Medical Stop-Loss Insurance

Third party administrators (TPA) partners for self-funded plans

TPAs are our valued partners in managing our customers' self funded plans. Together, we can help lower the total cost of selffunding and keep self-funding an attractive option for our customers. Here are our special TPA resources:

TPA guide

Complete information about submitting stop-loss claims, paying premiums, and more. For a copy, ask your Sun Life Financial representative.

SunResources® cost-containment program

SunResources guide — detailed program description and contact information. For a copy, ask your Sun Life Financial representative.

SunResources® vendors — external links to our preferred vendors for specialized services9

Bill Audits

Durable Medical Equipment

IV Therapy

Kidney Dialysis

Congenital Heart Disease


Out-of-Network Claim negotiation (Health Data Insights)

Organ and Tissue Transplants (OptumHealth)

Organ and Tissue Transplants (CIGNA LifeSource)

Utilization Review and Case Management (Hines)

Predictive modeling/data mining

Sightlines® Medical Intelligence is a powerful health care intelligence tool than can help TPAs assemble health care data, identify potential large claims, analyze care patterns and focus case management efforts. Provided by Verisk Health, Sightlines® Medical Intelligence is available upon request to qualified TPA partners.

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