.
Quote lock with nine months of complete current-year claims (unbundled discussion).
Stop Loss Edge: pooled renewals (1/1, 4/1, 7/1, 10/1), rate cap, no-new-laser guarantee, accelerated reimbursement; 100–500 employee plans.
Eligibility Fast Pass using a preferred census (not insurance coverage).
Cost containment: LCM assistance; transplant COEs; specialty pharmacy review; cell/gene therapy vendors; renal network (~3,000 outpatient facilities via vendor); claim negotiation; cancer networks including CTCA discounts (CTCA not a Voya affiliate).

Integrations & Ecosystem

Works with ASO and TPA plans. Cost-containment entities are independent; Voya disclaims their results. Supports RBP and hybrid designs per marketing.

Pricing

Custom premium. Edge rewards depend on group and pool results. Vendor fees for containment are a percent of savings.

Notes & Limitations

“1001 lives” on the HTML page is 100 lives plus footnote 1 (150 in five states).
Edge “1001 to 500” is 100–500 plus the same footnote.
Cost-containment savings examples are not guarantees.
Product provisions vary by state.

Sources

Tags: stop-loss · Voya · ReliaStar · unbundled · Edge