Notification of Denial

[5pill]

Client answered all the Health questions, but I got this denial notification 25 days after faxing the app..


Denied because:
"on medication cozaar for kidney function, warfarin for blood thinner and
glyburide for diabetes."

Would these meds be a basis for denial for just about any company?

 

[The Hunter]

Short answer. Yes! This applicant has circluation issues,diabetes,and kidney problems. I doubt if you will get a reputable health carrier to issue a Major med for this applicant. Frankly it should have not taken 25 days to deny.

 

[theinsuranceman]

What type of insurance? They could get a FE plan.

 

[The Hunter]

I did not finish my post. If this is for a med supp and he has not been diagnosed with end stage renal disease. AArp med sup will accept the application
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Thank you "Insuranceman "I made an assumption. If it is a final expense application he probably want qualify for an immediate death benefit ,but certainly there are companies that would issue a modified and maybe a graded plan.

 

[5pill]

OK thanks. Yep it was a med supp app.

Sounds like you need to know your medicine names like a pharmacist, and what each one is for.

It also means to me that asking the health questions is a big 'ol waste of time.

Gotta call the company and see if they will take someone on this or that medication, before you go to all the trouble of writing up the deal and then wishing and hoping for a month, that it will fly.

 

[VaDwayne]

OK thanks. Yep it was a med supp app.

Sounds like you need to know your medicine names like a pharmacist, and what each one is for.

It also means to me that asking the health questions is a big 'ol waste of time.

Gotta call the company and see if they will take someone on this or that medication, before you go to all the trouble of writing up the deal and then wishing and hoping for a month, that it will fly.

It is extremely important to know the medications, and yes, call the underwriter if there are questions. They will gladly help you out.

It is also important to know the health history because it may be a health condition that is declinable, regardless of the medication. You can find out most of the clients conditions in general conversation with the beneficiary. For an example, alzheimers disease or senile dementia,among others, regardless of medications taken, is declinable. You can find the declinable conditions and declinable drugs in your "Agent's Guide".

Before you even begin with the client, you should know if they have diabetes( insulin or pill), heart issues, cancer, or any major illnesses and how often they have been hospitalized in the last 2 years and why. These are not necessarily declinable, but will let you know which carrier to put them with. Knowing these things can save you a lot of wasted time.

If you are appointed with AARP, which I'm not, this is different.

If you need any help, I will be glad to help you out. Just give me a buzz.

 

[HarryRenard]

OK thanks. Yep it was a med supp app.

Sounds like you need to know your medicine names like a pharmacist, and what each one is for.

It also means to me that asking the health questions is a big 'ol waste of time.

Gotta call the company and see if they will take someone on this or that medication, before you go to all the trouble of writing up the deal and then wishing and hoping for a month, that it will fly.

You have to read and know the underwriting guides, most will list the mdications that will be denied or "probilmatic" and go in details about health problems that they will consider vs a denial.
Applicatants aren't always honest but their medication don't lie.

Study up.

 

[Frank Stastny]

You have to read and know the underwriting guides, most will list the mdications that will be denied or "probilmatic" and go in details about health problems that they will consider vs a denial.
Applicatants aren't always honest but their medication don't lie.

Study up.

I always ask the prospect what condition they are taking the meds for. For example, Wellbutrin is an antidepressant medication. It works in the brain to treat depression. However, sometimes it is prescribed to help an individual to quit smoking.

Without asking the prospect the agent could wrongly assume that the individual would not qualify.

 

[5pill]

Underwriting guidelines lean so heavily toward the company I write for that it does'nt matter what you know or don't know about medicines.
The list in my underwriting guide says it is not an all inclusive list. But, if he's taking one of the listed meds......don't submit the app.
The medicines they denied my guy for are not on the list.
?????????????? Duh....maybe I better study these meds harder!

Looks to me like you just have to keep trhowin' this stuff against the wall; and some will stick!

 

[VaDwayne]

Underwriting guidelines lean so heavily toward the company I write for that it does'nt matter what you know or don't know about medicines.
The list in my underwriting guide says it is not an all inclusive list. But, if he's taking one of the listed meds......don't submit the app.
The medicines they denied my guy for are not on the list.
?????????????? Duh....maybe I better study these meds harder!

Looks to me like you just have to keep trhowin' this stuff against the wall; and some will stick!

What carriers do you write for? The medicine may not be on the list but taken with a combination of other drugs may be declinable.

Example: I had a lady who would have been turned down because she is diabetic and takes 4 high blood pressure medicines, among other drugs too; none are on the declinable list but she is a terrible risk.

Frank is right about the drugs. Ask what condition is being treated with the medication. I take amitryptilene, which is an anti-depressant, but I take it for IBS. So you never know.

It has been my experience that the underwriters are there to help you, so keep their direct lines handy and call them during the appointment if you need to. Heck with waiting around for 2 weeks to find out.

Have you had training on med supp sales?