Sextant Self Funding Introduces Reference Based Pricing Underwriting Model


MyHealthGuide Source:  Sextant Self Funding, 1/15/2014,

Sextant Self Funding, a full service Medical Stop Loss Managing General Underwriter, recognized the need to provide alternatives to the traditional PPO based stop loss underwriting model and has met the market’s needs with a Referenced Based Pricing (RBP) underwriting methodology.

Sextant’s RBP product combines their in-house underwriting expertise with the most recently available Centers for Medicare & Medicaid Services (CMS) pricing data, specifically pinpointed to your group’s geographic area, to provide your employer group an accurate Stop Loss cost exhibit for both fixed and expected claims costs.

“While traditional PPO based reimbursements remain the primary focus of the Self Funded marketplace, we recognize that Reference Based Pricing is an expanding alternative sought by a growing number employer groups in more parts of the country and we feel it is important to provide our producers with a product to fit their client’s changing needs” states Bill Lutz, Managing Director at Sextant.

Sextant also works with the largest cost containment companies, especially those who have added RBP services to their portfolios as well.

About Sextant Self Funding

Sextant Self Funding is a full service Stop Loss MGU located in Syracuse, NY. All aspects of Stop Loss administration are performed under one roof, ensuring that all producers, Brokers, Consultants, Third Party Administrators and Health Plans will receive prompt, high level customer service from quote issuance, policy administration to claim payments. Contact Bill Lutz at 315-433-5214, ext 201, and visit