I’ve got a guy

We’ve all said this at one time or another – “I’ve got a guy who …”

They have a few things going on with them medically where you’re uncertain whether or not they would qualify for long term care coverage.

I get it – there is nothing worse than putting a boatload of time into developing a case only to have it go south due to health concerns. Well, OneAmerica can help you by using the Pre-Underwriting Inquiry process and tools.

To refresh your memory – a Pre-Underwriting Inquiry (PUI) is the informal inquiry program for the Care Solutions products where you can submit your applicant’s health history for review. 

It is strongly suggested to submit inquiries using the PUI Submission Request Form. The process is simple, complete the form (the top section MUST be completed fully) along with details pertaining to their health that are applicable. The more information shared, the better the guidance from underwriting will be. And remember, the commitment is to reply within 24 hours of receipt of the inquiry.

Upon receipt of the PUI, Care Solutions underwriting will review the information and advise if the client would be eligible for both Asset Care and Annuity Care. Underwriting will also let you know if the proposed insured will be eligible for expedited or full underwriting, whether there may be a potential rating for Asset Care, or limitations to the Continuation of Benefits (COB) rider for Annuity Care. 

The objective of this is to streamline the process and reduce the back and forth emails with Care Solutions underwriters. There are some absolutes that must happen for a PUI to be considered.

• Before submitting, the agent should triage the case by referring to the Ineligible Impairments for Asset Care and/or Ineligible Impairments for Annuity Care list including a review of the build chart.
• Using the Care Solutions Process Guide or by contacting your internal sales partner, for conditions that might necessitate a 6 month wait.
• The client’s age, gender, height, and weight must be submitted.
• Obtain list of medications including dosages and frequencies.
• If the PUI is a result of a decline from another carrier, include the declination letter.

Here are a few more things to remember.

• You need to complete the client information section along with all of the related medical history.
• If you proceed to a formal application, please include the PUI submission as well as the response from underwriting.
• The response from underwriting will be tentative. A final decision will be based upon review of the formal application and review of all underwriting requirements.

If you want more tips, a PUI Helpful Hint sheet has been developed to provide you with more ideas and information about the updated PUI.

I’ve made this easy for you and created a Pre-Underwriting Inquiry Resource Page that contains everything that I have discussed here and more.

Need assistance quickly?

If you are an agent who submits business via BGA, FMO, or IMO – Nick Angelov at (844) 623-4251 or nick.angelov.isp@oneamerica.com

If you are with a OneAmerica PPGA, or part of the OneAmerica career agency network – contact Justin Fox at (844) 658-3725 or justinfox.isp@oneamerica.com .

If you are the back office of an IMO, BGA, FMO, contact Justin Fox at (844) 658-3725 or justinfox.isp@oneamerica.com .

Of course, you can always reach me via phone or text at (678) 512-9627.