NEW YORK , July 1, 2025 /PRNewswire/ -- QBE North America today announced the release of its 2025 Accident & Health Market Report, offering timely analysis of the cost drivers and trends shaping self-funded healthcare plans. Based on proprietary claims data and industry research, the report highlights the growing complexity of healthcare claims, with cancer, circulatory disease and premature births among the most significant contributors to high-cost cases.

"As treatment options grow more advanced and costly, employers are facing rising pressure to control volatility in their self-funded healthcare plans," said Tara Krauss, President of Accident & Health at QBE North America. "Our goal is to equip brokers, administrators and employers with actionable insights to navigate these changes with confidence."

The report shows the frequency of circulatory claims has risen almost 60% post-COVID and neoplasms continue to be the predominant excess loss claim across all deductible levels. Additionally, the severity of preterm birth claims continues to escalate, with some cases reaching close to $4 million in 2024.

Key themes explored in the 2025 report include:

• Increased prevalence of circulatory disease rates post-COVID, particularly among younger patients, is a significant concern
• Emerging high-cost claim trends, including million-dollar claims for cancer, circulatory conditions and pre-term births
• Growing impact of specialty pharmaceuticals and continued strain on patient affordability
• Record-breaking cell and gene therapy approvals, with advanced treatment options for autoimmune diseases and rare genetic conditions
• Societal factors that could be driving the health crisis in America such as antibiotic overuse and processed food consumption
• Legislative challenges to ERISA, as several states introduce bills targeting self-funded health plans

This year's report also highlights QBE's expanded offerings, including tailored stop loss solutions for organ transplant coverage, Taft-Hartley, multi-employer and union health plans, and continued momentum in group medical stop loss captives, which provide greater stability and cost control for policyholders.

"As the healthcare landscape continues to shift, stop loss insurance remains a critical tool for employers looking to manage risk and protect their plan assets," Krauss added. "Our annual report reinforces QBE's commitment to supporting self-funded employers with data-driven solutions and trusted expertise."

About QBE North America

QBE North America is a global insurance leader helping customers solve unique risks, so they can stay focused on their future. Part of QBE Insurance Group Limited, QBE North America reported Gross Written Premiums in 2024 of $7.3 billion. QBE Insurance Group's results can be found at qbe.com. Headquartered in Sydney, Australia, QBE operates out of 26 countries around the globe, with a presence in every key insurance market. The North America division, headquartered in New York, conducts business primarily through its insurance company subsidiaries. The actual terms and conditions of any insurance coverage are subject to the language of the policies as issued. Additional information can be found at qbe.com/us or follow QBE North America on LinkedIn, Facebook and Instagram.

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SOURCE QBE North America