DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESFORM APPROVED OMB No. 09380832HEALTH INSURANCE BENEFIT AGREEMENT(Agreement with Provider Pursuant to Section 1866 of
cms 1561

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Video instructions and help with filling out and completing cms 1561

Hi and welcome back to the ll QP video series once again this is Jason watt of business career college and what we're going to be looking at today is the temporary insurance agreement now this is really a part of the application process so normally within the application or attach to the application somewhere you will see a TI a or sometimes we call this a conditional insurance agreement a CI a both really mean the same thing and the issue here is that the underwriting process can take some time so the underwriting process might take a few weeks or a few months it's not uncommon to take say two to three months for an application to get from underwriting to the point where a policy is ready to be issued and the problem with that of course is that we've maybe put this idea in our clients head now that they really need this insurance and they don't want to be without coverage now for this amount of time so what we can do as the agent is we can put in place an amount of insurance this TIAA or CI a now what will happen is this insurance will be enforced typically for a limited amount of time so it's not perpetual it's very common to see this run out after say 90 days that's not always the case it's not universal but that's pretty normal and it will typically also be for a limited amount of insurance again very common but not always the case that you would see a maximum of let's say a million dollars of coverage under a TI a so during this time that the TI is in force this person be covered for a million dollars 90 days of coverage pretty typical and the other thing we're going to have to do is we're gonna have to collect the first premium we'll talk more about this requirement to collect the first premium when we talk a little bit about contract law in a later video but for now it's important to recognize that we do need to that first premium collected there are typically no other premiums paid while the TIAA is outstanding just that first month's premium would be paid now you're not going to issue a TI a if we have significant concerns in the underwriting process so if you go through the application with the client and the client is awaiting results of medical exams or they're getting ready to leave the country or they've recently had some sort of problem medically you're not going to issue any sort of TI a this is you the agent making the decision to bind you have to do some underwriting here you have to make the decision whether or not this is appropriate to issue the TI a and then what will happen is they we have this ti a in force so if there is a covered loss during the time when the TI is in force a claim should be paid now something that has to happen is we do have to finish the underwriting process so we must finish underwriting in order to facilitate the payment of a claim and the reason for that is because we want to make sure the client was honest in the application if they lied in the application and we shouldn't have issued a TI a then...