AmeraStop-Loss
Monthly package

Gateway Distribution Services

May 2026 carrier package. Monthly reporting starts at the group level and includes aggregate/spec summary, monthly experience, 50% specific detail, triggered diagnoses, specialty Rx, census, pended claims, and outstanding specific claims.

Status
Needs review
Due
Jun 5, 2026
Loss ratio
92.8%
Attachment used
74.2%
Open items
3
Aggregate contract
ClientGateway Distribution Services
Report periodJanuary 2026 - May 2026
Policy effective01/01/2026
Policy expiration12/31/2026
MGUBerkley Accident & Health
CarrierBerkley Accident & Health
Contract12/12
CoveragesMedical & Rx
Min. annual attachment point$6,541,200
EE factor$485
ES factor$909
EC factor$909
FAM factor$1,448
Specific contract
Policy effective01/01/2026
Policy expiration12/31/2026
Paid run-outthrough 03/31/2027
Contract12/12
CoveragesMedical & Rx
Specific deductible$150,000
50% spec threshold$75,000
Specific laserNone
Agg spec deductibleN/A
Agg max reimbursementUnlimited

50% specific reinsurance summary

Member IDClaims amountFiled / to be filedSpec advanceIneligibleReimbursement
GAT-501$198,000$48,000--$48,000
GAT-614$91,500----
GAT-733$81,000----
Total$370,500$48,000$0$0$48,000

Aggregate reinsurance position

Contracted claims$7,331,200
Estimated advance funding$0
Total contracted claims$7,331,200
Less reimbursed dollars$0
Less filed / to be filed$48,000
Less spec advance dollars$0
Less laser difference$0
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$7,297,920
Aggregate claims PEPM$2,027
Aggregate claims as % of expected118.4%
Aggregate claims as % of attachment74.2%
*Minimum attachment point$6,541,200