Underwriting and Rx reference question

[jasperjohns]

I came across a case today in which the insured was approved for pref with TA and all questions on app were correctly checked no. But the client was on several meds that were not referenced any place on the app. (Nothing really serious just some HBP meds, a statin and a pain killer) Not even on the supplemental form. face was only 10k. Doesn't TA do a rx check? Or was it probably left off because none of the Rxs were connected to questions on the app since all answers were correctly marked "no".

 

[billyb]

They will do a script check. If they have been prescribed for 2 or more years you should be OK.

 

[jasperjohns]

They will do a script check. If they have been prescribed for 2 or more years you should be OK.

Billyb, do you mean as long as none had been prescribed within the last 2 years it's normal that they were not referenced on the app?

 

[HoosierLife]

You only reference them on the app if it's a concern. A dual purpose Med for example.

 

[jasperjohns]

Thanks HoosierLife!

 

[billyb]

Transamerca is a company that considers a lot of drugs that have been prescribed for 2+ years as maintenance meds. Some carriers consider them treatment.

 

[mudhound]

gosh, those duel use meds are a bear!

 

[jasperjohns]

You only reference them on the app if it's a concern. A dual purpose Med for example.

What is a example of a dual use med?

 

[bboman23]

Gabapentin - fibromyalgia (?) or diabetic neuropathy

That is just one example ... but there are HUNDREDS.

 

[bboman23]

I came across a case today in which the insured was approved for pref with TA and all questions on app were correctly checked no. But the client was on several meds that were not referenced any place on the app. (Nothing really serious just some HBP meds, a statin and a pain killer) Not even on the supplemental form. face was only 10k. Doesn't TA do a rx check? Or was it probably left off because none of the Rxs were connected to questions on the app since all answers were correctly marked "no".

Transamerica is not a company that goes off what the agent checks on the application. They run MIB and RX checks, so if the agent checked NO to something and it showed up on the reports, the application would not be approved.

Leaving the supplement form blank is not "clean sheeting" since it is an optional form. Agents use that form when there is a med that needs to be explained...

Example:

Nitro Pill - insured has been prescribed this medication for 11 years but does not ever have to take it. It is only for an emergency. Client does NOT have Congestive Heart Failure.