Unscrupulous Agents...

[Rearden]

Ran into my first-ever scammed FE application.

Lady allowed me to quote her existing coverage she's had for 2 months.

She has American Continental Level Coverage, confirmed by the home office.

I ask her some health questions.

She has... CHF, pacemaker less than a year, diabetes...

Later I talk to an underwriter about how AmCon conducts its underwriting.

"No MIB, no PHI. The agent is the underwriter."

Wow. What a hustler.

 

[Newby]

Ran into my first-ever scammed FE application.

Lady allowed me to quote her existing coverage she's had for 2 months.

She has American Continental Level Coverage, confirmed by the home office.

I ask her some health questions.

She has... CHF, pacemaker less than a year, diabetes...

Later I talk to an underwriter about how AmCon conducts its underwriting.

"No MIB, no PHI. The agent is the underwriter."

Wow. What a hustler.

Yes, Aetna is probably in for an eye opener of what they bought. Good company and nice people to deal with but who would write FE and trust EVERY agent to be honest out there?

 

[WinoBlues]

Ran into my first-ever scammed FE application.

Lady allowed me to quote her existing coverage she's had for 2 months.

She has American Continental Level Coverage, confirmed by the home office.

I ask her some health questions.

She has... CHF, pacemaker less than a year, diabetes...

Later I talk to an underwriter about how AmCon conducts its underwriting.

"No MIB, no PHI. The agent is the underwriter."

Wow. What a hustler.

= Claim Declined! ..........

 

[jdeasy]

Ran into my first-ever scammed FE application.

Lady allowed me to quote her existing coverage she's had for 2 months.

She has American Continental Level Coverage, confirmed by the home office.

I ask her some health questions.

She has... CHF, pacemaker less than a year, diabetes...

Later I talk to an underwriter about how AmCon conducts its underwriting.

"No MIB, no PHI. The agent is the underwriter."

Wow. What a hustler.

The lady had to do a phone interview with AmCon. Maybe the agent lied, but the applicant did as well and it's recorded.

Question 7 A. "At any time, have you been diagnosed or treated by a medical professional or had surgery for any of the following?

congestive heart failure, cardiomyopathy, Parkinson's disease"


Even if the agent did mark no on the application she was asked that question word for wrod by the interviewer and told her answers were recorded. May have been a lie, but she was in on it if it was.

 

[BenS]

The agent probably just coached the elderly client to "just say no" to everything. Definitely sounds shady...

 

[jdeasy]

The agent probably just coached the elderly client to "just say no" to everything. Definitely sounds shady...

That could be, but when she heard the question she knew what the truth was. Would you say on a recorded call that you did not have CHF if you did have it?

 

[WinoBlues]

A while back there was a guy locally that had someone else doing his PHIs, as the client.

 

[Rearden]

That could be, but when she heard the question she knew what the truth was. Would you say on a recorded call that you did not have CHF if you did have it?

I know you write AmCon occasionally, but the AmCon UW said there was no PHI via the phone?

She certainly led on to admitting everything and wasn't opposed to a ROP replacement policy.

 

[jdeasy]

I know you write AmCon occasionally, but the AmCon UW said there was no PHI via the phone?

She certainly led on to admitting everything and wasn't opposed to a ROP replacement policy.

There is a mandantory PHI with AmCon. Policy cannot be issued without one. You can do it at point of sale or you can do it by 3-way call, but it must be done. You can't even send in the app and have it processed without doing the phone interview.

I know, I just messed one up last month. We didn't have time to do the phone interview, so I took the app and sent it in with the intent of doing the interview by 3 way call after they had it on file.

I was chastised quite a bit for that. I even got a call from the President of the company. They made it very clear, "do not ever send us an app without the phone interview being completed".

It was fine for me to not do it at point of sale. They just said I should not send it to them until the 3 way is completed.

The lady you spoke with did a phone interview if the policy was issued.
- - - - - - - - - - - - - - - - - -

A while back there was a guy locally that had someone else doing his PHIs, as the client.

I knew of an agent that did that. The client was in jail and he did a phone interview for life insurance??

What the hell are people thinking that pull that kind of crap?

I also ran across a 5 Star policy that was issued before they using a live operator for their call. Prior to that you just made a recorded call of the answers and there was no MIB or Sccrpt check. If the answers were all "No" the policy was issued. They kept the recording for 2 years and then destroyed it once contestability was over. No one listened to the recordings unless there was a claim. This agent did the phone interview recording and the lady said "yes" to CHF on the recording. He checked it as no and got the policy issued. She had it about 6 months before she decided to read the policy. She saw that he had checked no to CHF. She called up 5 Star and inquired about it. They listened to the recording and promptly sent her a refund of premiums. Which she really didn't want, she wanted the policy.

The company basically washed their hands of it and told her if she wanted further recourse to take it up with the agent. I don't even know if they terminated his contract.

Stuff like that is why 5 Star now uses an operator to ask the questions and they do an MIB.

 

[TPAAgent]

Stuff like that is why 5 Star now uses an operator to ask the questions and they do an MIB.

I love 5-Star.. solid product