18th Edition
July 2007
A newsletter dedicated to the distributors of disability insurance published by
JHA, the leader in disability reinsurance, consulting and research.
 



Employee Access to Benefits, March 2006

Source: U.S. Dept. of Labor, Bureau of Labor Statistics, National Compensation Survey: Employee Benefits in Private Industry in the United States, March 2006.



The Standard recently announced its new nontraditional Basic LTD plan for large and small employers within high-risk industries. The product is intended to be a way for these workers to receive coverage that would not otherwise be available to them due to the nature of their jobs. The Standard believes that Basic LTD is also an easier plan to understand for those not as familiar with disability insurance. 

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New York Court of Appeals Issues Ruling on Pre-existing Condition Case

A ruling issued by the New York Court of Appeals on June 27, 2007 in the case of Benesowitz v. Metropolitan Life Insurance Company has officially changed the standard method of applying the pre-existing provision in New York contracts. Since group disability carriers are unable to address anti-selection using traditional medical underwriting, the standard 3/12 pre-existing provision typically has been the mainstay of Group LTD insurers. Read on to learn more about the consequences of this change in how the provision is applied.

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Your Role in Preventing Claim Service Issues

Many factors go into how group benefit payments are calculated. Sales representatives and producers play an important role since you can communicate expectations to customers at the point of sale. Following are a few important tips to keep in mind that can help reduce service issues at claim time and ensure correct benefit payments.

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Please send email responses, in reference to 4 Corners, to Editor: Julie Bernier
Special thanks to contributing editors: Jennifer Daigle and Jim Papi


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