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Typically, courts construe ambiguities in insurance insurance policies towards the insurance company and in favor of protection underneath the policy. Stop-loss insurance supplies safety against catastrophic or unpredictable losses. It is purchased by organizations who do not want to assume one hundred pc of the legal responsibility for losses arising from the plans. Under a stop-loss policy, the insurance company turns into responsible for losses that exceed sure limits called deductibles.
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Upon termination of a given coverage, the quantity of premium collected minus the amount paid out in claims is the insurer's underwriting revenue on that policy. Underwriting performance is measured by one thing referred to as the "combined ratio", which is the ratio of expenses/losses to premiums. A combined ratio of lower than 100% signifies an underwriting profit, while something over one hundred signifies an underwriting loss.
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