In March 2023, Milliman surveyed a wide range of employer stop-loss market participants, including administrative services only (ASO), managing general underwriters (MGU), and third-party carriers. We received 31 responses. After an executive summary and details on the general questions, this report presents the results, which include discussion of the following:
- Portfolio characteristics
 - Underwriting measures
 - Pricing
 - Portfolio results and characteristics
 - Captives
 - Level-funded product
 - High-cost pharmacy and gene therapy treatments
 - Carrier concerns