Stealth Partner Group, an Amwins company and leading stop-loss general agency, has published its annual State of the Market report. The comprehensive report delivers timely insights into healthcare and employer stop-loss trends, featuring expert analysis of market dynamics, key segment commentary, carrier insights, and best practices. It also includes strategic cost-saving recommendations and benchmarking data drawn from Stealth’s book of business.
This yearly publication is designed to help brokers and employers navigate a volatile landscape and safeguard health plan assets. It offers a close look at the latest cost drivers, claims patterns, legislative developments, and procurement and renewal strategies in the stop-loss space.
“As healthcare costs and catastrophic claims continue to rise, plan sponsors and brokers are under increasing pressure to make more informed, timely decisions,” said Riva Dumeny, President of Amwins Group Benefits. “Our 2025 report explores the market’s evolving landscape and provides actionable insights to help clients create stronger, more resilient health plans.”
Key highlights from the 2025 report include:
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Escalating medical inflation, prescription drug prices, and infusion site-of-care variances
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Growing use of aggregating specific deductibles and other cost-containment tactics
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The influence of ERISA fiduciary obligations, data transparency requirements, and state-level legislative activity
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Benchmarking metrics across industries, regions, and group sizes
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Expansion of captives, level-funded options, and alternative risk arrangements
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Strategies to address high-cost claims related to gene therapy, NICU stays, and GLP-1 drug utilization
This year’s report also offers expanded insights into network contract disputes, financial burdens posed by emerging gene and cell therapies, and the rapidly evolving specialty drug landscape. Additionally, it introduces cash-flow solutions like Stealth Advance and provides guidance on how employer fiduciaries can comply with transparency regulations and reduce plan leakage through tools such as pre-payment audits and dependent eligibility verification.
“We’re seeing employers become more sophisticated healthcare consumers,” Dumeny added. “Organizations that embrace data-driven strategies, carve-outs, and innovative plan design are better equipped to manage volatility—and Stealth is committed to supporting them every step of the way.”
“In a more complex environment, brokers are being asked to deliver more value with fewer resources,” said Jeremy Fife, Regional President at Stealth Partner Group. “This report arms them with the intelligence and tools they need to lead decisively and provide smarter, more forward-thinking solutions.”
The full 2025 Stop-Loss State of the Market Report is now available for download.
About Amwins
Amwins is the largest independent wholesale distributor of specialty insurance products in the United States. The company serves retail insurance agents with a broad array of property and casualty offerings, specialty group benefits, and administrative services. Headquartered in Charlotte, N.C., Amwins operates from more than 138 offices worldwide and manages over $44.5 billion in premium placements annually.
About Stealth Partner Group
Founded in 2009, Stealth Partner Group, an Amwins company, is one of the nation’s largest specialized general agencies. The firm collaborates with brokers, consultants, and third-party administrators (TPAs) to secure, implement, and manage medical stop-loss and ancillary benefits with top-tier carriers. With 15 offices across the U.S., Stealth offers clients over 150 years of collective expertise in the stop-loss and ancillary insurance markets. Learn more at stealthpartnergroup.com.
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