important information you need to know

Similar documents
APPASSIST ONBOARDING. EVERY DAY MATTERS. BANNER. WILLIAM PENN.

TeleLife. Consumer Quick Reference Guide. Birmingham, AL PLC.2899 (06.13)

TeleLife. Quick Reference Guide. For Agent/Broker-Dealer Use Only. Do Not Use With Consumers. PLAG.3255 (07.13)

Priority Income Protection Headline Quote & e-app Quick Start Guide

Evidence of Insurability

AppAssist. The Agent s Guide to

AppAssist. The Agent s Guide to

Welcome To QuickQuote

TeleLife A streamlined process for submitting life insurance applications

The underwriting process

Student Blue Portal. Table of Contents

ICATION for VAPPLICATIONIDUAL DISABILITY INCOME. Mutual of Omaha Insurance Company Mutual of Omaha Plaza, Omaha, NE GEORGIA XXXX

TERM LIFE CHAMPIONS AN AGENT GUIDE

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate:

JLTexpress APP. How it Works. Carriers Available. Toll Free

How To Get A Term Life Insurance Policy From Optimum Reinsurance Company

How to Pay Your UC Berkeley BFS Account Online by echeck

Non face-to-face Insurance Marketing Guide

WORKERS COMPENSATION CASE EVALUATION & SETTLEMENT VALUATION REQUEST & WORKSHEET

A Quick Guide to Using CommonHelp

Final Expense Whole Life Insurance

FREQUENTLY ASKED QUESTIONS QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN WITH A HEALTH SAVINGS ACCOUNT

OrthoSynetics, Inc Medical, Dental, and Vision On-line Open Enrollment Instructions

Your Celtic Agent Portal & Celtic Agent WebLink Guide Book

SOCIAL SECURITY OFFSET REQUEST & WORKSHEET

DVH PLUS with Coverage Schedule CSA58PP

MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION

People s Business CheckingSwitch Kit

FIRE RECRUIT APPLICATION AND SELECTION PROCESS LOUISVILLE METRO CIVIL SERVICE BOARD

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate:

Toll-Free Phone Numbers. FAX Numbers

Pacific Prime sm Term

Life Insurance 101. Everything You Wanted to Know About Life Insurance* * But were afraid to ask

Toll-Free Phone Numbers. FAX Numbers

Health and Dental Insurance Questions/Answers for Retirees

Health Insurance Enrollment for SI Fellows

College Faculty Salary and Credentialing System

Underwriting requirements and preferred guidelines

PATIENT REGISTRATION Date:

ACCIDENTAL DEATH -NEW BUSINESS MEMO WHOLE LIFE PROTECTOR APPLICATION

AGENT S INSTRUCTIONS. Auto-Owners Life Insurance Company

Initiate Optional Life Insurance - Approval to Increase Increments

INSTRUCTIONS INDIVIDUAL REGISTRATION SYSTEM

BROKER GUIDE. APPASSIST

Parent Online Payment Manual. Updated 09/14/2011. Contents. Logging In for the First Time Logging In Viewing Ledger Card...

COBRA AND Cal-COBRA. What is COBRA?

Health Savings Account Packet

How To Know What Happens To Your Benefits When You Quit Your Job

INDIVIDUAL HEALTH SAVINGS ACCOUNT APPLICATION

How to Complete Newly Eligible Enrollment in ADP

FermiWorks Manage Life Events as an Employee

New Coverage Reinstatement Increase of Benefits If Reinstatement or Increase requested, please list GTL policy/certificate number(s) affected:

WORKERS COMPENSATION SETTLEMENT DOCUMENT REQUEST WORKSHEET

MyBenefits Enrollment Resource for New Employees

PayFlex HealthHub TM Health Savings Account Set Up Portal Guide

Web Quoting Guide. Non-Owned Auto policy

Give yourself an edge in the business insurance market.

Disability Income Insurance Application

How To Get A Cobra Plan In California

Taking care of life before you go

Nephrology Consultants of Georgia, P.C.

Important Information When Considering Portability Coverage

For adviser use only. Online applications reference guide Getting your advice working sooner

Add or Change Life Insurance Beneficiaries

Phone: Hm( ) Work: ( )

Foresters PlanRight Whole Life Insurance

PATIENT INFORMATION - Please complete and/or verify all information and make changes as necessary.

PLEASE REMEMBER THAT REGARDLESS OF INSURANCE COVERAGE, YOU ARE RESPONSIBLE FOR YOUR BILL.

Pediatric Ophthalmology Date: PLEASE PRINT: PATIENT NAME: Male: Female: AGE: First Middle Last BIRTH DATE: / / HOME PHONE: (

Tennessee Application for Acci-Flex Insurance This application includes all forms needed to apply for Acci-Flex Insurance.

Patient Resource Guide for Billing and Insurance Information

DOH 329 Registry Physician Initiated Application

EMSI Profile. EMSI services our customers through three operating divisions. Examination & Health Services. Medical Record Retrieval

Your Flexible Spending Account (FSA) Guide

Health Savings Account Packet

Children s Mercy Hospital Retirement Plan. Tax Deferred Annuity (TDA) Plan Enrollment Guide

Williamson County Diabetes Care Plan. Member Guide

CoventryOne Agent Portal User Guide

PATIENT REGISTRATION FORM PATIENT INFORMATION

Guide. for HR Users. Posted May 1, 2012

WRITERS GUILD-INDUSTRY HEALTH FUND

Employer Portal User Guide Last Updated: October 2015

Term Life Insurance from Fidelity 1

1) Have your doctor and/or psychiatrist fill out the attached Medical Evaluation Report.

Plan Member Privacy Information Package

Application Submission Checklist To Mutual of Omaha For Medicare Supplement Coverage MO, ND

Protect your priorities.

HIGHER EDUCATION SCHOLARSHIPS

Policy Owner Service Request Form Instructions

SAMPLE FSA KIT. Did you know that Flexible Spending Accounts can help you save on your health care and dependent care costs?

Sage Term - Product Guide PRODUCT GUIDE. Sage Term. SagicorLifeUSA.com

Make the switch to Bank of Tucson today.

How to Submit your Plan of Study

Your appointment is scheduled for at with Dr. Your arrival time is.

Client Manager User Guide. Version 1.2 Last update: 30 April 2015

Voluntary Administration Guidelines

Welcome to Credit Union-Approved 50-Plus Term Life Insurance

Individual Medicare supplement application

Transcription:

Agent Step-by-Step Guide important information you need to know

AGENT STEP-BY-STEP GUIDE: Important Information for Completing Client Submissions Thank you for your Transamerica Life Ticket order. You have chosen a streamlined process for submitting life insurance applications to Transamerica Life Insurance Company ( Transamerica ). Transamerica has contracted with ExamOne to complete the Transamerica application over the telephone. An ExamOne service representative will be contacting your client to complete the Transamerica application and schedule an exam appointment. Included below is the client s Step-by-Step Guide ( Guide ). If you provided your client s email address as part of the Ticket submission, we attached a copy of the Guide with the Transamerica Life Ticket confirmation email sent to your client. If you did not provide your client s email address as part of the Ticket submission, please print out the attached Guide and provide it to your client. As the ticket is fulfilled by an ExamOne service representative, a status of the Ticket will be available on www.examone.com. When the application and exam is complete, the signed application and forms related to the Ticket submission will be provided to you for your review on the same website. You have agreed to review the application packet once it is released to Transamerica for processing. If errors or inconsistencies are discovered during your review, you will contact both the Proposed Owner/Proposed Insured and Transamerica to complete and/or correct any incomplete and/or incorrect information. Obtaining a Status Step 1) Go to www.examone.com and hover over the Log In section on the right side of the home page. Step 2) Click on Paramedical Exam. You will have the option to either Login or Register Yourself as an Agent to view the images. If you are a first time user, please register. Step 3) Under User Management click Manage Associations, then click Add. Type in Transamerica and click on the magnifying glass icon ( ) to the right to search. Step 4) Add paramed account 6167 Transamerica Life Insurance/Ticket Model to your associations list. Step 5) You may view images by selecting Search Orders, located under Order Management. Step 6) Select Search all orders placed in last 800 days, then enter the applicant s name and SSN. Or you can use the order# from CaseOne status or tracer# from the paramed side. Should you have any questions, please contact ExamOne at 1-800-700-6767 or via email at examonetransamerica@examone.com. After the application and exam are completed and submitted to Transamerica, use your normal business process to check the pending new business status. For producer use only. Not for distribution to the public.

Client s Step-by-Step Guide (Completed) Your insurance order has been submitted to Transamerica. (Will take about 20-25 minutes) Within 48 hours a service representative will phone you for additional information that will be used to complete your life insurance application. This will be information that your agent did not already collect during the ordering process. The information collected by your agent during the ordering process will also be confirmed/validated by the service representative. This information is required by Transamerica to evaluate your application for insurance and will cover your medical and personal history. Please have the following ready and accessible for the call. Unless otherwise indicated, the information requested will apply to the policy s proposed owner/insured. q Driver s license number and state q Primary care physician name and address q Information on existing life insurance (carrier, type of coverage, amount) q Dates and reasons for seeing primary care physicians within last five years q Address of employer, including zip code, annual income of proposed insured q Dates and reasons for seeing other physicians/facilities (including tests performed), within the last five years q Name, address, Social Security number, date of birth for all beneficiaries, and date of trust, if any q Medications taken within past 10 years, including dosage information q Gross assets and liabilities q Dates available for scheduling a medical exam q All medical history and family history including serious medical problems *A worksheet is provided on the back for additional notes At the end of the call, a medical exam will be scheduled at a time convenient for you. A telephone number will be provided for you to reach a service representative with any questions regarding the exam. Please remember, if your exam includes a blood draw, a 12-hour fast is required for optimal results.

(Less than 2 minutes) The medical examiner will phone you one or two days before your scheduled exam to confirm the appointment. Be sure to return any calls or messages left by the examiner. (Will take about 30 minutes) You and the examiner will meet at the time and location you scheduled. Your exam will consist of a brief series of medical questions, as well as measurements of your height, weight, blood pressure and pulse. A blood and urine specimen also will be collected. (Will take about 5 minutes) When you meet with the examiner, your signature will be required on the Transamerica application and any supplemental forms. Your application will then be submitted to Transamerica for consideration. Transamerica will review your application and medical exam (two weeks). Based on the results, a report from your doctor(s) or health care provider(s) may be required (additional 4 weeks). If your application is approved and the policy issued, your agent will contact you to make arrangements for policy delivery and payment of initial premium. Additional Information Things to know for your interview: Pre-Authorized Check/Withdrawal Plan ( PAC ) The PAC form will authorize Transamerica to make withdrawals, by draft or electronic transfer for premiums, from your account with a Financial Institution. Unless a Conditional Receipt was issued along with the PAC form, the authorization to withdraw premiums shall not become effective until after a policy is issued and all other conditions of coverage set forth in the Transamerica application have been met. Direct Billing It provides mailed invoice for premiums when a policy is issued. Additional Mailing Addresses The service representative will ask if you have additional mailing addresses for mailing of invoices. For example, if you relocate during the winter months. Beneficiary When you designate a beneficiary for your life insurance death benefit, you will be asked for the name and Social Security number of each person you designate. Common terms for beneficiary designations: Primary Beneficiary: The primary beneficiary of a life insurance policy is the person or entity you name to receive the life insurance death benefit. Contingent Beneficiary: The contingent (or secondary) beneficiary is entitled to receive your life insurance death benefit if the primary beneficiary has died. Spilt percentages: When two or more people are listed as a primary or contingent beneficiary, you will have to determine what percentage of life insurance death benefits each may receive. This must be provided in percentages and equal 100% for both a primary and contingent beneficiary designations.

Worksheet The following information will be needed for your phone call with the ExamOne service representative. We included this worksheet to help you prepare for the questions and facilitate your conversation. Driver s license number and state Primary care physician name and address Information on existing life insurance (carrier, type of coverage, amount) Dates and reasons for seeing primary care physicians within last five years Address of employer, including zip code, annual income of proposed insured Name, address, Social Security number, date of birth for all beneficiaries, and date of trust, if any (include primary and contingent beneficiaries and spilt percentages) Dates and reasons for seeing other physicians/facilities (including tests performed), within the last five years Gross assets and liabilities Medications taken within past 10 years, including dosage information All medical history and family history including serious medical problems Dates available for scheduling a medical exam EBM 687 1013