The regulatory landscape is changing and health care and insurance costs continue to escalate. Because of this, employer interest in self-funding employee health care coverage is rapidly expanding.

One solution for increasing the effectiveness of a self-funded program is writing medical stop loss coverage in a captive. A captive allows its owner, the insured, to reduce fixed insurance expenses, and capture underwriting profits and investment returns that would otherwise revert to an insurance company, thus reducing the ultimate cost of risk.

Desired opportunities

Each captive is unique and represents a distinct opportunity. QBE’s expert team will evaluate each risk, however our preferred structures are:

  • Single-Parent Captives
  • Homogenous Group Captives

Product offerings


  • QBE provides a comprehensive range of specific and aggregate medical stop loss coverage options to each self-insured employer
  • Captive structure is available as fronted insurance and/or reinsurance
  • Captive reinsurance participation on either an excess of loss or quota-share basis
  • Able to work with most appropriately qualified captive managers


  • Captive risk assessment
  • Full underwriting capability
  • QBE Reinsurance cover
  • Program Management Services to include:
    • Underwriting support
    • Policy issuance
    • Monthly bordereaux
    • Medical risk management
    • Reserve management
    • Claims adjudication / explanation reimbursement
    • Block analysis
  • Assist in the selection of qualified captive managers-related service providers

Preferred business profile

QBE specializes in underwriting single-parent and industry-specific (homogenous) group captives. Our preferred, but not exclusive, industry classifications include:

  • Health care
  • Hospitals
  • Higher education
  • Energy

QBE has an expert team, complemented by a fully integrated program management system, which allows us to work efficiently to deliver our services at an elite business level. Our Claims, Administration, Accounting and Risk Management departments are all carefully woven into our captive underwriting process to produce superior results.


Stop Loss Captive brochure (pdf)

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