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Firm & Final

BCS Financial
Stop Loss
Captives
Gene Therapy
Supplemental Health Products
Capacity
Consolidation
Glp-1 Therapies
Marsh and Mclennan Companies
Reinsurance
New Entrants / Market Capacity
Brokers
Data Integration
Aon
Medical Inflation
Captives In Employer Health
Women In Leadership
BCS Financial
Broker Consolidation
Self-Funding

Firm & Final: The Legends of Stop Loss and Reinsurance is an award-winning stop loss industry podcast from BCS Financial Head of Large Claim Solutions Mehb Khoja. With a new focus each season, Mehb brings together members of the stop loss, reinsurance, and self-funded industries to discuss current and future stop loss issues and trends, and share legendary experience and advice for the next genera... more

PublishesMonthlyEpisodes38Founded4 years ago
Number of ListenersCategory
Business

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Artwork for Firm & Final

Latest Episodes

Even veterans of the stop loss industry are scratching their heads these days, wondering if this is the hardest market with which we’ve ever had to contend. 

With loss ratios peaking at 91% last year and widespread underperformance across all segmen... more

The dynamics between selling stop loss policies and underwriting stop loss policies have always created a strange dichotomy in the stop loss industry. 

But the latest NAIC data show loss ratios in stop loss climbing to an astounding 91%. 

And, in a... more

While the world of stop loss often focuses on mitigating catastrophic employer risk, supplemental health products are designed to protect the working families at the heart of those plans.

In this episode of Firm & Final, we explore these "two sides ... more

It feels like there's a growing disconnect between established players in the stop loss industry and the new entrants who crop up annually. 

Long-term industry experts point to warning signs that the market may be hardening. 

Yet every year, new pl... more

You can't fully understand the stop loss and reinsurance industry without considering the impact that its myriad consultants have on both insurers and underwriters. 

These consultants bring decades of experience to bear on behalf of their clients, a... more

It’s summer time—normally the calm before the storm for the stop loss and reinsurance industries. 

But many experts will tell you the industry feels more “unsettled” than usual. 

It’s a time of churn, as some carriers exit but other new players ente... more

Gene therapy offers a powerful tool for treating or curing debilitating diseases that have vexed medical science for years.

Patients battling conditions like hemophilia B, sickle cell anemia, beta thalassemia, Duchenne muscular dystrophy and other ... more

Artificial intelligence has landed in the world of stop loss and reinsurance, and this innovative set of tools has the potential to unlock new insights and data sets. 

But how will AI providers filter out the noise and incorporate their models into ... more

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Recent Guests

Ryan Siemers
Founder of Aegis Risk
Aegis Risk
Episode: Hardening Stop Loss Market | Jeremy Freestone, Ryan Siemers, Steve Gransbury
Jeremy Freestone
Senior Vice President and P&L Leader of Stop Loss
Symetra
Episode: Hardening Stop Loss Market | Jeremy Freestone, Ryan Siemers, Steve Gransbury
Steve Gransbury
President of Health Solutions
Captive Resources
Episode: Hardening Stop Loss Market | Jeremy Freestone, Ryan Siemers, Steve Gransbury
Tom Costello
Sales leader at Symetra
Symetra
Episode: Stop Loss Sales Under Pressure | Ed Wadhams, Tom Costello, Pete Laio
Ed Wadhams
Sales leader at QBE
QBE
Episode: Stop Loss Sales Under Pressure | Ed Wadhams, Tom Costello, Pete Laio
Pete Laio
Sales leader at BCS Financial
BCS Financial
Episode: Stop Loss Sales Under Pressure | Ed Wadhams, Tom Costello, Pete Laio
Tara Krauss
President of Accident and Health, QBE
QBE
Episode: Capital Markets Vs. Insurance Markets | Theresa Galizia, Tara Krauss, Alexis Neu
Theresa Galizia
Senior Vice President and Chief Underwriting Officer
Berkley Accident and Health
Episode: Capital Markets Vs. Insurance Markets | Theresa Galizia, Tara Krauss, Alexis Neu
Alexis Neu
Managing Director
Guy Carpenter
Episode: Capital Markets Vs. Insurance Markets | Theresa Galizia, Tara Krauss, Alexis Neu

Host

Mehb Khoja
Host of Firm & Final, Head of Large Claim Solutions at BCS Financial

Talking Points

Recent interactions between the hosts and their guests.

Capital Markets Vs. Insurance Markets | Theresa Galizia, Tara Krauss, Alexis Neu
Q: What bold prediction do you have for the 2026 season?
Theresa predicts market hardening with continued high loss ratios but potential stabilization through disciplined players; Alexis foresees more entrants yet conservative underwriting due to capital backing; Theresa foresees captives growing and AI shaping workflows; overall optimism about long-term stability with selective growth.
Capital Markets Vs. Insurance Markets | Theresa Galizia, Tara Krauss, Alexis Neu
Q: Why isn't there as much representation of females in the stop loss and reinsurance industry?
The panelists suggest it's a broader industry issue: women often face travel demands and caregiving responsibilities that make senior roles harder to pursue, though representation is improving in some areas; leadership support and flexible work arrangements are critical to widening the pipeline.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
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Professions
Age Range
Household Income
Social Media Reach

Frequently Asked Questions About Firm & Final

What is Firm & Final about and what kind of topics does it cover?

Firm & Final features expert-level conversations with leaders across stop loss, reinsurance, and self-funded health plans. Episodes commonly dissect market dynamics such as pricing pressure, capital and capacity, broker relationships, and the impact of high-cost therapies, while also exploring trends like captives, data analytics, and the role of large carriers and consultancies in shaping program design. Notable strengths include a practitioner-focused panel format, practical negotiation and communication tactics for working with producers and underwriters, and forward-looking takes on market hardening, consolidation, and technology adoption. The show often centers on real-world risk management, product design, and the evolving ecosystem a... more

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Which podcasts are similar to Firm & Final?

These podcasts share a similar audience with Firm & Final:

1. Self-Funded
2. Captivating Health Insights
3. Relentless Health Value
4. Morning Wire
5. WSJ What’s News

How many episodes of Firm & Final are there?

Firm & Final launched 4 years ago and published 38 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Firm & Final?

Recent guests on Firm & Final include:

1. Ryan Siemers
2. Jeremy Freestone
3. Steve Gransbury
4. Tom Costello
5. Ed Wadhams
6. Pete Laio
7. Tara Krauss
8. Theresa Galizia

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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