EOI & MU Process
How can an applicant complete their EOI?
Any applicant can complete their EOI online by using their digital device through our secure portal.
They can also obtain a paper EOI by printing a paper copy through the portal or calling customer care to have a paper copy
Define Life Insurance
Life insurance pays the designated amounts to the beneficiaries on file upon the death of the insured.
Define New Hire Enrollment
Up to 31 days from date of hire new eligible employees are able to enroll in benefits
Medical Underwriting may be required based on the amount of the benefit
What is the target reading level for Plain English Correspondence?
7-9th grade
Can we discuss the MU guidelines with the applicant?
No
What happens if the EE does not want to complete their EOI?
If an employee no longer wants the coverage or the employee/spouse applicant does not wish to complete EOI we can close their file.
They must also notify their HR or Benefits center regarding this decision, so their benefit elections can be updated.
They can choose to have the file closed at any point in the process, either before or after submitting their EOI.
If an application is closed this will not affect any existing coverage only the new requested coverage/increase in coverage.
Define and Explain PW
Premium Waiver, If you become permanently and totally disabled while insured, your Life Insurance may be continued without payment of premiums.
Define Open Enrollment
All existing eligible employees can enroll in benefits with no medical underwriting required despite the amount of coverage
Define and explain B.L.O.T.
Bottom Line On Top – most important part at beginning
Is EOI currently required for child life coverage?
No
What happens if an applicant's EOI is declined?
Define and explain ADB
Accelerated Death Benefit Allows a person to receive a portion of their Life Insurance while they are still living if they are terminally ill and meet life expectancy period. Remaining portion of benefit will be paid to beneficiaries upon death
Define Modified Enrollment
All existing eligible employees can enroll in benefits with no medical underwriting required up to a specified amount of coverage
What information can you NOT release to an EE regarding their SP/DP?
Medical Information
How can an applicant obtain a copy of the EOI paper form?
By calling into Customer Care.
How does MU determine if an applicant is approved or declined?
MU guidelines assign a maximum ‘’debit’’ threshold for each coverage type (STD has the lowest threshold, then LTD and Life has the highest threshold)
MU will assign debits for each bmi, tobacco use, height/weight, medical surgical procedures, medical conditions and medications
If total exceeds threshold coverage will be declined and if below threshold coverage will be approved
Define and explain SIB
SIB pays a percentage of the Employees salary as of last day worked (LDW) to the beneficiaries upon the death of the insured.
Define Annual Enrollment
All existing employees (late Applicants) can enroll in benefits but medical underwriting is required regardless of coverage amount
What is the goal of Plain English correspondence?
To create easy to understand letters and emails in plain English. This goal supports our strategy to provide a simplified way of doing business. More importantly it puts our customers at the heart of all we do!
How many versions of the Paper EOI form are there? What versions currently exist?
There are two versions. Zurich version and Aflac Version.
What happens if there is not enough info for Medical Underwriting (MU) to make a decision?
If the MU determines there is not enough information provided on the initial application to make a decision we may request addition information
We may contact your physician for medical records, office visit notes, test results or lab results. We may also require your doctor to submit an Attending Physician Statement (APS) with these records
We may also request you have a paramedical exam performed by a doctor other than your PCP
Define and Explain AD&D
Accidental Death and Dismemberment (ADD): Additional coverage if the cause of death is due to an accident. Also pays set percentage of coverage in the event of dismemberment.
Define Ongoing Enrollment
Eligible employees who experience a life status change (marriage, divorce, birth of dependent child, death of dependent spouse or child) can enroll or cancel benefits. Medical underwriting is generally required to add coverage regardless of coverage amount.
What information can you release to an ER/Broker once the call is secured?
Application status, Decision status, correspondence dates, reprint, appeal process
How is the EOI Paper form populated?
In SF once the correspondence is generated.