What is Aggregate Coverage?
It provides claims risk protection by limiting the risk taken for the sum of the group’s eligible medical claims. An expected annual claims cost is determined by using the number of employees and other factors, such as covered spouses and children. Most carriers require a minimum of 125% of expected claims as the aggregate attachment point. This amount may change from month to month if the number of employees changes, and will never fall below the contract’s minimum aggregate attachment point determined at the beginning of each plan year.
