
In August 2020, One80 announced that we had acquired National Underwriting Services, Inc. (NUS), a full service Managing General Underwriter of medical stop loss insurance. Now known as NUS/One80, the team and services have all remained.
Founded in 1985 and headquartered in the San Antonio, TX area, National Underwriting Services is a specialty underwriter of medical stop loss coverage for self-funded employers across the United States. At NUS/One80 we take pride in our customized approach to our products and services, meeting the specialized needs of our brokers and insureds. Whether it be a traditional PPO, Medical Reference Based Price or other stop loss programs, we are uniquely positioned to provide tailor made solutions to meet their customer needs.
Using a controlled distribution model, both NUS and their carrier partners deliver personalized and efficient service to a limited number of third party administrators and select producers throughout the country.
The target classes and typical risks we focus on for this program are:
Small to medium sized regional third party administrators with:
- High Service Standard
- Strong Market Presence
- An emphasis on Claims Management
- An interest in Medicare Reference Based Pricing (MRBP)
The highlighted features of this exclusive program include:
- For stop loss products, the minimum specific deductible is $25,000 (any lower requires single-case approval), and the minimum number of employees is 51
- Access to vendor partners that specialize in MRBP claims repricing, patient and provider advocacy, plan document preparation and assistance with provider challenges
- Experience with direct provider contracts or limited network usage
- Medicare/Reference Based Underwriting
- Terminal Liability
- Specific Advance Funding
- No Laser & Renewal Cap Options
- Monthly Aggregate Accommodations
- Aggregated Specific Deductibles
The available coverages we have to offer for this program are:
- Traditional Stop Loss Coverage
- Medicare Reference Based Pricing (MRBP)
- Minimum Essential Coverage (MEC)
- Minimum Value Plans (MVP)
- Captive Underwriting
In order to submit your business with us, please be aware of the following submission requirements:
- Employer Name & Locations
- Employer SIC Code
- Excel Census by Location & Plan Options
- Specific Deductible (current and proposed)
- Contract Basis (current and proposed)
- Current Rates and Factors (Renewal if available)
- Current and Proposed Benefits
- Current and Proposed Cost Containment Vendors
- Current PPO Savings Report
- Proposed PPO Information
- 2-3 Years Claims Experience
- Claim Details at or Expected to Exceed 50% of Specific
- Deductible
- Trigger Diagnosis Claims Details