Page 16 - CRITICAL ILLNESS, ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ADMIN MANUAL
P. 16
THE HARTFORD’S EMPLOYEE CHOICE BENEFITS
SM
WHEN ARE BENEFITS PAID?
If a claim has been submitted completely and all necessary data has been
received for adjudication, the turnaround time for benefits to be paid is 10
business days.
PLEASE NOTE: BENEFICIARY DESIGNATIONS
(FOR ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ONLY)
Closing a claim is not the • A designation must be clear, so there's no question as to its meaning.
same as denying a claim.
The claim will be re-opened • If the beneficiary is not related to the insured by blood or marriage, the words
“NOT RELATED” should be written next to the name of the beneficiary.
for additional review once
the missing information • If there's more than one beneficiary and proceeds are not intended to be
divided equally, the details must be provided (i.e., 75% to John Doe, 25%
is received. to James Doe).
• If an employee wishes their spouse and all children to be considered
For Hospital Indemnity and equal beneficiaries, each child must be individually named.
Accident cases not providing Each time a new baby is born, the employee must add that child by name
eligibility, if a claimant files to the beneficiary designation.
a second but related claim • Beneficiary designations made under your Hartford group policy are normally
within 31 days of the initial revocable. This means an employee may change the designation without
claim, you will not have requiring the consent of the existing beneficiary(ies).
to confirm eligibility by • An employee may choose to make an Irrevocable Beneficiary Designation.
completing the Employer/ This means the Beneficiary Designation may only be changed with the
Policyholder Statement. consent of the existing beneficiary. Please contact your Sales/Service
The claimant will only need Representative from The Hartford to obtain an Irrevocable Beneficiary
to complete and submit Designation Form.
their portion. A claim that • If the employee has multiple coverages with The Hartford, the beneficiary
is not related to a recently is assumed to be the same for each coverage unless separate Beneficiary
submitted claim will always Designations are completed for each coverage.
require a new claim form. • With regards to insurance coverage on dependents, benefits are generally
paid to the employee.
• Employees with special circumstances, such as living trusts or estate
planning vehicles, should contact their own legal or tax counsel to choose
the beneficiary designation wording best suited to their needs.
Beneficiary Designations • To change a beneficiary, the employee will need to follow your designated
should be retained by process for ensuring this update is made (whether it's a new enrollment
you and kept with your form or a new Beneficiary Designation form). If you do not have a form to
use, please contact The Hartford.
employee records.
Please DO NOT send these
forms to The Hartford, except
in the event of a death claim.
Note: Benefits are paid to the estate in case of a Critical Illness claim
for a deceased insured.
16
SM
WHEN ARE BENEFITS PAID?
If a claim has been submitted completely and all necessary data has been
received for adjudication, the turnaround time for benefits to be paid is 10
business days.
PLEASE NOTE: BENEFICIARY DESIGNATIONS
(FOR ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ONLY)
Closing a claim is not the • A designation must be clear, so there's no question as to its meaning.
same as denying a claim.
The claim will be re-opened • If the beneficiary is not related to the insured by blood or marriage, the words
“NOT RELATED” should be written next to the name of the beneficiary.
for additional review once
the missing information • If there's more than one beneficiary and proceeds are not intended to be
divided equally, the details must be provided (i.e., 75% to John Doe, 25%
is received. to James Doe).
• If an employee wishes their spouse and all children to be considered
For Hospital Indemnity and equal beneficiaries, each child must be individually named.
Accident cases not providing Each time a new baby is born, the employee must add that child by name
eligibility, if a claimant files to the beneficiary designation.
a second but related claim • Beneficiary designations made under your Hartford group policy are normally
within 31 days of the initial revocable. This means an employee may change the designation without
claim, you will not have requiring the consent of the existing beneficiary(ies).
to confirm eligibility by • An employee may choose to make an Irrevocable Beneficiary Designation.
completing the Employer/ This means the Beneficiary Designation may only be changed with the
Policyholder Statement. consent of the existing beneficiary. Please contact your Sales/Service
The claimant will only need Representative from The Hartford to obtain an Irrevocable Beneficiary
to complete and submit Designation Form.
their portion. A claim that • If the employee has multiple coverages with The Hartford, the beneficiary
is not related to a recently is assumed to be the same for each coverage unless separate Beneficiary
submitted claim will always Designations are completed for each coverage.
require a new claim form. • With regards to insurance coverage on dependents, benefits are generally
paid to the employee.
• Employees with special circumstances, such as living trusts or estate
planning vehicles, should contact their own legal or tax counsel to choose
the beneficiary designation wording best suited to their needs.
Beneficiary Designations • To change a beneficiary, the employee will need to follow your designated
should be retained by process for ensuring this update is made (whether it's a new enrollment
you and kept with your form or a new Beneficiary Designation form). If you do not have a form to
use, please contact The Hartford.
employee records.
Please DO NOT send these
forms to The Hartford, except
in the event of a death claim.
Note: Benefits are paid to the estate in case of a Critical Illness claim
for a deceased insured.
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