GI situation for Employer Retiree coverage going into private Med Supp

Jul 12, 2019 at 4:58 PM

  1. wehotex
    Offline

    wehotex Guru

    Posts:
    1,599
    Likes Received:
    10
    State:
    Texas
    Retiree remains on EGC for several years after retirement. During an Open Enrollment Period, the retiree chooses to go into a GI Med Supplement. Does it matter that the termination of EGC is VOLUNTARY or INVOLUNTARY?
     
    wehotex, Jul 12, 2019 at 4:58 PM
    #1
  2. asher
    Offline

    asher Super Genius

    Posts:
    179
    Likes Received:
    2
    State:
    Florida
    No! Go to it!
     
    asher, Jul 12, 2019 at 5:57 PM
    #2
  3. wehotex
    Offline

    wehotex Guru

    Posts:
    1,599
    Likes Received:
    10
    State:
    Texas
    Not likely. I know that most Med supps pay $0 for them. It's for the benefit of the person in the situation though.
     
    wehotex, Jul 12, 2019 at 6:11 PM
    #3
  4. Newby
    Offline

    Newby Guru

    Posts:
    14,397
    Likes Received:
    1,463
    State:
    Indiana
    Yes it matters. It’s state by state. Some states have the GI option whether or not you end the employer coverage through your own choice or “no fault of your own.”

    I’m not sure which way Texas goes. You should talk with the DOI in Texas to get the right answer. Or call MOO or any real experienced Med a Sup company. They can tell you for sure.

    As you have seen asking that question on forums or Facebook or random agents will get you a lot of different answers. Some of them will actually be correct. I mainly sell in only two states and have been doing it for a couple of decades. And I still get confused of which of my states offer is guaranteed issue to anyone who chooses to leave their group plan and which one only gives guaranteed issue when you lose the group plan through no choice of your own. So I have to look at my notes to even keep myself straight.
     
    Newby, Jul 12, 2019 at 6:30 PM
    #4
  5. BeeSelective
    Offline

    BeeSelective Guru

    Posts:
    276
    Likes Received:
    13
    State:
    Virginia
    What is part B date?
     
  6. Northeast Agent
    Offline

    Northeast Agent Guru

    Posts:
    689
    Likes Received:
    413
    State:
    Pennsylvania
    The individual med supp carrier underwritering guidelines have charts in them. It shows which States are GI for voluntary vs involuntary loss of group coverage.
     
  7. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    20,128
    Likes Received:
    6,296
    State:
    Illinois
    There's an alarming # of agents that don't know what an UW Guide is, let alone ever opened one up. :eek:
     
    goillini52, Jul 12, 2019 at 8:05 PM
    #7
  8. wehotex
    Offline

    wehotex Guru

    Posts:
    1,599
    Likes Received:
    10
    State:
    Texas
    I googled Texas Dept of Insurance GI Med supp. Apparently, Texas is a state that recognizes INVOLUNTARY or VOLUNTARY. My buddy in Ariz says that Ariz is ONLY involuntary. I never knew about these distinctions.
     
    wehotex, Jul 12, 2019 at 8:05 PM
    #8
  9. somarco
    Offline

    somarco GA Medicare Expert

    Posts:
    29,545
    Likes Received:
    3,406
    State:
    Georgia
    Like Scott said, state and carrier specific.
     
    somarco, Jul 12, 2019 at 8:36 PM
    #9
  10. somarco
    Offline

    somarco GA Medicare Expert

    Posts:
    29,545
    Likes Received:
    3,406
    State:
    Georgia
    Then it can STILL be carrier specific.
     
    somarco, Jul 12, 2019 at 8:38 PM
    #10
Loading...