Transcript After a six month waiting period

Dental, Vision & Hearing
Expense Insurance
Plan
Mindy Van Order, Manager of Agent Services
DVH WEB 0512
For agent use only.
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DVH presentation overview
 Topics we’ll cover:
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Quick overview of UCT
DVH Plan overview
Useful tools for agents
Questions & follow up
For agent use only.
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About UCT: Who We Are
 The Order of United Commercial Travelers of America
(UCT) is a fraternal benefit society.
 UCT is a non-profit, member-benefit organization
founded more than 124 years ago.
 International in scope, we are guided by our mission of:
Uniting people with a common passion
for good citizenship and volunteerism
to improve their local communities.
For agent use only.
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About UCT: Who We Are
continued
 UCT is a membership organization open to anyone over
age 18.
 We provide benefits, financial services and insurance
products that are of value to our members and
prospective members.
 We are a different kind of financial services
organization - we reinvest our earnings to support the
needs of local communities and the causes our
members care about.
For agent use only.
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Dental, Vision & Hearing Expense
Insurance
 Issued and
underwritten by The
Order of United
Commercial Travelers
of America
 Rates may vary by
state
For agent use only.
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UCT DVH Product State Availability
 As of April 2012, this product is offered in the following
states:
Alabama
 Arizona
 Arkansas
 Colorado
 Georgia
 Idaho
 Indiana
 Iowa
 Kansas
 Kentucky
 Louisiana
 Michigan
 Mississippi
 Missouri
 Montana
 Nebraska
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North Carolina
 North Dakota
 Ohio
 Oklahoma
 Oregon
 Pennsylvania
 South Carolina
 South Dakota
 Tennessee
 Texas
 Utah
 Virginia
West Virginia
 Wisconsin
 Wyoming
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For agent use only.
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DVH Policy Benefits
 Deductible - $0 or $100 policy year deductible
 Maximum Benefit – Applicants can choose between a $750, $1,000,
$1,500 or $2,000 policy year maximum at the time of application.
 Benefits – After the Policy Year Deductible is satisfied the policy pays the
following percentages of reasonable and customary charges for covered
expenses up to the policy year maximum*:
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60%
70%
80%
90%
- First Policy Year
- Second Policy Year
- Third Policy Year
- Fourth Policy Year and thereafter
* Ohio only
– 65% - First Policy Year
– 75% - Second Policy Year and thereafter
For agent use only.
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DVH Policy Benefits
continued
Covered expenses, subject to the exceptions and
limitations, are:
 Dental:
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Day One: X-Rays, fillings, and outpatient dental surgery prescribed as Medically Necessary.
After a three month waiting period – One annual cleaning up to $75.
After a six month waiting period – Root canals
After a one year waiting period – Bridges, crowns, dentures, work relating to replacement
of natural teeth missing on the Policy Effective Date, full mouth extractions and fluoride
treatments.
For agent use only.
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DVH Policy Benefits Con’t.
 Vision:
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Day One – One annual basic eye examination or eye refraction, including the cost of first
time eyeglasses or prescribed contact lenses
After a six month waiting period – Repair or replacement of existing eyeglasses or
contact lens (including the renewal or changing prescriptions)
 Hearing:
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Day One – Hearing examinations, including the cost of first time hearing aids and any
necessary repairs.
After a one year waiting period – Repair or replacement of existing hearing aids
Exceptions & Limitations apply.
See policy for full details.
For agent use only.
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Underwriting Process
 The underwriting process for the DVH policy is simple
and straightforward:
– The information that is captured at the time of application is
used to determine how claims will be paid
– Some benefits are excluded for the first 6 months
– Some benefits are excluded for the first 12 months
 There is no personal health interview with the
applicant
 Policy delivery receipts must be signed, dated and
returned to the Home Office by the insured in the
following states: Florida, Louisiana, North
Carolina, Nebraska, and South Dakota.
For agent use only.
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Underwriting and EMSI
 We allow voice signatures to make the application process as easy
as possible.
 You and your client may call EMSI at 1-866-685-6602 to go through
the voice signature process for the DVH application.
– You’ll still need to send in a paper copy of the application with the
agent signature, but we will accept a voice signature from the
client. Note the EMSI case number on the application/application
cover sheet so we know not to ask for the wet signature.
 EMSI will also get the bank information* so we can draft initial
premium. No check copy will be required.
*
If the account holder is different than the applicant, he/she may need to complete
the bank account piece of the interview or send the EFT
authorization with a wet signature from the account holder.
For agent use only.
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Additional Information & Features
 Premium Rates Based on State of Issue
– Premium rates are based on required state-by-state loss ratios. Most
of the country will have the same rates; however, some states require
higher loss ratios, which make lower premiums (and lower
commissions) necessary.
 Policy Effective Date – The policy is not effective until
it is approved by the Home Office.
– However, upon approval by the Underwriting Department, the policy
will become effective on the day of the fax or postmark date, unless a
special effective date is requested by the applicant.
 Coordination of Benefits
– This policy does not coordinate benefits with
other policies.
For agent use only.
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Additional Information & Features
continued
 Other features include:
Guaranteed Renewable
- Issue Ages: 18 - 84
Individually Issued
- Policy Fee: No
Optional Benefit Riders: None
Premiums – Issue Age Rates with Household Discount (in most states)
Premium Modes:
• Automatic Bank Withdrawal - Monthly
• Direct Bill – Annual, Semi-Annual, Quarterly, List Bill for Work Site
• We do not accept credit cards or debit cards
– Initial Premium – The initial premium can be drafted from the insured’s
checking account.
– Rate Guarantee – This policy does not have a rate guarantee. If an increase is
necessary, we can change the premium only if we do the same to all policies of
this form issued to persons of the same class. Class means the factors of age,
gender, underwriting class and geographic area in the state
of residence that determined the premium rate when
coverage was issued.
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For agent use only.
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Additional Information & Features
continued
 No Network – We do not have a PPO or a dental network. We pay all benefits to the
policyholder. Upon death of the insured, any benefits will be paid to the estate or
beneficiary.
 Reasonable & Customary Charge – The policy pays a percent (60%, 70%, 80% or
90%, - or in Ohio, 65% or 75% - depending on how long the policy has been in force)
of the actual charges, not to exceed reasonable and customary charges for covered
expenses up to the policy year maximum benefit.
 Fair Health is the vendor we use to provide us with the reasonable and customary
charge. They calculate the charges on a zip code basis at the 85th percentile. The
charges are updated quarterly. Example of a claim benefit in the second policy year
after the $100 policy year deductible has been satisfied:
– $100.00 – Actual Charge
– $ 95.00 – Reasonable and Customary Charge (determined by Fair Health)
– $ 66.50 – Benefit Paid – 70% of $95.00
For agent use only.
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UCT DVH Monthly (EFT) Premium Rates
Issue Age
$750 Annual Max.
$1,000 Annual Max.
$0 Deductible
$100 Deductible
$0 Deductible
$100 Deductible
18-39
$28.33
$24.83
$31.49
$27.66
40-59
$30.58
$26.83
$33.99
$29.83
60-74
$33.99
$29.83
$37.83
$33.16
75-79
$36.24
$31.83
$40.33
$35.41
80-84
$38.58
$33.83
$42.83
$37.58
10% Household Discount
Membership Dues
If two or more people living at the same
address apply for coverage at the same time,
each may receive a 10% discount.
Add if not already a member
Annual
$18.00
Quarterly
Semi-Annual
$ 9.00
Monthly
The above rates are control rates and include the following states: Al, AR, AZ, GA, ID,
IN, IA, IL, KS, LA, MI, MS, MT, NC, ND, NE, OH, OK, OR, PA, TX, UT, WI, WV, WY.
Other states have different loss ratios and different
Forrates.
agentSee
use specific
only. rate guides at www.uct.org.
$ 4.50
$ 1.50
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UCT DVH Monthly (EFT) Premium Rates
Issue Age
$1,500 Annual Max.
$2,000 Annual Max.
$0 Deductible
$100 Deductible
$0 Deductible
$100 Deductible
18-39
$40.83
$35.83
$46.58
$40.91
40-59
$44.41
$38.99
$50.08
$43.91
60-74
$48.49
$42.58
$54.66
$47.99
75-79
$50.49
$44.33
$56.91
$49.91
80-84
$52.49
$46.08
$59.24
$51.99
10% Household Discount
Membership Dues
If two or more people living at the same
address apply for coverage at the same time,
each may receive a 10% discount.
Add if not already a member
Annual
$18.00
Quarterly
Semi-Annual
$ 9.00
Monthly
The above rates are control rates and include the following states: Al, AR, AZ, GA, ID,
IN, IA, IL, KS, LA, MI, MS, MT, NC, ND, NE, OH, OK, OR, PA, TX, UT, WI, WV, WY.
Other states have different loss ratios and different
Forrates.
agentSee
use specific
only. rate guides at www.uct.org.
$ 4.50
$ 1.50
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Submitting New Business
 Several options are available:
– UPLOAD: Upload an application (PDF):
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Log on to the Agents area of UCT’s website (www.uct.org)
Click on “On-line application submission”
Click on “Application Upload”
Browse files, select correct file, hit “Upload the File” to the site
– FAX:
• Toll Free: 1-800-948-1039
– MAIL TO: UCT
1801 Watermark Drive, Suite 100
Columbus, OH 43215
Note: An application cover sheet should be
included with all applications.
For agent use only.
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Marketing Supplies & Support
 Application Kit: The application kit includes all forms necessary to
write and submit an application, except the replacement form.
The replacement form is available on our website or through the
Supply Department if needed.
 PDF forms are available for download on the Agents area of our
website.
 Applications, rate sheets, brochures and additional materials can
also be ordered online or by calling 1-800-848-1124, ext. 147.
 Advertising materials: Camera-ready artwork for postcards, flyers,
direct mail pieces and newspaper ads that have been approved for
use in the states in which we do business are available. Contact
the Public Relations Department at [email protected] or at 1-800848-1124, ext. 130 for information.
For agent use only.
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Customer/Client Services
 Our Customer Service Department provides exceptional
and professional service:
– Dedicated numbers
• Policyholders:
• Providers:
• FAX number to Submit claims:
1-800-848-0123, Ext. 300
1-800-848-0123, Ext. 302
1-614-487-9603
– Dedicated customer service email addresses:
[email protected] or [email protected]
 Claims mailing address:
1801 Watermark Drive, Suite 100
P.O. Box 159019
Columbus, OH 43215
For agent use only.
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We’re here to help you!
Useful tools for Agents
 Dedicated website for Agents
– Newly revised for easier access to forms, applications and other
documents
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Agent newsletter
New product updates
State specific forms
Agent Field Guide
Calculators
Useful phone numbers and contact information
For agent use only.
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We’re here to help you!
Useful tools for Agents
 Agent Services Department
– available to answer your questions,
– 8 a.m. – 5 p.m., Monday-Friday (EST).
CONTACT INFORMATION
Phone: 1-800-848-1124, Ext. 304
Fax:
614-487-9664
Email: [email protected]
For agent use only.
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Thank you for your attention
For more information, contact
Questions?
Agent Services Department
Phone: 1-800-848-1124, Ext. 304
Email: [email protected].
www.uct.org
For agent use only.
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