Pre Existing Conditions

We all know about pre existing conditions when a new group is set up but it is important to remember that the same applies if a benefit structure is changed.

A member with a medical condition may not qualify for the new benefit structure right away as pre existing health condition exclusions will apply from the date of the benefit change and this is something worth communicating to members to manage expectations.

Generally, a dread disease claim will be taken back to the date of first diagnosis whereas a disability claim will be taken back to the last date of active service when considering pre existing conditions. With some insurers the size of the group influences the pre existing period enforced so remember to take note of the terms and conditions in this regard when considering a benefit change.

Thank you and regards,

The TSA Team

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All information provided in TSA Connect newsletters is intended to inform and explain, but please remember to always check the current terms on policies when considering options and advising clients.

 

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