also has Lymphedema, and that's one of the KO questions for Lumico
Any reason why that (Lymphedema) was not discovered in your pre-screen when you found out about the hernia that did not need surgery?
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also has Lymphedema, and that's one of the KO questions for Lumico
Any reason why that (Lymphedema) was not discovered in your pre-screen when you found out about the hernia that did not need surgery?
I honestly don't have a good answer. I could have sworn I asked all of the questions and she answered "no" during the pre-screen. But when I asked again, as I was completing the app, she revealed the lymphedema so I stopped right there.
All my sales are over the phone. Before pre-screening I email them a copy of the health questions only (not the full app). I tell them to review, get a full list of their med's, doc names and addresses BEFORE we start the app.
She kept interrupting me to volunteer information, opinions, etc.
Just answer the questions AS ASKED. Don't volunteer anything that is not specifically asked. DON'T EMBELLISH. Keep your answer short and to the point. Yes or no if possible.
But doesn't that circle us back around to the original question? Let's assume for a minute that the Lymphedema didn't exist, and the only problem is the hernia. The health questions didn't ask if she had a hernia, and her doctor had advised her NOT to have the surgery, so why would she need to volunteer that information?
Again, I'm not trying to be difficult...it's just that I'm new to this and want to understand when and when not to volunteer information that isn't in the health questions.
You said she was a talker. Good chance she would have gotten off track at some point.
Many apps have a catch-all question. Something to the effect of "is there any other condition diagnosed or treated that has not been asked".
If the app doesn't specifically ask that good chance the underwriter will if they are doing their job. The carrier is not SUPPOSED to ask anything that is not specifically on the app . . . but that doesn't stop them from trying.
Beyond that, more carriers are looking at Rx history. They discovered your med's tell a lot more about your health than any questions.
A combination of ACE inhibitor or Beta blocker plus a diuretic often indicates underlying serious heart conditions. History of heart attack, CHF or cardiomyopathy is often treated with those common BP med's.
When I see those combinations I has if they have any history of heart trouble.
Some docs don't tell their patient how serious their health is . . . others may mention it but the patient isn't listening or paying attention.
Regardless of the reason you can get a decline or claim denial that will create problems for you and your client.
I am perhaps overly cautious. Have had a few situations come back and bite me. Includes a couple of policy rescissions. Those are not fun.
Out of the literally thousands of apps I have written over the years I might have 10 apps/policies where the claim was denied and/or the policy rescinded.
If an application is investigated after the policy is issued the carrier will come back and ask if you were aware of condition X.
You don't ever want to be in a situation where you have to say you were but didn't think it was important.
You need to be sure to check the Underwriting Guides too for each company. Besides the Height/Weight chart and RX KO list, you'll also find health conditions/situations that will cause a decline that aren't on the app.But doesn't that circle us back around to the original question? Let's assume for a minute that the Lymphedema didn't exist, and the only problem is the hernia. The health questions didn't ask if she had a hernia, and her doctor had advised her NOT to have the surgery, so why would she need to volunteer that information?
Again, I'm not trying to be difficult...it's just that I'm new to this and want to understand when and when not to volunteer information that isn't in the health questions.
check the Underwriting Guides