Hi all,
Wish to hear from others if they have been in a similar situation.
I recently had a bad experience with my wife insurance agent for her maternity insurance.
we started look at insurance policy around 16weeks and my wife decided to put pen to the paper with an insurance policy with GE last Wednesday when she was 19th weeks.
We make know to the agent that we were hoping to locked it away before our detailed scan which is the purpose of an maternity insurance.
For those unaware, GE maternity insurance starts from week 13 as advertised from their brochure.
Today, we got a document from GE underwriting department stating that we need to submit our first trimester report and our 20th week detailed scan for them(which we will only take in 2 days time) to evaluate before they can decide if they want to honour the policy my wife pen last Wednesday. No reason was given as what guidelines or medical condition warrant this delay.
We had an previous abortion due to Edward syndrome last year that we declared in the contract.
I had a call with the agent and he claims that for certain cases, if the application is too close to 20th week, the underwriter can delay the application will they receive the report. I feel that this is an unfair practise if what he said is true as this allow the company to get past a set of claims if there is complications that is claimable during that test by pushing/delaying the claims.
He also said that the documents could be required due to our declaration. Also, i think this is unfair as Edward syndrome is not covered but to be fair(cleft lip- a symptom of Edward syndrome is covered). It will be fair if they proceed with an exclusion to cleft lip rather than push us back to the detailed scan report date and if anything do happen, we are on our own.
My research on Edward syndrome states that most of the cases are random and rarely due to inheritance. So chances are, medically, we should not be under a exclusion. If they reckon there is a risk, they should exclude that condition stating if this is inherited, they will not pay out.
As a company, they are playing on my timeline which now stands 2 days before my detail scan sucks as any other insurance company won't be able to take my policy in time.
My idea of insurance is that a group of people paying each a sum of money, pooled together to manage medical conditions/death unless they are medically excluded as it tilts the balance of premium for other policy holders.
In this arrangement, the fund manager will earn a middle man money or by investing those money elsewhere which I reckon it fair.
Why does my wife and my baby have to be subjected to a delay in coverage even though medical statistics states that this previous occurrence is random? We are buying in at a period stated in their brochure trying to cover our baby with what they advertised to protect against yet we are pushed back.
The guidelines they follow are not stated. No reason given. Are we so called parents to be penalised unnecessarily?
Wish to hear from others if they have been in a similar situation.
I recently had a bad experience with my wife insurance agent for her maternity insurance.
we started look at insurance policy around 16weeks and my wife decided to put pen to the paper with an insurance policy with GE last Wednesday when she was 19th weeks.
We make know to the agent that we were hoping to locked it away before our detailed scan which is the purpose of an maternity insurance.
For those unaware, GE maternity insurance starts from week 13 as advertised from their brochure.
Today, we got a document from GE underwriting department stating that we need to submit our first trimester report and our 20th week detailed scan for them(which we will only take in 2 days time) to evaluate before they can decide if they want to honour the policy my wife pen last Wednesday. No reason was given as what guidelines or medical condition warrant this delay.
We had an previous abortion due to Edward syndrome last year that we declared in the contract.
I had a call with the agent and he claims that for certain cases, if the application is too close to 20th week, the underwriter can delay the application will they receive the report. I feel that this is an unfair practise if what he said is true as this allow the company to get past a set of claims if there is complications that is claimable during that test by pushing/delaying the claims.
He also said that the documents could be required due to our declaration. Also, i think this is unfair as Edward syndrome is not covered but to be fair(cleft lip- a symptom of Edward syndrome is covered). It will be fair if they proceed with an exclusion to cleft lip rather than push us back to the detailed scan report date and if anything do happen, we are on our own.
My research on Edward syndrome states that most of the cases are random and rarely due to inheritance. So chances are, medically, we should not be under a exclusion. If they reckon there is a risk, they should exclude that condition stating if this is inherited, they will not pay out.
As a company, they are playing on my timeline which now stands 2 days before my detail scan sucks as any other insurance company won't be able to take my policy in time.
My idea of insurance is that a group of people paying each a sum of money, pooled together to manage medical conditions/death unless they are medically excluded as it tilts the balance of premium for other policy holders.
In this arrangement, the fund manager will earn a middle man money or by investing those money elsewhere which I reckon it fair.
Why does my wife and my baby have to be subjected to a delay in coverage even though medical statistics states that this previous occurrence is random? We are buying in at a period stated in their brochure trying to cover our baby with what they advertised to protect against yet we are pushed back.
The guidelines they follow are not stated. No reason given. Are we so called parents to be penalised unnecessarily?