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©2005 Genworth Financial, Inc. All rights reserved. Company Confidential ©2007 Genworth Financial, Inc. All rights reserved. Long-Term Care Underwriting.

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Presentation on theme: "©2005 Genworth Financial, Inc. All rights reserved. Company Confidential ©2007 Genworth Financial, Inc. All rights reserved. Long-Term Care Underwriting."— Presentation transcript:

1 ©2005 Genworth Financial, Inc. All rights reserved. Company Confidential ©2007 Genworth Financial, Inc. All rights reserved. Long-Term Care Underwriting Presented By: Scott Hansen, AALU, FLMI Genworth LTC Underwriter

2 Discussion Topics Introduction Field Underwriting Holistic Underwriting Appeal Process Interesting Facts Q&A…Let Me Hear From You Too! New Business / Underwriting Process

3 Introduction Scott Hansen, AALU, FLMI Julie Moore, LTCP, ACS

4 Data Entry Mail Handling Screening & Req Ordering Case Mgmt Follow-up App Dig Req Recvd & Med Summ UnderwritingPost Output Assembly & Mail Mail Receipt: Open Prep Scan Index Transmission Keying: Medical Details For Rubicon Med. Req. Ordering NIGO Notification Follow-up or fax to field force Followup with vendors Daily Mail Processing PHI to Dig, then to UW APS to Med Summ then to UW Assess Risk Decision Addtl Req as needed Issue Decline Incomplete Withdraw Receive Output Assemble Mail Keying: Client Record Benefit Details Doctor Details Front End COENew Business COEUWNB COEFE COE LTC Operations Process Flow

5 Field Underwriting Use The Correct Forms Answer Every Question Completely Probe Medical Histories Complete All Requirements Use All Available Resources 70% Of All Applications For LTC Insurance Are Incomplete

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7 Applicants Exceeding The Build Chart Are Not Insurable

8 Available Resources Brokers’ Service Marketing Group LTC Field Underwriting Guide Prequalification Hotline Financial PRO Website Internet Sites e.g. “Google”, “WebMD” or “AMA” Extra Minutes On The Front-End Can Save Days In Cycle Time…And/Or…The Sale

9 Pre-Screening Questionnaire Important information to collect: -Date of birth -Most significant health issues -Current medications with correct spelling, dosage, and reason prescribed -Tobacco use -Height and weight

10 Available Resources Kerri Thibeault ext. 148 OR Prequalification Hotline Prequalification PRO Websitehttps://PRO.Genworth.com

11 Holistic Underwriting We Want To Issue Coverage! Compliance “Guidelines” Not “Rules” “Prognostic” Not “Diagnostic” Does It Make Sense?

12 Holistic Underwriting Consultations Training / Ongoing Education Consistency Audits Quality Assurance Exceptional Resources Contributing To Quality

13 Appeal Process Key To An Appeal Is New Or Additional Information Wait For The Letter Of Explanation (copy to Kerri) Sharing Information Authorizations (RMI) (Submitted With App) Sensitive Histories Fax

14 Our Performance Pending Issue Rate Daily Decisions Cycle Time Additional Requirements You Directly Impact All Steps In The Process!

15 Q & A Questions For Scott & Julie Questions For Kerri & Ray

16 CONTACT US Kerri Thibeault ext. 148 LTC Marketing Ray Paola, LTCP ext. 133 Director of


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