- 143
With most telephone interviews, they get the authorization for the script check, & they include a line that states they can revoke the companies access to MIB/Pharmacy Benefit Managers. My question is, what happens if a policyholder does this?
Question on MIB/Pharmacy Benefit Managers
- Thread starter Klutch
- Start date
- 3,994
In writing after the case is issued right?
- Thread starter
- #3
- 143
Correct. If the client did this, what would happen to their policy?
Once the policy is issued? Nothing..
- Thread starter
- #5
- 143
But what happens if they die in the contestible period? If they can't check medical records, wouldn't that guarantee the claim will be paid?
- 29,515
Or guarantee that it won't be paid. I just read several and they're all a little different. For example, KSKJ says that if revoked and in the contestable period they "may not be able to make any benefit payments".
- Thread starter
- #7
- 143
Unless they put in writing that "we won't pay if you revoke medical access" I don't see how they can legally do that.
- 29,515
I think I just gave you an example where they do. Think about it...how many companies are going to want to pay a contestable claim without being able to check the medical records?
- 2,452
It's not a matter of how many will want to pay (try zero), but a matter of whats legal and permissable.
Really? I heard a while back that 5 star was illegally contesting a policy over 2 years old.
