Parametric Medical Gap Insurance

A frictionless solution for brokers and distributors

Finally: Gap that scales with medical

Seamless coverage with low-touch administration

Better coverage design

Coverage and rates that reflect each employee's actual health plan instead of an average

Low-friction claims experience

Our claims engine automatically obtains proof of loss from medical payers and adjudicates claims

Electronic billing & premium splitting

Premium cycle automation that makes financial administration a breeze

Coverage

Real cost sharing indemnification

Our coverage defines cost-sharing exactly like the underlying medical plan.

Rates reflect the covered medical plan, not a "typical" metal level

No mandated structural exclusions relative to the covered medical plan

Claims

Algorithmic adjudication

After employees connect their medical plans and bank accounts to our application, their Gap claims are processed algorithmically on an ongoing basis, enabling self-directed and parametric disbursements.

No Gap member ID cards

No manual proof of loss submissions

No medical provider involvement

No human claims handling

PremiumS

Premium cycle automation

Our solution brings together insurer, TPA, and all involved producers. Taxes and earned premium are calculated automatically. With the click of a button, funds are paid to all stakeholders.

Electronic invoicing & payments

AR/AP reconciliation

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