43 Disability Income Agent and Underwriting Guidelines The USHC Disability Income (DI) Plan is available to all working individuals ages 18 through 59. Most eligible applicants will be issued a policy provided they meet our company’s simplified underwriting guidelines and have not missed more than five consecutive days at work due to an accident or sickness within the last 180 days. The USHC DI is available in monthly benefits of $400 to $3000. The benefit amount may not be greater than 2/3 (67%) of the gross monthly income. Benefit amounts greater than $3000 will be considered upon request, subject to prior underwriting approval. Your applicant can choose a 7-day, 14-day, 30-day, 60-day, or 90-day elimination period. 60 or 90-day elimination periods are only available with our five year benefit period. Benefit periods can be selected for six months, one year, two years, or five years. It is essential that you be familiar with our system for classifying occupations for the disability income plan. We have basically six types of classifications (P), (A), (*A), (B), (*B) and (NA). (P): Professionals and executives in whom their usual and customary duties are mostly “white collar” type occupations including sales, clerical, office, administrative and teaching duties. Such persons must be career oriented and demonstrate good job attitudes. (A): Persons exposed to certain activities and hazards involving travel laboratory, technical and service work. (*A): Same as “(A)” except subject to more hazards; the maximum benefit period is two years. (B): Persons engaged in skilled and manual occupations subject to accident exposure such as building tradesmen, farmers, automobile service, and repair. Maximum benefit period is two years for all (B). (*B): Maximum benefit period is six months. Person subject to more hazards, including the less skilled employee, person whose job functions require longer periods of recuperation from disabilities before being able to resume their usual duties and occupations in which it is difficult to determine the degree of disability because of certain factors. (NA): Not Acceptable In order to properly classify your applicant, the occupation and exact duties must be fully and accurately described on the application. Be sure to list all of their duties and activities performed. When there are multiple occupations or seasonal work, you should classify the most hazardous one. Applicants must be employed on a full time basis at the time of application. An applicant who is laid off, between jobs, on disability, or is a part- time employee, is not eligible. If an occupation is not listed, you may call or write the home office after you have obtained the applicant’s exact job duties for all occupations. Please remember, these classifications are only guidelines and the underwriter will have the final determination of the classification of the risk, based on all information received.
14
Embed
Disability Income Agent and Underwriting Guidelines Underwriting Guide.pdf · The USHC Disability Income (DI) ... Operator P Repair/service P Construction: ... Hotel/Motel/Inn/Resort
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
43
Disability Income Agent and Underwriting Guidelines
The USHC Disability Income (DI) Plan is available to all working individuals ages 18 through 59. Most eligible applicants will be issued a policy provided they meet our company’s simplified underwriting guidelines and have not missed more than five consecutive days at work due to an accident or sickness within the last 180 days.
The USHC DI is available in monthly benefits of $400 to $3000. The benefit amount may not be greater than 2/3 (67%) of the gross monthly income. Benefit amounts greater than $3000 will be considered upon request, subject to prior underwriting approval. Your applicant can choose a 7-day, 14-day, 30-day, 60-day, or 90-day elimination period. 60 or 90-day elimination periods are only available with our five year benefit period. Benefit periods can be selected for six months, one year, two years, or five years.
It is essential that you be familiar with our system for classifying occupations for the disability income plan. We have basically six types of classifications (P), (A), (*A), (B), (*B) and (NA).
(P): Professionals and executives in whom their usual and customary duties are mostly “white collar” type occupations including sales, clerical, office, administrative and teaching duties. Such persons must be career oriented and demonstrate good job attitudes.
(A): Persons exposed to certain activities and hazards involving travel laboratory, technical and service work.
(*A): Same as “(A)” except subject to more hazards; the maximum benefit period is two years.
(B): Persons engaged in skilled and manual occupations subject to accident exposure such as building tradesmen, farmers, automobile service, and repair. Maximum benefit period is two years for all (B).
(*B): Maximum benefit period is six months. Person subject to more hazards, including the less skilled employee, person whose job functions require longer periods of recuperation from disabilities before being able to resume their usual duties and occupations in which it is difficult to determine the degree of disability because of certain factors.
(NA): Not Acceptable
In order to properly classify your applicant, the occupation and exact duties must be fully and accurately described on the application. Be sure to list all of their duties and activities performed. When there are multiple occupations or seasonal work, you should classify the most hazardous one. Applicants must be employed on a full time basis at the time of application. An applicant who is laid off, between jobs, on disability, or is a part-time employee, is not eligible.
If an occupation is not listed, you may call or write the home office after you have obtained the applicant’s exact job duties for all occupations.
Please remember, these classifications are only guidelines and the underwriter will have the final determination of the classification of the risk, based on all information received.
44
Disability Income Class Codes
Occupation Class Accountant/CPA P
Actor/Entertainer NA
Actuary P
Acupuncture (certified/MD) P
Adjuster (accounts/claims) P
Advertising:
Account executive P
Artist, copywriter P
Manager, proprietor P
Air conditioning (installer/repair) A
Airport Personnel:
Air traffic control NA
Freight handler B
Fuel handler A
Flight attendant A
Manager, office P
Supervisory P
Passenger agent P
Security guard *A
Ticket clerk P
Alarm Installer A
Anesthesiologist P
Anesthetist P
Animal Care:
Groomer A
Horse shoer (farrier) B
Kennels A
Shelters A
Announcer A
Antique Dealer A
Appliance Delivery B
Appliance Repair A
Appraiser P
Architect P
Artist, commercial
Not self-employed P
Self-employed *B
Asbestos Removal NA
Assessor P
Attorney/Legal assistant P
Auctioneer P
Audiologist P
Auditor P
Author or Writer (Salaried full-time) P
Self-employed, in-home NA
45
Occupation Class Automotive:
Body repair A
Garage/service A
Owner/employer A
Mechanic A
Salesman P
Stock clerk P
Washer B
Spray painter B
Aviation:
Aircraft pilot, crew NA
Member, instructor NA
Babysitter NA
Bacteriologist P
Bail Bondsman P
Baker A
Bakery Owner P
Bank:
Attendant P
Messenger P
Bookkeeper/teller P
Examiner, inspector P
Officer, manager P
Security guard *A
Barber:
In-home NA
Not in-home *A
Bar Owner, Bartender, Waitress or Cleanup *B
Bartender (restaurant only) *A
Beautician:
In-home NA
Not in-home B
Biochemist P
Biologist P
Blacksmith (farrier) *A
Bookstore:
Owner/manager P
Clerk/cashier P
Stock clerk A
Adult merchandise NA
Botanist P
Bowling Alley employee A
Breeder A
Bricklayer/Mason B
Broker:
Bond/stock P
Insurance/real estate P
46
Occupation Class Commodity *A
Business Executive P
Business Machines:
Manager, proprietor P
Salesman P
Service repair A
Butcher B
Cabinet Maker A
Cable TV Installer A
Cameraman (no aerial or stunt) P
Campground Owner
Year-round employee A
Carpenter B
Carpet:
Cleaner *A
Installer B
Cashier P
Casino (see gambling)
Caterer A
Cattle Dealer P
Transporting B
Cemetery:
Superintendent P
Office P
Laborer B
Chemist P
Chimney Cleaner B
Chiropractor P
Cleaning Person *A
Clergyman P
Clerk; office or other P
Coach; school/college A
Comptroller P
Computer:
Programmer P
Operator P
Repair/service P
Construction:
Foreman A
Laborer B
Contractor:
Aluminum siding installation B
Bricklayer/mason B
Carpenter B
Electrician B
Heavy equipment operator B
Painter B
47
Occupation Class Paving laborer B
Plumber B
Sheet rocker B
Convenience Store:
Owner and employees *A
Cook, Chef A
Copywriter (office duties only) P
Correctional Officer *A
Cosmetic Sales (i.e. Avon) A
Cosmetologist B
Craftsman (light material):
In-home *B
Not in-home *A
Crop Duster NA
Dance Teacher NA
Day Care Center P
In-home & licensed *A
Dentist P
Dentistry:
Dental hygienist P
Office assistant P
Laboratory technician P
Dermatologist P
Designer:
In-home *B
Not in-home A
Detective (see Police)
Dietitian:
Cooking A
Non-cooking P
Director P
Disc Jockey A
Dispatcher A
Diver/Diving Attendant NA
Dog Catcher *A
Dog Groomer *A
Dog Kennel:
Owner A
Employee *A
Draftsman P
Dressmaker:
In-home *B
Not in-home A
Drill Press Operator A
Driver:
Ambulance *A
Armored car *A
48
Occupation Class Beer and soda *A
Bus *A
Cement truck B
Courier *A
Explosives NA
Garbage collection B
Gasoline (retail trade) *A
Gasoline (other) B
Light delivery A
Limo A
Long hauler B
Milk, bread or dairy *A
Paper products *A
Movers B
Private chauffeur P
Taxi cab B
Tow truck B
Dry Cleaners A
Editor P
Electrician (licensed/apprentice) A
Electrolysis Technician:
In-home NA
Not in-home *A
Electronic Tech/Inspector A
Electroplating A
Elevator:
Inspector A
Repair/installation B
Engineer:
Professional P
Safety P
Stationary A
Engraver A
Equipment Operators:
Backhoe, trencher, loader *A
Bulldozer, grader, power shovel, crane, dragline, heavy truck for mining B