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Client examined for life insurance last month. Applied at preferred, offer from Banner was standard based on lab results. Cholesterol 251 HDL 74 LDL 159 ...


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Old 06-21-2008, 08:58 AM   #1
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Client examined for life insurance last month. Applied at preferred, offer from Banner was standard based on lab results.

Cholesterol 251
HDL 74
LDL 159

Client went postal. Claimed the results were invalid. His chol had never been that high.

Two weeks ago he went to his doc and had new lab work. Results came back yesterday.

Cholesterol 96
HDL 46
LDL 40

I have sent the information to Banner. Waiting on a response. Any insight into the discrepancy in readings short of a SNAFU by the lab Banner used?
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Old 06-21-2008, 09:04 AM   #2
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healthagent on Lab Results - Insurance Agent Forum
 
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Great post. First, was it a fasting count for the paramed? Did he wolf down a triple cheeseburger before the exam?

Secondly, this happened to me. I've had life for years but applied through another carrier to pick up another $500K.

Med came over....results came back 225. Wrong. My count has never been over 180....ever.

I went in to see my doc - worked me up - 186. Didn't matter to the carrier - would not accept the 186 from my doc.
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Old 06-21-2008, 10:34 AM   #3
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Why does this remind me of the OJ Simpson case? ha ha ha.

Very interesting, though. Something we all should be a bit more concerned with!
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Old 06-21-2008, 10:39 AM   #4
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moonlightandmargaritas on Lab Results - Insurance Agent Forum
 
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I think a lot more labs get screwed up that you'd like to believe.

Did a life app on a nurse 7-8 years ago. Decline -- they said she had Hepatitis "C" (from the labs).

This poor woman went and had a liver biopsy done (she was a nurse after all). Result? NO Hep "C".

Issued preferred. Not a word of apology from the insurance company, or lab. Brutal.
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Old 06-21-2008, 11:19 AM   #5
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OJ had cholesterol problems?

Or are you suggesting Mark Furman had a hand in the lab?

If the cholesterol profile does not fit you must acquit.

On a more serious note, this guy was livid. His last chol reading from 2 yrs ago was 81. Spiking to 251 was unbelievable.

His alkaline phosphatase readings (Banner) were off the charts too at 181. His doc did a complete panel, including liver enzymes, which showed all readings in normal range. I asked him for those counts as well and he is to get back to me.

The guy could have eaten a steady diet of pasta and wine for a week and still not blown his chol & liver enzymes up like that.

Got a call in to Banner. If they don't budge we go with Genworth at a slightly higher rate on super preferred.
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Old 06-21-2008, 11:30 AM   #6
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Should not be a problem, Banner will APS his doc to get the new lab results and underwrite accordingly. I have had several errors like this just recently and all were reversed. If Banner won't change, re-apply with West Coast and get new labs.
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Old 06-21-2008, 11:47 AM   #7
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I have had several errors like this just recently
That's disturbing.

Any idea why the SNAFU's occurred?
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Old 06-21-2008, 12:18 PM   #8
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GreenSky on Lab Results - Insurance Agent Forum
 
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This is just one more reason why we need single payer life insurance. Where is Congress on this issue?

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Old 06-21-2008, 12:23 PM   #9
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Why do you say that Rick?
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Old 06-21-2008, 12:49 PM   #10
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Originally Posted by GreenSky View Post
This is just one more reason why we need single payer life insurance. Where is Congress on this issue?

Rick

YES... this travesty must be stopped NOW.

The only one who can put an end to this atrocity is our friends in DC... By the time they are finished we will all be able to get 10 yr term policy for just slightly more than the cost of a highly loaded UL policy rate of today.

I can't wait until tey get involved and get this handled pronto!!!!!!
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Old 06-21-2008, 12:57 PM   #11
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moonlightandmargaritas on Lab Results - Insurance Agent Forum
 
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Originally Posted by GreenSky View Post
Where is Congress on this issue?
With their collective head in their pooper...just like on just about every issue.

Of course the hard line Democrats felt that Mrs. Pelosi was just what the doctor ordered...

It is important to note however, the only ones that have the right to bitch and moan, are people that actually took the time to vote.

Enough of that rant. I rest my case.
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Old 06-21-2008, 01:30 PM   #12
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Bob_The_Insurance_Guy on Lab Results - Insurance Agent Forum
 
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I'm very lucky. That has not happened the the handful of Life cases I have. The FMO I use (#1 knows them) always asks about readings and what paramed company each insurance company uses, and when to submit one with apps, etc.

On the very few Life cases I have, my FMO has always encouraged me to get the applicant to obtain those records from the docs office, and submit with app.

It's worked all 8 times. Thus far. I've got two cases in underwriting now - will keep you abreast.
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Old 06-21-2008, 02:08 PM   #13
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By the time they are finished we will all be able to get 10 yr term policy for just slightly more than the cost of a highly loaded UL policy rate of today.
You could not be more wrong.

It will be a zero premium life plan.

Just like zero premium health insurance.

And zero premium homeowners insurance (for those who lost homes in floods, fires or tornado's).

And zero premium housing, food and other necessities.

The government will provide it all at no cost to you.
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Old 06-21-2008, 02:11 PM   #14
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How 'bout "free electricity for seniors"? That should get anyone elected...
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Old 06-25-2008, 05:23 PM   #15
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Originally Posted by somarco View Post
You could not be more wrong.

It will be a zero premium life plan.

Just like zero premium health insurance.

And zero premium homeowners insurance (for those who lost homes in floods, fires or tornado's).

And zero premium housing, food and other necessities.

The government will provide it all at no cost to you.
... Now if I could just get a little food, I'd be all set. Wait, I can get that! No need to work, and I can live better than you!
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Old 06-29-2008, 09:36 PM   #16
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Like it was suggested earlier the applicant may not have been fasting prior to the exam. here's the thing some insurance companies require a 12 fast some prefer it and some require less then a 12 hour fast but either way the insurance company typically still wants the examiner to go ahead and do the blood work work even if the applicant has not fasted. As far as the elevated liver enzymes it could have been elevated if the applicant had a few drinks the night before the exam it couldhave been just 1 or 2 glasses of wine it doesn not have to be a party drinking binge). What should have been explained to the applicant prior to the exam is how long he should have been fasting and to also not eat any foods high in fat or cholestrol 24 hours before the exam and to also drink no alcohol 24 hours before the exam. As an examiner that has worked both for the national exam companies and directly with agents I can tell you that the examiners for the national companies do not always explain the fasting and no alcohol procedures or why it needs to be done and why it benefits your applicant when they call to sch the exam because that examiner has no vested interest in you the agent. To that examiner for the national company the agent is just name on the order ticket and the examiner will not resch the exam if they find out the applicant has just eaten a double cheese buger and fries because the examiner does not get paid if the exam is not done and the examiner does not want to waste a trip for nothing.
For a direct examiner that works with agents directly you will find this type of issue very rare because we have a vested interest in taking care of you the agent and your clients even if it means going out to do an exam and having to resch it because the client forgot about the procedures. A direct examiner will call the client 24 hours before the exam to remind them of the fasting and no alcohol requirements 1) minimize faulty test results 2) minimize the possibility of the examiner having to resch the exam and the examiner losing money and delaying the policy getting approved. These are just a few of the benefits of using a inependent examiner vs the national exam companies if you would like to know more or how to get in contact with a direct examiner in your area let me know I would be happy to point you in the right direction.
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Old 06-29-2008, 10:04 PM   #17
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Exam done following a fast.

No alcohol . . . ever.

Appealing to Banner. If they refuse to change their offer, we go to another carrier.
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Old 06-29-2008, 11:21 PM   #18
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If the applicant fasted properly and did not drink alcohol then it probably is a lab mistake. I did an exam a few months back for an agent the applicant is a non smoker but his urine test came back positive for cotinine and the applicant was rated as a smoker. The lab redid the test and it was negative fight it labs do make mistakes they just don't like to admit it its's always someone elses fault the applicant or the examiner.

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Old 06-30-2008, 02:26 AM   #19
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Does your client take any medications regularly? Certain meds can cause an elevated liver enzyme reading. I got this med list off of Home Page -- American Academy of Family Physicians.

Common Agents That Can Cause Liver Transaminase Elevations
Medications
Herbal supplements/vitamins
Acetaminophen
Chaparral leaf
Amiodarone (Cordarone)
Ephedra
Amoxicillin- clavulanic acid
Gentian
Carbamazepine (Tegretol)
Germander
Fluconazole (Diflucan)
Jin bu huan
Glyburide (Micronase)
Kava
Heparin
Scutellaria (skullcap)
Isoniazid (INH)
Senna
Ketoconazole (Nizoral)
Shark cartilage
Labetalol (Normodyne)
Vitamin A
Nitrofurantoin (Furadantin)
Nonsteroidal anti-inflammatory drugs
Phenytoin (Dilantin)
Protease inhibitors
Sulfonamides
Trazodone (Desyrel)
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Old 06-30-2008, 02:27 AM   #20
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Mildly Elevated Liver Transaminase Levels in the Asymptomatic Patient - March 15, 2005 - American Family Physician if you want to look at al the info

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