Underwriting
What is the UW Decision:
45 year old male, has sleep apnea and uses a CPAP machine. No other medications. He is 5’8” and weighs 225.
What is approved.
"I already got it"
What is, I knew you had it before I called. If I can get you 10x the coverage for a fraction of the cost would you be opposed to getting a quick quote?
How many days does an member have to add vision to their plan?
What is, the first 30 days
What is the hospital confinement benefit inside the Executive Diamond Association
What is, $1,200 per day after a 1 day elimination period.
1 Executive Diamond pays you how much per quarter?
What is, $54/quarter
What is the UW Decision:
Broken Bones with a Temporary fixation. Optional to remove or not.
What is Declined. Transfer to HA and be transparent about the 12 month waiting period.
Can I use a Credit Card
What is, The insurance companies no longer take credit cards. If a card gets lost stolen or expired you would have a lapse in coverage. That is why they only do a direct draft from your checking account.
Your client goes to the doctor for a sickness. They receive an EOB with the following information:
Total Charges of $400
Provider Discount of $250
Patient Responsibility of $150
What is wrong with this EOB
What is, the benefit amount (Indemnity) of $100
What association level includes MDLive?
What is, All Association Levels
What are the 3 steps to handling an objection?
What is, Acknowledge - Rebuttal - Move Forward (ARM)
What is the UW Decision:
30 year old female has been taking Zoloft for 2 years. Was recently switched from Zoloft to Wellbutrin 6 months ago. Only seeing her primary doctor.
What is Approved. (Time frame only matters for HBP medications)
What company are you with?
What is, I am a broker and have access to all of the major insurance carriers like BCBS, United, Cigna etc.. Are you looking for a specific company?
You get an email saying that a client missed their payment for this month. What are the next steps?
What is, Call them and inform them that the insruance company was unable to draft their premiums for this month. Coach them on how to fix this, by calling customer service and request to process the payment again. If they don't answer, text them the same info.
A Illinois client with a maxed out policy (medguard, dental, vision, executive diamond) suffers a heart attack. His bills were $750,000. What is the most he will pay if he takes advantage of the benefits inside his plan?
What is, $0
How do you obtain the Council of Excellence Award?
What is, produce $1,000,000 in personal production and maintain a 60%+ taken rate in any given year.
What is the UW Decision:
Male applicant who is expecting a child with his wife. Wife has a work plan that will cover the pregnancy and she will not get our plan.
What is a Decline. Switch to Health Access.
(discuss grey area)
Send me an email
What is, Sure! What would you like me to put in the email so that it catches your attention?.... Got it, and would the quote be for yourself or a family? (qualify)
A client broke their foot. What form will they need to fill out in order to get their claim paid?
What is, the accident claim form
What is the biggest differentiator between us and First Health
What is, Catastrophic Coverage
What bonus will pay $1,250,000 the top 200 personal producers each quarter of the year?
What is the UW Decision:
John and Mary are a married couple with 2 children; Eric and Victoria. John and Mary are both 50 years old. Eric is 22 and Victoria is 18. Everybody is healthy. Eric takes a low dose of Zoloft from PCP for mild anxiety and stress from school.
What is a Partial Approval. Eric will be a decline because he is a dependent taking a mental health medication. Give him his own UW policy.
You just did the introduction to premier advantage and revealed the price and the customer says "How much cheaper can we make the plan?"
What is, great question! Like i said, the plan is customizable. Let take a look at how the plan comes standard and as we go through it, I will show you where we can make adjustments.
A client wants to know why they did not get any surgical benefits on PA. Why is this?
What is, The customer needs to activate the PremierMed portion of their plan in order for surgical to benefits to kick in.
The deductibles on SecureAdvantage are based on Calendar Year or Policy Year?
What is, Calendar Year
The Top ____ Agents will receive PAR this year
What is, 625