Underwriting Process |
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When does an employee have to file an EOI?
An applicant must provide evidence of insurability (EOI) if applying at any time for more than
the guaranteed amount of insurance, or if enrolling in coverage more than 31 days after initial
eligibility.
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What is the underwriting process?
When an EOI reaches our office, we create a record for the employee. An underwriter
reviews the EOI considering such factors as current physical condition, medical history,
height and weight to determine if the employee meets the Company's acceptance
standards for this type of insurance.
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What information is required?
Most EOI's are processed using only the information contained on the form.
However, in some cases, a physical examination may be needed. The basic physical
examination includes height, weight, pulse, blood pressure and a medical history questionnaire.
The examination may include special testing such as a blood test, urinalysis and an EKG.
If an examination by a qualified medical professional is required, we will notify the exam
service of any testing needed and the employee of how to schedule
the exam. The exam service will then contact the employee
to schedule an appointment. Most exams can be done in the convenience of the employee's own home
and takes less than 30 minutes. There is no charge for the examination, and a copy of the exam
and lab results are available to the employee at no cost. The employee can call Minnesota Life
directly at (800) 872-2214 to request a copy to be mailed to their home.
Minnesota Life may also call or send a letter to the employee to clarify information during the
evaluation process.
A review of an employee's past medical records may be necessary to evaluate their EOI. If so,
we will request these from their doctor or other health care provider by mail. We will also send
a letter to the employee notifying them that their medical records have been requested.
Minnesota Life pays any charges incurred for the transfer of records. Employee
medical records are considered confidential, and information is not released to anyone else without
the employee's consent.
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How long does it take?
It is our desire to complete the processing of the EOI as quickly as possible.
If an employee completes a physical examination, a report of the examination is sent to
Minnesota Life. These reports are usually received in our office within a week of the examination.
If blood tests or a urinalysis are needed, an independent laboratory will handle these. The results
are usually received by Minnesota Life within a week to 10 days of the examination. If we need to
request medical records from the employee's doctor, there can be some delay in the doctor's office
responding to our request. Sometimes it helps if the employee calls the doctor's office and asks
for a prompt response.
Once all the information we requested is received, the EOI will be reviewed within 48 hours. We will
notify the employee of our decision by mail. Infrequently, additional information might be needed.
If further information is needed to evaluate the EOI, we notify the employee by mail within a few
days.
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What is "real time" underwriting?
Real Time Underwriting Response (RTUR) is a feature on the LifeBenefits web site
used by your employees. This feature lets online
applicants know right away the amount of insurance that's been approved. For amounts
that require additional underwriting, employees instantly
receive information about what to expect next and are able to schedule any required
exams online.
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Claims Process |
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Life Insurance & Accidental Death Claims Processing Steps
Below are the basic steps to follow when you as an employer are presented with
a life or accidental death
claim on an insured. Your office will typically coordinate securing the necessary
claim information and submitting this to Minnesota Life for processing. Please
contact us if you have questions.
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General Process
For employee claims,
Minnesota Life should have on file the most current beneficiary designation.
For dependent claims, the employee is the beneficiary.
To submit notice of claim to Minnesota Life, complete the paper Notice of Death or submit online via LifeBenefitsExtra (LBE).
Along with the notice of claim, please submit screen prints verifying
coverage.
Notice of Death
/eClaims via LBE
- Complete a Notice of Death form or complete the online death notification (eClaims) and submit it to Minnesota Life.
- In addition, please submit a copy of all applications verifying the coverage level elected
by the employee, as well as any evidence of insurability applications completed by the employee.
- If using eClaims, secured email attachments via LBE or faxed forms may be acceptable.
Please confirm with Minnesota Life's Group Insurance Claims department before doing so.
Beneficiary Statement
- Your Company will contact
each designated beneficiary to request they complete a Beneficiary Statement.
- For estates and trusts, the form will need to be completed by the personal representative
(also known as executor) of the estate or trustee respectively.
- In addition, please submit a copy of all applications verifying the coverage level elected
by the employee, as well as any evidence of insurability applications
completed by the employee.
- If using eClaims, secured email attachments via LBE or faxed forms may be acceptable. Please confirm with Minnesota Life's Group Insurance Claims department before doing so.
Preference Beneficiary Affidavit
- When there is no surviving designated beneficiary, or none has been named, Minnesota Life
will request the IRS form W-9.
- Benefits are payable under the life insurance policy's order of priority.
- The standard order of priority is as follows: Spouse, Children, Parents, Estate.
Death Certificate (certified copy)
- A certified copy of the death certificate is required.
- You should request
this from the beneficiary.
- If using eClaims, secured email attachments via LBE or faxed forms may be acceptable. Please confirm with Minnesota Life's Group Insurance Claims department before doing so.
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Estates
- Minnesota Life requires a certified copy of the court issued Letters of Administration
designating the personal representative (or executor) of the estate.
- Some states allow the use of a small estate affidavit thereby bypassing the need for
Letters of Administration. The value of the estate must be quite small for this to apply.
For example, Minnesota sets its limit for the use of a small
estate affidavit to $20,000.
- When benefits are payable to an estate, you or the family of the insured can consult with
us about using a small estate affidavit.
- If an estate is the named beneficiary, then a small estate affidavit cannot be used,
regardless of the amount.
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Trusts
Minnesota Life will require a copy of the Trust document.
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Minor Beneficiaries
- Minnesota Life does not issue insurance proceeds directly to minors (under age 18
in most states). We require a certified copy of court issued Letters of Guardianship
(or conservatorship) for the property (or estate) of the minor.
- There are two types of guardianship: property (estate) and person. Minnesota Life requires
guardianship for the property (estate).
- Some states allow us to pay small amounts to a minor's custodian using the Uniform Transfers
to Minors Act, thereby bypassing the need for a court appointed guardian. Again, this applies to
small amounts - for example, in Minnesota the limit is $10,000. You or the family of the insured
can consult with us if you have a small amount payable to a minor beneficiary.
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Social Security or Tax Identification Number
- The beneficiary should complete the appropriate form providing his or her social security number.
- The estate or trust must provide the tax identification number in the social security number box.
- Certification of the social security or tax identification number on one of these forms is
needed because Minnesota Life pays interest from the date of death to the date of payment.
- Only the interest portion is considered taxable income to the beneficiary and must be
reported by Minnesota Life to the IRS and recipient via a 1099-INT.
- The 1099-INT is sent to the beneficiary in January of the year following our payment.
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Contestable Clause
If an employee applies for new coverage and provides evidence of insurability, the policy
has a two year contestable period which can apply to claims that occur within the first two years.
Fraud may extend this contestable period.
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Benefit Checks
Benefit checks will be mailed to the beneficiary/insured. Benefits are typically paid in a lump sum.
Minnesota Life pays interest from the date of death to the date of payment, at the higher of the
state mandated rate (if any) or our company rate.
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Beneficiary Financial Counseling
Minnesota Life has engaged PricewaterhouseCoopers to provide financial counseling services
to beneficiaries. There is no charge to the beneficiary for this service. Beneficiaries are
informed of this optional service in a letter accompanying their benefit check. To receive
the service, the beneficiary must sign and return the authorization form that accompanies the
letter. The level of service provided is dependent on the amount of life insurance proceeds
received (excluding accidental death benefits) and is described in the letter accompanying their
benefit check. This service is available to both life and accelerated benefit beneficiaries. The
counseling services are designed to help employees' families
make sound financial decisions at a difficult time. PricewaterhouseCoopers advisers do not
sell insurance or investment products.
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Service
Minnesota Life's Group Claims department is here to serve you and your employees. We have
a dedicated staff of life and disability claim examiners and customer service representatives.
Please contact us if you have questions.
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Waiver of Premium
Your life insurance plan contains a Waiver of Premium provision. This provision provides that
premiums will be waived in the event the insured becomes disabled as defined in the policy. Below
are several key elements of Minnesota Life's Waiver of Premium claims process.
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Elimination Period
- The Waiver of Premium provision contains an elimination period for eligibility of waiver benefits of 9 months.
- This means the insured must remain disabled throughout the 9 months elimination period
before premiums are waived.
- The employer and/or the insured should continue to remit premiums during the
elimination period to ensure coverage remains in force.
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Claim Form
When an employee is nearing the end of the elimination period, please submit the following forms:
Waiver of Premium Claim Employer's Statement
- This notification can be completed online using eClaims.
- You, the employer, complete this form.
Notice of Disability
- The insured employee completes this form.
Attending Physician's Statement
- The insured employee's attending physician completes this form.
Minnesota Life's Group Disability Claims department is here to serve you and your employees.
We have a dedicated staff of examiners whose average experience is over 20 years.
Please contact us if you have questions.
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Accelerated Benefit Claim Process
Your life insurance plan contains an Accelerated Benefits provision. This provision provides
for the payment of a portion of the life insurance amount should the insured have a terminal condition
as defined in the policy. Below are several of the rider's provisions as well as the key
elements used in processing Accelerated Benefit claims.
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Terminal Condition
- This policy rider defines a terminal condition as a condition caused by sickness or
accident, which directly results in a life expectancy of 12 months or less.
- Generally, we will request medical records from the insured's treating physician(s),
which are reviewed by our Medical Directors to confirm the medical condition and life
expectancy.
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Available Benefit
- Provides benefit payment up to 100% of the face
amount up to a maximum of $1 million in lieu of death benefit
for insureds with a life expectancy of 12 months or less.
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Accelerated Benefit Payee
- All benefits due under this Accelerated Benefits rider will be paid to the coverage owner.
- The owner must be competent to endorse and direct the proceeds of this benefit.
- If the owner is not competent to endorse and direct the proceeds of this benefit,
we may ask that a Power of Attorney or Guardianship be appointed. In this case, benefits may be
delivered to the Power of Attorney or Guardian as appropriate.
- Although it is Minnesota Life's understanding that, under current IRS law, receipt of
accelerated benefits due to a terminal condition is not considered taxable income to the
owner, we recommend the owner consult with a tax advisor about their specific situation.
- Receipt of accelerated benefits may adversely affect an owner's eligibility for
Medicaid or other governmental benefits.
- Accelerated Benefits may not be available if ownership of the coverage has been assigned or
if there is an irrevocable beneficiary.
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Claim Form
Notice of Claim for Accelerated Benefit
- Completed by the employer, eligible employee and the eligible employee's treating physician(s).
- The employer information of this form can be completed online using LifeBenefitsExtra's eClaims capability.
- Send completed forms directly to Minnesota Life.
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Accidental Dismemberment Claim Process
Your plan provides 24-hour accident protection. Below are several key elements of
Minnesota Life's Accidental Loss claims process. Refer to your plan documents for
applicable exclusions.
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Termination
Coverage terminates at the earlier of:
- Termination of employment
- Retirement
- Termination of employee's eligibility
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Claim Form
- In the event of an accidental death, see the section labeled: Life Insurance Claims
Processing Steps.
- If an accident results in a dismemberment, the form Notice of Accidental Dismemberment and
Loss of Sight Claim should be completed by the claimant or guardian and the physician.
- Information can be sent directly to Minnesota Life.
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Premium Payment |
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Premium Payment
You may choose between two methods of premium payment:
Remit premium
- Remit premium monthly
- Include the system generated monthly premium statement
Wire transfer
- Wire transfer premium to:
US Bancorp
332 Minnesota Street
St. Paul, MN 55105
Routing # 091-000022
Account # 180110006004
- Wire transfer must include the following information:
- Policy Numbers:
- 0055555 (VGUL)
- 0022222 (Term)
- Attention: B2-4256
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This information is to serve as a reference only. The policy and certificate will be used to make all final determinations.