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Anyone having more difficulties than normal with Golden Rule Underwriting? Throughout April it seemed they were scrutinizing my apps like crazy. I had about 60% ...


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Old 05-02-2009, 02:37 PM   #1
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Anyone having more difficulties than normal with Golden Rule Underwriting? Throughout April it seemed they were scrutinizing my apps like crazy. I had about 60% of my apps have med records requested.

It was easier geting things through Anthem, which is NEVER the case.
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Old 05-02-2009, 02:47 PM   #2
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CHUMPS FROM OXFORD on Golden Rule Underwriting - Insurance Agent Forum
 
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I haven't noticed...yet.
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Old 05-02-2009, 03:49 PM   #3
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All carriers are getting tougher on underwriting. It is one way to boost profits. Easier to say no than to say yes to a "maybe" risk.

I'm actually having more trouble with Aetna than anyone. I know they are testing their robo-underwriter, but this is ridiculous.
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Old 05-03-2009, 08:47 AM   #4
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It seems now days...Golden Rule will really only take clean apps. If they have anything like H.B., Choles, thyroid etc, they tend to pull records now. I loved G.R. but now I cant stand to business with them. Seems to me that they are on a witch hunt with every new application. Bottom line, if your client has any pre X, I would take them else where. They will rider the heck out of your clients.
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Old 05-04-2009, 12:06 PM   #5
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Seems to me that they are about the same. You know that they will rider our most pre-x, so they are not always the best option there.
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Old 05-04-2009, 01:44 PM   #6
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Always gotta wonder about a new member who is a serial poster . . .
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Old 05-04-2009, 03:14 PM   #7
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On the UnitedHealth One by Golden Rule
I have been very happy with the underwriting process so far.......knock on wood.

I just sent them a e-app that had brain surgery 10 years ago to remove a tumor.......I will really be able to tell how good they are after this one.
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Old 05-08-2009, 05:38 AM   #8
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Not sure about your last comment somarco. I spoke with my rep the other day and she was in tears due to all the problems that were going on and all the phone calls that she was getting from her brokers!
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Old 05-08-2009, 12:28 PM   #9
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If the rep is in tears then she doesn't know how to do her job and probably has a bunch of duds for agents. I don't have the occasion to use GR as much as in the past, but I don't have problems with them. And they don't just get my clean business. In fact, they take more stuff that other carriers rejected than anyone else.
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Old 05-08-2009, 11:15 PM   #10
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My apps w/ hbp & cholest are being scrutinized real bad. They actually had one client go get blood work done. I have NEVER had that happen. He was on one BP med and no tobacco and BMI was perfect. After 5 weeks of BS...DENIED! Took him to Anthem and approved in 36 hours.

I like GR but they are becoming too difficult to work with.
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Old 05-09-2009, 07:14 AM   #11
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I personally dont think that it is just one person! Common sense would tell you its carrier. It's amazing that everyone else is having problems except you and it tends to be carrier base versus rep...hhmmm.
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Old 05-09-2009, 07:22 AM   #12
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Most agents have no idea how to preview and pre-screen an app, nor do they know how to assemble an app in such a way as to present it in the best light. I do, and this gives me a leg up on most other agents who say they can't get things approved.

I probably write 3 - 4 apps a month where other agents have given up. Some times I get things approved with the same carrier that earlier denied coverage.

Go figure.
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Old 05-09-2009, 07:37 AM   #13
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...except you can't explain conditions details on a GR online app.
- - - - - - - - - - - - - - - - - -
Correction, that's the Aetna app, GR's online app has a small box to give some details.
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Old 05-09-2009, 08:19 AM   #14
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Originally Posted by healthagent View Post
...except you can't explain conditions details on a GR online app.
- - - - - - - - - - - - - - - - - -
Correction, that's the Aetna app, GR's online app has a small box to give some details.
If necessary, I will fax a cover letter to the underwriter with further details/evidence for the case - with all carriers.

They always appreciate the thoroughness.
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Old 05-09-2009, 09:07 AM   #15
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except you can't explain conditions details on a GR online app.
Maybe you can't, but I can.

I can't think of when I have ever had a paramed on a GR app. Had one a year ago or so for H1. Had a few for Time. Never for Aetna, KP or BX.

I have more declines from Aetna than anyone else but then I push the envelope with quite a few apps. Still, I have over 90% approval and taken across the board for all carriers.

Can't recall getting an approval on an app that wasn't taken. I have had a few folks just give up after a rejection. Not much I can do about that. I prep them on what to expect and where we will go, what we will do if the #1 choice doesn't pan out.

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