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DFR defends Vermont stop‑loss rules, keeps attachment points amid market stress

State legislative committee (health care) · May 5, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Commissioner Kai Samson explained Vermont's stop‑loss framework to a committee, saying the state retains a $40,000 individual attachment point and 120% aggregate threshold for small groups and declined a recommended raise to $52,000 to avoid pushing small nonprofits back into the fully insured market.

Commissioner Kai Samson (Department of Financial Regulation) outlined Vermont's stop‑loss rules and the department's recent decisions on attachment points during committee testimony.

Samson said stop‑loss insurance protects employers that self‑insure by covering catastrophic individual claims and aggregate excess claims. He described two attachment points: an individual threshold and an aggregate level set as a percentage of expected claims. "For…

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