MutualCare Solutions Latest Underwriting Guide Updates

The MutualCare Solutions Product and Underwriting Guide has been revised to provide you with the most updated information available. The following updates were effective on 7-16-18.

Premium Allowances Correction (page 11):

  • Moved “A minimum of five applications is required, must be initially submitted together” from Producer to Common Employer section

Steps for Completing the Application, Step 1: General Information Update (page 51):

  • Revised second sentence to “Be sure to tell the applicant that a Representative will call them to schedule a telephone interview or a face-to-face interview.”

We have also updated the underwriting guidelines for PrEP medication as follows:

0-6 months PrEP medication started or planned use

Decline

>6 months since PrEP started, non-compliant with CDC guidelines, abnormal lab results (HIV, renal function, Hepatitis B & C, liver function, sexually transmitted infection testing).

Decline

>6 mo, if compliant with CDC guidelines, no complications, minimal side effects, normal lab results (HIV, renal function, Hepatitis B & C, liver function, sexually transmitted infection testing).

Select/Standard

Treatment discontinued >6 months, no complications, normal lab results (HIV, renal function, Hepatitis B & C, liver function tests, sexually transmitted infection testing).

Select/Standard

With substance abuse or major depression

Decline

The CDC Truvada for PrEP treatment protocol requires daily use of the medication, regular medical follow up including HIV testing every 3 months, periodic renal function, hepatitis, liver function, and STI testing.

The MutualCare Solutions underwriting guide is currently available for immediate download on Sales Professional Access, you can order through all standard ordering channels, or click the link below:

View / Download the updated Underwriting Guide here.
 
If you have any questions, please contact Mutual of Omaha’s Sales Support at (800) 693-6083 or e-mail sales.support@mutualofomaha.com.

 
MutualCare Solutions Latest Underwriting Guide Updates
 

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