GIP
Up to how much percent of your gross salary the GIP will cover ?
75%
What is the meaning of AMR?
Accident Medical Reimbursement
If a member cancels his or her Health plan and a card is printed is a refund applicable-YES/NO
NO
What type of policy is needed in order to purchase the VB rider ?
Life Insurance
If a customer wants to terminate - what is the process?
1 Find Out why they want to terminate
2 try to upsell the product or have member keep/not terminate
3 If the member wishes to cancel provide cancellation form to member, have them complete and submit to their payroll
4 send a copy of the form to us while we await DEd to stop
All Claims under the GIP Plan is subject to a deductible of :
$2000.00
After how many days a health claim is expired?
90 days
How many deduction must be received in order for an application to be processed?
2 fortnight
Who are the persons that can be added to this rider?
Spouse
Parents
Children
Parent in Law
What happens if deduction is still being received by Bulwark from payroll after 21 days when the member had requested termination?
Ask member to submit pay slip showing DED
A recon is done to recover money owed or overpayment
A refund is given where applicable based on the situation.
What is the total coverage for a spouse under the GIP Plan ?
$2,000,000.00
In processing a death claim, what is the main document needed for submission?
Death Certificate
How much is the payout under the group life policy ?
1 million dollars
What is used to determine coverage under the VB rider?
Age Band
List all the details that should be included in a termination letter
Date, Name , TRN, Employer and Contract #, product to be terminated and reason for termination
True of false. If a client dies in an accident, both the AD&D and the natural death are paid out?
TRUE
If a customer states he or she met in and accident , what should be requested for submission?
Police Report
If a member reaches the maximum age under group life policy, what will happen to the total payout?
It will be divided by two , so the members will only get half of the coverage
The VB policy has to be matured over ____ months to be eligible for payment if death occurs for the insured
6 months and over
If the policy is salary deducted, who should also received a copy of the letter submitted
The client Payroll Dept
What is the maximum of years a client can be paid for under the GIP plan until they are able to work again ?
2 years
Name all the 11 critical illnesses covered under the GIP policy and what is the total payout?
Heart Attack, Stroke, Cancer ,Paralysis, Major Burns, Blindness, Loss of Speech, Deafness, Coma, Multiple Sclerosis, Traumatic Head Injury
Payout $1,000,000.00
Why is a Pre Auth needed requested by medical doctors and how long does it last?
It serves as an agreement between the insurance company and the provider in confirming its a covered procedure under the members plan and serves as a commitment of how much will be paid. Expires in 60 days .
Coverage increases can only be done on the _________
Anniversary Date of the policy
1. Internally, Refunds or payments are done in the form of ____________.
2. Are we still refunding clients internally, please explain ?
Cheque
No we are not refunding clients in office, clients should follow up with payroll to make sure DED are stopped.