In March 2023, Milliman surveyed a wide range of employer stop-loss market participants, including administrative services only (ASO), managing general underwriters (MGU), and third-party carriers. We received 31 responses. After an executive summary and details on the general questions, this report presents the results, which include discussion of the following: 

• Portfolio characteristics
• Underwriting measures
• Pricing 
• Portfolio results and characteristics
• Captives
• Level-funded product
• High-cost pharmacy and gene therapy treatments
• Carrier concerns