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Insurance fraud can happen when someone deceives you, agents
steal your premiums, not buy coverage, steal your claim
checks, or just sell you bogus policies. Medication or
surgery can be given when not need that can have a
significant impact on your health. |
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Insurance rate offered is lower than their current
policies rates
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Pressured to "sign up now" because the deal won't
last.
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Declines to show you an actual policy.
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Sign a form with blank spaces
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Plan promises vanishing premiums
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Must join an "association" or "union" to get the
coverage you need.
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Life insurance disguised as a pension plan,
investment or retirement fund
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Turn in a small policy for a larger one without
paying substantially more
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Claims to be with a government agency or working on
an officially-sanctioned program.
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Email sent from addresses that appear similar to
leading insurance companies
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Cagey or evasive about the details of the policy
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Avoids answering your questions and claiming the
information is in the brochure.
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Policy is exempt from state licensing, comes under
provisions of special federal law
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Sales rep demands your personal financial details
before a "policy" can be issued.
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Premium payment requested in cash
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You are given a deadline
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Request up-front administrative fees to the
insurance broker
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Encouraged to sign up online but the policy details
are sketchy.
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You're insurance card or policy just doesn't turn
up.
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Insurer fails to pay your medical bills promptly,
blames red tape
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Asks for credit card information over the phone
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Told to ignore notices from the insurance company
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Agent is unlicensed
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Precautions
You Should Take |
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Make
sure the insurance company exists, is licensed and is
the one issuing the policy. Call their headquarters
which you look-up, (not gotten from their brochure) and
validate the offer.
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If a new policy replaces an old policy, make sure the
old coverage is not terminated until the new policy has
been issued.
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Before purchasing any life
insurance policy, check the state Insurance Board that
licenses insurance companies and agents (see end below). Do not just
rely on the company and/or agent to show the paperwork.
Always contact the Board directly, as paperwork can be
falsified.
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If it's too cheap, you're almost certainly not going to get
the coverage you might want or expect -- if anything at
all.
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Get the web site and phone
number for any company you're thinking of doing business
with, and investigate the company.
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Get the list of providers
who participate in a company's plan and call them to ask
if they're really part of this plan; ask which of
services are eligible for the discounts or coverage.
Avoid any company that won't give you a provider list.
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Beware of "guaranteed
coverage," or promises of a specified percentage of
savings
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Be suspicious of large
upfront costs.
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Offer coverage for
"dreaded" disease like cancer, heart attacks, strokes or
just an unfortunate accident. Some are legitimate but
watch for loopholes: time frames with no option to
renew, fixed dollar amounts and quirky caps on care.
TO FILE A COMPLAINT GO TO THE
COMPLAINTS SECTION BY CLICKING HERE
Agents May Not Give You All The Information-It Might Be
What They Don't Tell You That's Important |
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Coverage whose price is 30-50 percent lower than
competitors.
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Working with a strict commission salesperson can add benefits not
requested or wanted, or sign you up for
annuities that are not in your best interest.
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Uses a computer to show policy. Insist on a hard copy
version.
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Convinces you to use the built-up value of their current
whole life policy to buy a "better" policy even though
their present life coverage is perfectly suitable.
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Urges you to change policies prematurely by "twisting"
the truth about the downside.
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Sells you fake coverage from a phony insurance company
(make sure they are registered in your State)
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Pockets your insurance premiums instead of sending it to
the insurer (always send it directly to the company).
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Slips in extra coverage you didn't ask for, e.g. motor
club memberships, accidental death coverage and
guaranteed renewable life insurance.
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Suggests to invest in insurance-look alike documents (many
are just a scam to steal your money).
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Never pay a premium in cash or sign partially filled out
forms.
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Have salespeople explain all costs, including enrollment fees, monthly
charges, deductibles, coverage maximums and any other
expenses. Make them show it in writing. Calculate exactly how a plan would affect your
out-of-pocket costs so you don't end up spending more
than you save.
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Claims
coverage will be grandfathered or
exempted from changes required by the
Patient Protection and Affordable Care Act of 2009
(PPACA)
(Applies only to policies purchased before March 23,
2010).
Long Term Care Is A Balance Of What You Can Pay Verses
What You Get Back |
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Make sure that you can afford the premium.
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Are you being sold overlapping policies when only one is
needed.
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Urged to cancel a perfectly good policy and trade up
to a better policy from your current insurer or
another company.
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Sales person may eliminate or reduce vital policy features so you can
afford the premium without telling you.
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Policy covers all of your long-term medical expenses
(BUT, read and understand all the fine print).
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Deliberate misstatements about your current medical
condition, age, past medical history or other key
information are entered onto the policy application to
secure the coverage or lower the premium. The company
may not pay on claims.
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Perform useless surgery on perfectly healthy patients to
hike their own insurance billings.
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Check your dentist's billing to your insurance company, verify
its what you had done.
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Is your dentist's license still in force.
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Is staff doing work that dentist should be doing and
billing as though they did it (illegal).
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Is your dental plans legitimate? Check to see if plan is
licensed in your State.
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Verify you need the treatment. Get a second opinion for
a costly job.
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You had an accident and a stranger contacts you soon
afterward, and tries to convince you to get repairs at a
specific auto-body shop, seek treatment from a certain
doctor or chiropractor, or visit a lawyer he knows who
can help you sue for injuries.
Caution Company List & Contacts |
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NOTICE: We provide this Encyclopedia
as a public service. Unfortunately we do not have the manpower to answer
all of your emails or questions on specific topics. We, therefore, do not
post our telephone number or address as all our communications are
through email.
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copyright
2011 -
www.stopthescam.org |
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