the insurance company thats underwrites it is American Medical Life of NY
Your point is?
FWIW this is the 3rd or 4th carrier listed as the issuing carrier.
I tried finding info on American Medical life. One site (amlico.com) is non-working. Another site indicated AMLICO was taken over by Trek. That site would install malware if I went there.
I'm also losing track of who underwrites this plan...of course that info need to be on their marketing materials.
John, what is the name of that outfit you visited at their home office in Florida that you think has potential for a GI plan? What thread is the info posted under? Thanks in advance.
FWIW this is the 3rd or 4th carrier listed as the issuing carrier.
I tried finding info on American Medical life. One site (amlico.com) is non-working. Another site indicated AMLICO was taken over by Trek. That site would install malware if I went there.
Doesn't sound inviting.
AMLI is a NY insurance company. They underwrite the product offering. It is an Association product and AIM (Association of Independent Managers) is the association they use. Assurant, Golden Rule and many others use an association approach to individual insurance. I have done much due diligence on the Insurance carrier as well as contact with state DOIs and have found no problems yet. The original Master GA was Cross-America Health plans. They are no longer in the picture with any AMLI products. Their operation was undermanned and woefully lacking in service. AMLI got the scoop and d/c'd the relationship. AIM seems to be doing a good job.
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Originally Posted by somarco
Your point is?
FWIW this is the 3rd or 4th carrier listed as the issuing carrier.
I tried finding info on American Medical life. One site (amlico.com) is non-working. Another site indicated AMLICO was taken over by Trek. That site would install malware if I went there.
Doesn't sound inviting.
Due to the relationship that AMLI originally had with cross america health plans and the dissolution of that, AMLI had to start an new website to make an easy break. Recommend that all stay away from cross america. All promise - no delivery.
Last edited by rick_d : 10-06-2008 at 04:48 PM.
Reason: Automerged Doublepost
Assurant, Golden Rule and "the many others" who use Associations put their NAMES on their materials. AIM is currently under investigation in Texas:
[COLOR=red]Our Advertising Unit forwarded your inquiry to the Enforcement Division and the information you provided concerning the above-mentioned subject has been made part of a potential disciplinary case. It is known as Enforcement case number 54682.[/COLOR]
[COLOR=red]Should you have any questions or wish to provide additional information, please do not hesitate to contact Catherine Bell of the Enforcement Division at (512) 475-1832.[/COLOR]
[COLOR=red]Sincerely,[/COLOR]
[COLOR=red]Silas J. Alexander, Compliance Specialist[/COLOR]
[COLOR=red]Compliance Intake Unit [/COLOR]
[COLOR=red]Enforcement Division (110-1A)[/COLOR]
AMLI is a NY insurance company. They underwrite the product offering. It is an Association product and AIM (Association of Independent Managers) is the association they use. Assurant, Golden Rule and many others use an association approach to individual insurance. I have done much due diligence on the Insurance carrier as well as contact with state DOIs and have found no problems yet. The original Master GA was Cross-America Health plans. They are no longer in the picture with any AMLI products. Their operation was undermanned and woefully lacking in service. AMLI got the scoop and d/c'd the relationship. AIM seems to be doing a good job.
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Due to the relationship that AMLI originally had with cross america health plans and the dissolution of that, AMLI had to start an new website to make an easy break. Recommend that all stay away from cross america. All promise - no delivery.
Would you like to point out the underwriting company's name on their site or brochures?
AIM is an Association and the marketing company for these plans. AMLI American Medical and Life Insurance Company is the licensed insurance company. The program is a unique opportunity to provide a guaranteed issue HIPAA qualified defined benefit plan to the national marketplace. It fills a void for those who cannot get major medical in the standard markets and offers an alternative, although limited, to the high-risk/high-premium pool coverage offered in most states.
Originally Posted by TexasAgent
I received this email today from the TDI (with the 4 page letter to AIM attached to it):
RE: Your inquiry received July 29, 2008
Advertising Unit received August 7, 2008
File ID: 36416
Complaint ID: 836351
Thank you for making the subject material available to us. We have reviewed the advertisements for compliance with our Advertising rules. On August 26, 2008, we sent a letter (a copy is attached) to the Association of Independent Managers indicating the objections we had to the advertisements that you submitted to us. After also reviewing their website, we sent a letter on August 29, 2008 to the Association of Independent Managers indicating the objections we had to their website. We have not received a response to either of our letters.
As we indicated in our attached letter, we found no record of the Association of Independent Managers or the Insurance Resource Group as being licensed with the Texas Department of Insurance to do insurance business in Texas. We also found no record that they are registered with the Texas Department of Licensing and Regulation to solicit a discount health care program in Texas.
Since we have received no response from the above-referenced entities, we will be referring this matter to our Enforcement Division for consideration and appropriate action.
We do appreciate that you took the time to send this matter to us for our review. We are closing our complaint file at this time. We rely on agents like you to help us gather information which will enable us to regulate insurance advertising effectively. If you have any additional information or comments, please feel to contact me.
Janice Mosher
Insurance Specialist
Consumer Protection/Advertising Unit
Texas Dept. of Insurance [COLOR=blue]advertising@tdi.state.tx.us[/COLOR]
AIM is an Association and the marketing company for these plans. AMLI American Medical and Life Insurance Company is the licensed insurance company. The program is a unique opportunity to provide a guaranteed issue HIPAA qualified defined benefit plan to the national marketplace. It fills a void for those who cannot get major medical in the standard markets and offers an alternative, although limited, to the high-risk/high-premium pool coverage offered in most states.
Rick, we've heard all this crap before. It's old news/excuses.
This is your second post. What is your interest in all this?
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[COLOR=blue]Don't steal - the government hates competition.[/COLOR]
I doubt you would know a HIPAA qualified plan if it bit you in the butt.
I'd like to know this, as well as what makes a plan a major medical or limited benefit plan....
Any links would be greatly appreciated.
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[COLOR=#000066]"Tell me and I will forget. Show me and I will remember. Involve me and I will understand." Confucius
I doubt you would know a HIPAA qualified plan if it bit you in the butt.
I don't know who you are or what your experience is, but I run an agency, have more than fifteen years experience and market in several states. We primarily sell our clients face to face and have relationships with families and businesses that span years...not just renewals. I ran into the AIM product, which is underwritten by AMLI, more than a year ago. Individual major medical medical insurance is not guaranteed issue in most states, so a health plan that is guaranteed makes sense to have in our portfolio -even if it is a defined or limited benefit plan. We have done due diligence on the underwriting company with the state in which they are licensed and all states where we are licensed. Currently no complaints have been filed against AMLI that were reported to us.
I suggest that you do your research more thoroughly, before you make accusations. Don't sell this plan to your clients, instead keep referring business to the high risk pool or let those people join the legion of 47 million uninsured.
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Originally Posted by moonlightandmargaritas
Rick, we've heard all this crap before. It's old news/excuses.
This is your second post. What is your interest in all this?
I have done a lot of research and due diligence on the AMLI company and do not think that licensed agents should throw around misinformation. I happened upon this thread on another round of research on the parent company and marketing company.
If you have an axe to grind, do a little research and call Bob Ostrander at AMLI and he will answer you questions.
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Originally Posted by salpro22
I'd like to know this, as well as what makes a plan a major medical or limited benefit plan....
Any links would be greatly appreciated.
Major Medical has a lifetime maximum or annual maximum for any illness unless excluded or limited. You can access all of that maximum for anything.
Limited or Defined benefit pays a set amount per procedure, regardless of the cost.
A good insurance agent can dive you advice on both of those.
Last edited by rick_d : 10-08-2008 at 10:42 AM.
Reason: Automerged Doublepost
I suggest that you do your research more thoroughly, before you make accusations. Don't sell this plan to your clients, instead keep referring business to the high risk pool or let those people join the legion of 47 million uninsured.
You may also wish to do a little more thorough research.
If you read through the entire two-year old thread, you'll find the "due diligence" has been done by many - just as experienced as you or I.
There have been some very serious issues and inconsistencies raised, sited, and confirmed (including claims issues).
Sell it at your own peril.
PS-For fifteen years in the business, I'm surprised you don't know that it's NOT the issuing company/TPA that gets to decide whether it's creditable coverage or not. They can CLAIM anything they want - whether it's true or not is another story...
Last edited by moonlightandmargaritas : 10-08-2008 at 11:35 AM.
I don't know who you are or what your experience is, but I run an agency, have more than fifteen years experience and market in several states. We primarily sell our clients face to face and have relationships with families and businesses that span years...not just renewals. I ran into the AIM product, which is underwritten by AMLI, more than a year ago. Individual major medical medical insurance is not guaranteed issue in most states, so a health plan that is guaranteed makes sense to have in our portfolio -even if it is a defined or limited benefit plan. We have done due diligence on the underwriting company with the state in which they are licensed and all states where we are licensed. Currently no complaints have been filed against AMLI that were reported to us.
I suggest that you do your research more thoroughly, before you make accusations. Don't sell this plan to your clients, instead keep referring business to the high risk pool or let those people join the legion of 47 million uninsured.
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I have done a lot of research and due diligence on the AMLI company and do not think that licensed agents should throw around misinformation. I happened upon this thread on another round of research on the parent company and marketing company.
If you have an axe to grind, do a little research and call Bob Ostrander at AMLI and he will answer you questions.
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Major Medical has a lifetime maximum or annual maximum for any illness unless excluded or limited. You can access all of that maximum for anything.
Limited or Defined benefit pays a set amount per procedure, regardless of the cost.
A good insurance agent can dive you advice on both of those.
For the 15th time - can you point out where AMLI is found on the AIM website or brochures and whether or not you think that not stating the underwriting carrier is compliant?
For the 15th time - can you point out where AMLI is found on the AIM website or brochures and whether or not you think that not stating the underwriting carrier is compliant?
Carrier compliance is a states issue and varies from state to state. The NAIC guidelines recommend identification of carrier, but those guidelines are just that. Some states require only that the carrier information be included prominently in the policy. The insured has the right to refuse the policy once they receive and review it.
If you are serious about the product...do your own due diligence with AMLI the same way that I did. If not, stop talking smack and act like a professional. An agents job is to give people the proper advice about the products they represent. Due diligence is not a reading a thread in a blog or a forum. Due diligence is a call to the DOI, a call to the VP of sales or the compliance officer at a carrier if you have a question. The complaint against AIM with the TX DOI was forwarded to AIM's National Marketing Director by me on Wednesday.
By the way, Marketing organizations are not required to be licensed in every state unless they actually sell the product directly to the consumer. The insurance company must be licensed and if you check, you will find AMLI licensed in all states where the product is offered. There was a comment about not being offered in some states, but that refers to policy add-ons underwritten by other carriers that can be packaged with the AIM Health Solutions or HealthMax plans or purchased as stand alone products. The individual agents, or call centers who sell the product must hold valid LA & H licenses in the states where they sell the product and must be appointed by AMLI prior to selling the product. Now that you have all this information, you should make a decision to represent the product or not...your choice. I choose to carry E&O with high limits which covers my clients if I make a mistake. Additionally, I made sure that AMLI was an admitted company in the states where I do business, so there is no exposure to my clients should the insurance company become insolvent. Their claims will be paid.
This is how a professional insurance agent operates.
Re: IRG/AIM Health Solutions
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