RGA is exiting the stop loss insurance and U.S. medical reinsurance markets, citing “extraordinary losses” that began in late 2024. The decision is permanent and applies nationwide.

The move was formalized through an Oregon filing approved on April 2, 2026, which withdraws all associated stop loss forms, endorsements, and riders from the market.

In Oregon specifically, the impact is effectively zero. The company confirmed it never wrote any stop loss policies in the state, meaning no policyholders are affected, no nonrenewals are required, and no replacement coverage is being arranged.

The filing is procedural rather than operational in that state, but it reflects a broader strategic reset. RGA is stepping away entirely from stop loss and medical reinsurance in the U.S., while continuing to focus on other lines, including its growing annuity business tied to pension risk transfer.