Stop Loss Insurance paid claims analysis 2026
A closer look at the costs, conditions and trends shaping conversations with self-funded employers.
A single high-cost claim tells one story, but looking across claims can reveal a broader picture — and give brokers more context for their next client conversation. Which conditions are driving the largest claims? How often do those diagnoses occur? And what has changed from one year to the next?
Voya’s 2026 Stop Loss paid claims analysis explores those questions through our 2025 claims experience. Beyond a snapshot of the largest claims, the full brochure offers insights to help support more informed medical plan funding and Stop Loss decisions.
A bigger story to explore
In our book of business, the largest claim in the analysis exceeded $11 million in 2025. Yet the average allowed charge among the 10 largest claims decreased 9.2% compared with 2024. Cancer accounted for five of those top 10 claims. Together, these findings show why a single headline may not tell the whole story.
Looking at claim size alongside frequency and year-over-year changes can add valuable context to conversations about a client’s exposure. The full analysis brings those perspectives together. Download the full brochure to explore:
- The largest claims: See the conditions behind the 10 highest-cost claims, including medical and prescription charges.
- The frequency behind the diagnoses: Put high-cost conditions in context with a look at how often leading diagnoses occur within our covered population.
- The changes worth watching: Explore year-over-year shifts and the trends highlighted in our annual review.
Bring more perspective to your next client conversation
Claims insights can help turn a conversation about costs into a discussion about planning. Use the analysis to talk with clients about their risk profile, questions to consider when evaluating Stop Loss Insurance and opportunities to explore cost containment.
See the full picture behind the findings. Download the full Stop Loss paid claims analysis now and contact your Voya sales representative for more information.
The information provided on this document does not, and is not intended to, provide legal advice. Neither Voya® nor its affiliated companies or representatives provide tax or legal advice. Please consult a tax or legal professional regarding your specific circumstances.
Excess Risk (Stop Loss) Insurance is issued and underwritten by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance Company of New York (New York, NY). Within the State of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the Voya® family of companies. Voya Employee Benefits is a division of both companies. Form numbers, product availability and specific provisions may vary by state.