Policy Changes (Dependants) | Scribe

Policy Changes (Dependants)

  • 1 year ago

    Partner Transfer

    To perform a Partner Transfer, we require written notification indicating the reason they wish to cancel the partner from the plan.  If we receive a request to cancel a partner because of a divorce or separation, we will cancel for the end of the month all appropriate documentation is received.

    The written notification must be sent to [email protected] and indicate the following information

    • Policy number

    • Reason for cancellation

    • New contact information for both members

    If the request is from the Policyholder:

    Indicate the partner will be transferred off the plan once all the above details are received.

    If the policy includes dependents, written notification must specifically request their removal if they are to be transferred to the new policy with the partner that is being removed from the policy.

    If the request if from the Partner:

    Indicate they will be transferred to their own policy maintaining the same level of coverage once all the required documentation is received.

    If the policy includes dependents, written notification must specifically request their removal and must be signed by the Policyholder if they are to be transferred with the partner. Only mail or fax is acceptable in this circumstance.

    Reminders:

    If the policyholder pays monthly, a new Pre-authorized Debit Agreement Form and void cheque is required from the policyholder, regardless of whether their banking information has changed during this transition.

    If the partner wishes to pay for their new policy monthly, a Pre-authorized Debit Agreement Form will also be required for them.

    Similar to monthly payment, if there is Direct Deposit for claims reimbursement, it will be canceled on the policy and the customer continuing with the policy will need to provide new banking information through a new Direct Deposit Agreement Form and void cheque.


    Student Transfer

    • If your client advises their dependent is no longer a full-time student, enrolled in an accredited education institution, please email [email protected] to notify Saskatchewan Blue Cross.

    • If a policy includes dependents age 18 and over, a members renewal notice will remind them to make any changes if eligibility requirements are no longer met.

    • Dependents turning 25 will receive a notification advising they are no longer eligible for coverage under their parent's policy and an offer for a plan of their own.

    Example:

    • Dependent’s date of birth is February 4, 1998.  On February 4, 2023 the dependent turns 25.

    • Policy renewal date is April 1.

    • On the April 1, 2023 renewal, the dependent will be removed from their parent's policy.  A letter will be generated and mailed to the dependent advising of the change and an offer to continue coverage in a new plan.

    • The dependent will have coverage until March 31, 2023.

    Student Transfer

    The student will be removed from the parent policy at the renewal date following their 25th birthday. At this time, a letter will be generated and mailed to the student who was removed advising of the options available to them if they would like to continue coverage through their own plan.

    • The student would hold the same coverage as was held on their parents’ policy, without medical underwriting, if they respond with the required information needed to continue the coverage.

    • If the student is adequately covered under another policy, and they choose to not continue with a Saskatchewan Blue Cross Personal Health Plan, they would be required to contact our office and advise us the coverage is not required.

    Remind the student, should they require coverage in the future, they can apply at any time, however, a review of medical history at the time of application would be required, which may result in exclusions, higher ratings or a decline in coverage.

    If the dependent is NO LONGER a resident of Saskatchewan

    Written notification sent to [email protected] required to remove the dependent. Coverage will be canceled for the end of the month the written notification is received.


    Combining Policies

    Combining Blue Choice, Conversion or Guaranteed Acceptance Plans

    • Both policies must be active

    • Both policies must be the exact same product (Ex. Blue Choice & Blue Choice)

    • Policyholders must be married or living common-law

    • If one of the policies has lapsed longer than 60 days or has been canceled, the active Policyholder will have to complete the medical questionnaire and be reviewed in order to add spouse/dependent child(ren) onto the policy.

      • If level of coverage is different, application and acceptance for additional benefits is required prior combining the policies. If any benefits being added are medically underwritten, complete a Personal Health Plan application for coverage for the person to be re-added. The applicant’s medical history will be reviewed in order to add partner/dependent child(ren) onto the policy.

      • An application can be completed online to add the individual (see "How to Add a Partner/Dependent to an Existing Policy").

    Send an email to [email protected] to advise of the combining of policies required.

    Re-combining Student/Partner Transfers (Back to Parent/Partner's Policy)

    • If the student/partner's policy had been lapsed for more than 60 days or was canceled, the parent/partner will have to complete a Personal Health Plan application for coverage.

    • If the client requests that a previous dependent child/partner transferred from their plan be re-combined to their policy as a student dependent/partner, confirm the following criteria:

      • Dependent is a full-time student attending 3 of more classes and

      • Attending courses through an accredited institution

      • Is unmarried (only applied to a student being re-combined)

      • Original transfer policy is still active

      • Both policies must hold the same level of coverage

    Send an email to [email protected] to advise of the combining of policies required.


    Termination of Coverage

    Termination Request Process – Reminder for Advisors

    If a member needs to cancel a policy, remove an optional benefit, take a dependent off their plan, or report a policyholder’s passing, a written request is required. This can be submitted via letter, email or through their Member Portal or Mobile App.

    • Paper-based requests must include the date the request was written.

    • Electronic requests (email or digital document submissions) will be considered submitted based on the date they are received.

    All termination requests follow the same process. A written request must be sent to our office, and coverage will end at the end of the following month.


    Renewals

    Personal Health Plans renew each year (12 months) from the effective date of the plan. Approximately 45 days prior to the renewal date of the policy, your client will receive a Renewal Notice Letter advising them of the amount owing to renew their Saskatchewan Blue Cross policy.

    Annual premium payments can be made online through their Member Portal or Mobile App.

    Keeping current with your clients

    Your client's experiences are rapidly evolving. As life changes, so does one’s insurance needs. Touching base and providing meaningful value to their Personal Health Plan is the first step in delivering a superior customer experience.

    What’s new? What does your client need to know? Review the Personal Health Plan Checklist with your client and to ensure they have the right coverage for their needs, life stage, budget and risk tolerance.