CGT Solutions Stop-Loss covers treatment costs of up to $4.5M for self-funded employers nationwide

OutcomeRx Insurance Management Services, LLC today announced the launch of CGT Solutions Stop-Loss, a stand-alone medical stop-loss insurance product that reimburses covered expenses on qualified claims for Gene and CAR T-cell therapies for group health plans and their coordinating Stop-Loss carrier. This innovative solution, in addition to reimbursement for certain FDA approved Prescription Drugs, uniquely reimburses administration of the Prescription Drug and travel-related expenses for the family and patient. The product is underwritten by Fidelity Security Life Insurance Company® (FSL), an A.M. Best A Rated (Excellent) company.

Employers also receive access to value-add services including patient care navigation and a network of 100+ Centers of Excellence.

“Cell and gene therapies can deliver life-changing outcomes for patients, but the financial exposure for self-insured plans is unprecedented,” said Joe Morse, CEO of OutcomeRx Insurance Management Services, LLC. “CGT Solutions Stop-Loss insurance supports our mission to provide affordable access for patients to receive these life-changing therapies.”

Bryce Jones, President of FSL commented, “Traditional stop-loss models were not designed for the scale and unpredictability of multi-million-dollar gene therapy claims. This product uniquely provides protection that is essential for plan stability.”

CGT Solutions Stop-Loss Insurance This stop-loss insurance integrates with an Employer’s existing healthcare offering covering gene and CAR T-cell therapies for qualified claims. This new product adds to OutcomeRx’s existing portfolio of reinsurance solutions.

Stop-loss coverage is available to self-funded employers through licensed brokers and consultants.

About OutcomeRx Insurance Management Services, LLC

OutcomeRx is a specialty insurance management organization focused on innovative risk solutions that support affordable access to high-value therapies for self-funded employers.

About Fidelity Security Life Insurance Company

Fidelity Security Life Insurance Company is a Kansas City, Missouri-based insurance carrier providing a broad portfolio of life and health insurance products nationwide.

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