Register here to view the forum without ads

Insurance Agent Forum
Join our Facebook Fan Page  Join our LinkedIn Group of Insurance Agents  Follow Insurance Agents Forum on Twitter
Currently Online: 175
Members: 13,183
Discussions: 15,200
Messages: 199,334
Views: 7,986,417

Go Back   Insurance Agent Forum > Insurance Agents and Brokers Forum > Individual Health Insurance Forum

Health Choice One

Scroll down for a discussion on How To Shoot Yourself In The Foot... within the Individual Health Insurance Forum.

Wrote an online app today. 23 Male wanted catastrophic coverage only (Saver 80). I explained coverages to him and his Dad. About $34 bucks per ...


Reply to How To Shoot Yourself In The Foot...
Old 08-08-2007, 07:53 PM   #1
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
How To Shoot Yourself In The Foot...             Go to Top


Wrote an online app today. 23 Male wanted catastrophic coverage only (Saver 80). I explained coverages to him and his Dad. About $34 bucks per month.

Clean as could be. Should be a quick issue. Not so fast.

On the online app, he answered "no" to the question asking if he drives motorcycles. The next three questions were only to be answered if he answered "yes" to the motorcycle question.

Any idea yet where this is going? Oh yea? OK...then tell me. Not a bad guess.

Well...he answers the questions anyway, when he clearly should not have. One of the questions asks if he had any DUIs? Sure enough, he did and answered the question "yes."

So now, Golden Rule, who ordinarily would not have known that he had a DUI (they don't do MVRs), now has that information. I assume they will decline coverage. I feel bad for him, but it is out of my hands. It is in Golden Rule's hands. I wonder what they will do?


And now.... a small picture for your enjoyment...


Choose Insurance Type

Enter Zip Code
------------------------------------
Ohio Health Insurance Quotes
Affordable Ohio Term Life Insurance
Ohio's leading insurance resource
Founder of an Association with 47,000 members
Sporting News Fantasy Football Champion
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...

Register Now for FREE!
Are you an Insurance Agent Forum member yet? To sign up for your FREE INSTANT account, fill out the form below!

Username:     Password:   Confirm Password:     E-Mail:   Confirm E-Mail:

    Question of the day:   Two plus 5 is equal to Agree to forum rules 


Old 08-08-2007, 08:02 PM   #2
Guru
 
somarco on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:8,200
State: somarco is an Insurance Agent from Georgia
Re: How To Shoot Yourself In The Foot...             Go to Top

Under age 35 with a motorcycle license is an auto decline. Can't say about the DUI & time frame or age.

My guess is a decline, especially if he had to go to drunk school.

I have had folks before who had DUI's and were under 21. In GA if you get caught you have to go to drunk school & pay a big fine. Also have to wait a year before you get your license back.

The DUI school is a deal killer with every carrier. Falls under D&A counseling. Can't tell you how many college students (and former students) who cannot get insurance because they did something stupid in college.

Of course I was the perfect child. Never gave my parents any grief. Never got caught doing anything.

And just where did you find that old picture of me? Reminds me of the Waylon & Madame joke.

"Ward, you were a little rough on the Beaver last night"

I'll let you figure out what the setup line was.
------------------------------------
The doctor is in. Five cents please.
Atlanta Health Insurance
Affordable Dental Insurance
somarco is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 08:03 PM   #3
Guru
 
Join Date: Sep 2006
Posts:3,503
State: arnguy is an Insurance Agent from Pennsylvania
Re: How To Shoot Yourself In The Foot...             Go to Top

Gosh, Chumps, you were a cute kid-----but, oh my, look at you now!
arnguy is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 08:30 PM   #4
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

Remember...he does not have a motorcyle license.

Arn...here's a current picture of me. Remember, I live in war-torn Lebanon, so I live a rough life.


CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 08:42 PM   #5
Guru
 
somarco on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:8,200
State: somarco is an Insurance Agent from Georgia
Re: How To Shoot Yourself In The Foot...             Go to Top

Ed, that's you with the goatee in the mu-mu, right?
somarco is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 09:39 PM   #6
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

Yes.
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 09:47 PM   #7
Guru
 
The New Guy on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Jan 2007
Posts:678
Re: How To Shoot Yourself In The Foot...             Go to Top

Picture must have been taken before your hunting trip.
The New Guy is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 09:48 PM   #8
Guru
 
BKrocko on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:432
Re: How To Shoot Yourself In The Foot...             Go to Top

Check World underwriting

DUI:
A)single episode
Within 1 yr...........PP
Over 1 yr.............IC/DEC

B)Two or more episodes
Last within 3 years.........RNA
Over 3 years.................IC

I have placed 2 DUI (1 episode each, over a year) with them. No rate up.

I am waiting for a guy to apply now - DUI 3 1/2 years ago and another one 6 years ago. The 6 yr old one does not show up on his MVR (I know 'cause my friend is his P&C agent). I called World pre screen and they do not see it as a problem - no other health issues and currently insured (not sure I believe pre screen, I didn't mention the MVR report though). Makes you wonder if the 6 yr old one would be counted since there is no MVR record of it.

I gotta quit prospecting in Bars!
</IMG>

Last edited by BKrocko : 08-08-2007 at 10:01 PM.
BKrocko is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 10:41 PM   #9
Guru
 
somarco on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:8,200
State: somarco is an Insurance Agent from Georgia
Re: How To Shoot Yourself In The Foot...             Go to Top

I gotta quit prospecting in Bars!
Why?

If it works, don't change. . .
somarco is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-08-2007, 11:15 PM   #10
Guru
 
Newby on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Apr 2007
Posts:1,596
State: Newby is an Insurance Agent from Indiana
Re: How To Shoot Yourself In The Foot...             Go to Top

"On the online app, he answered "no" to the question asking if he drives motorcycles. "

I don't jump in and correct spelling or grammer very often (cause I'm the worst)...but it hits a major nerve in my pea-brain when people say "drive motorcycles."

You "ride" motorcycles. Not drive them.

Do you ride your car?

If the app really asks that...then the answer is no for everyone.
Newby is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 12:22 AM   #11
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

The exact wording that Golden Rule uses on the app is "In the last 24 months, has any applicant participated in driving any type of motorcycle?"

Newby...I understand your point, but grammatically, the term "driving a motorcycle is not inaccurate. And yes...that is a double-negative.

One rides a motorcycle and "drives" it as well....just as you drive a car. Theoretically, the act of "riding" connotates sitting as opposed to directing.

The point? None. No need to lose sleep over it.
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 07:06 AM   #12
Guru
 
healthagent on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:9,798
State: healthagent is an Insurance Agent from Maryland
Send a message via Yahoo to healthagent
Re: How To Shoot Yourself In The Foot...             Go to Top

And this is why client's don't fill out their own apps.
healthagent is online now   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 08:47 AM   #13
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

In Ohio, GR requires the client to answer all medical questions themselves.
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 09:25 AM   #14
Guru
 
somarco on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:8,200
State: somarco is an Insurance Agent from Georgia
Re: How To Shoot Yourself In The Foot...             Go to Top

In Ohio, GR requires the client to answer all medical questions themselves
Many carriers do likewise.

Of course that does not preclude the agent from assisting.

With all online apps I start by having the client fill in a paper app & fax to me. I tell them this is for a "dry run" to see if there is missing information or if there are any areas not previously revealed that will cause delays in underwriting.

This also gives me a hard copy record in their writing of conditions they have admitted to.

Most of the online apps (including GR) allow the agent to start the process and then turn it over to the client for final review & submission. With GR I stop right before the payment info and email them the app. I tell them to review everything completely before entering payment data & submitting.

Of course this is not foolproof. I recently had to get a policy reissued (with Time) because the birth control Rx was made out in the wife's name and in this case the wife was listed as a male. The error was discovered when the pharmacy was not allowed to enter the Rx for repricing. Seems the PBM does not allow males to receive birth control pills.

Sure enough when I checked the online application I discovered that I had inadvertently performed a gender reassignment. A call to Time got the policy reissued but did not take the red out of my face.

My client was happy to know she could resume life as a female . . . at least as far as Time was concerned.
somarco is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 09:31 AM   #15
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

Admittedly, I do not have clients do a paper app before they do the online app. With this guy, I completed all of the basic stuff for him (name, address etc...) and then turned it over to him for the medical questions.

Here's another twist. Some companies (not GR) ask a question in the Agent's section regarding if we (the agent) know anything about the applicant that was not stated on the app. On life insurance applications, this is more common.
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 09:33 AM   #16
Guru
 
healthagent on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:9,798
State: healthagent is an Insurance Agent from Maryland
Send a message via Yahoo to healthagent
Re: How To Shoot Yourself In The Foot...             Go to Top

I do all the online apps myself right from my agent website then the client gets the link to verify the info. We do that while on the phone, go over everything yet again, then they verify the app.

I have no idea how GR operates in Ohio. In MD I can do the entire app from my broker site and they get confirmation email.
------------------------------------
Health Insurance Agents: Training, Support, Discounts, E&O for $440 www.ihiaa.com

Read our blog: www.IHIAA.blogspot.com
healthagent is online now   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 09:45 AM   #17
Guru
 
CHUMPS FROM OXFORD on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:5,462
State: CHUMPS FROM OXFORD is an Insurance Agent from Ohio
Re: How To Shoot Yourself In The Foot...             Go to Top

I believe it is the same here. I was alluding to the paper app in my earlier post about the applicant answering the questions.
CHUMPS FROM OXFORD is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 09:49 AM   #18
Guru
 
healthagent on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:9,798
State: healthagent is an Insurance Agent from Maryland
Send a message via Yahoo to healthagent
Re: How To Shoot Yourself In The Foot...             Go to Top

I like the extra step Assurant has requiring the client to sign and send back the offer to accept/attest. It's a paper version of the online app and fantastic CYA sytem.
healthagent is online now   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 11:24 AM   #19
Expert
 
Slick on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Feb 2007
Posts:139
Re: How To Shoot Yourself In The Foot...             Go to Top

As a consumer, I applied to Golden Rule, the app asked if I rode a motorcyce. I said "yes". They declined me. I looked it up and found the AMA had already fought this fight. I shared this information with GR and they reversed their decision. I didn't have a motorcycle license and I was a AMA member at the time.
------------------------------------
Keith Kessler


"Honor God, Help People"
Slick is offline   Reply With Quote to How To Shoot Yourself In The Foot...
Old 08-09-2007, 12:14 PM   #20
Guru
 
healthagent on How To Shoot Yourself In The Foot... - Insurance Agent Forum
 
Join Date: Sep 2006
Posts:9,798
State: healthagent is an Insurance Agent from Maryland
Send a message via Yahoo to healthagent
Re: How To Shoot Yourself In The Foot...             Go to Top

Motorcycles are no longer a GR decline or rider. It's now just an increased premium.

Choose Insurance Type Enter Zip Code


healthagent is online now   Reply With Quote to How To Shoot Yourself In The Foot...
Reply to How To Shoot Yourself In The Foot...

  Insurance Forum > Insurance Agent Forum > Insurance Agents and Brokers Forum > Individual Health Insurance Forum



Thread Tools
Display Modes

Similar Threads with How To Shoot Yourself In The Foot...
Thread Thread Starter Forum Replies Last Post
Free Prescription Drug Card - A Foot in the Door? InsuranceGuru General Insurance Agent Discussions 8 09-13-2008 04:55 PM
Foot Care - E & L schealthagent Individual Health Insurance Forum 14 04-20-2008 04:49 PM



All times are GMT -5. The time now is 08:16 AM.


Powered by vBulletin® Version 3.6.12 Secure
Copyright ©2000 - 2009, Jelsoft Enterprises Ltd.
SEO by vBSEO 3.3.0