Normal refund procedures are followed (i.e., we refund unused premium).
We will refund in full if a cancellation request is received during the right-to-review period, as stated in the certificate.
All other refunds that are greater than two months of premium must be approved by the supervisor & carrier. Billing works with the carrier in this regard.
REFUNDS WILL BE LESS THE AMOUNT WE ISSUED IN CLAIMS CHECKS
If the insured is deceased and we continued to bill for the insured. Please request a copy of the death certificate. Place a copy of the death certificate in Imagenow, send an email to billingworkflow@selmanco.com, notify them the insured is deceased and would like a refund for the unused premium.
When the member desires a non-standard termination/refund, he/she should submit a signed request to us in writing. The request should clearly state what is desired and why. This will ensure that Billing does not accidentally treat the item as a standard request.
Retail policy will have their refund issued with a 60 day hold. If the refund is issued 10/09/2019 the insured will have the refund processed 12/09/2019. Advise the Retailed insured to look for the check in the mail two weeks from that date.
You can look in the Archive documents to determine why a refund is issued. In this example the insured received a letter 09/24/2019 indicating they were going to be removed from coverage due to the age 65 rule.
REFUNDS DUE TO MEDICARE
If the person is requesting a refund because he or she is under age 65 but eligible for Medicare, the CSR should ask the caller to send a copy of the Medicare ID card showing the effective date of Medicare. The CSR should also email Billing so that coverage can be terminated immediately before additional claims are paid. Upon receipt of the Medicare ID card, Billing will adjust our termination date to match the effective date of the Medicare policy. Premium refunds will be issued, but our claim payments will be deducted from the refunded amount. This process should not affect other members of the family who are not Medicare eligible. Their coverage will remain intact.
All refunds that are greater than two months of premium must be PRE Approved by the supervisor & carrier. Please email Jutta Hiley for approval first. Billing works with the carrier in this regard.
REFUNDS WILL BE LESS THE AMOUNT WE ISSUED IN CLAIMS CHECKS
Refunds to corporate, list bill members usually go to the employer group in the form of a credit, even if it appears as though a refund check has been issued.
The refund check will have the insureds name on it and looks like the check was issued to the owner of the policy. It will even have the address of the insured on the check. Those checks are sent to the ER and have this appearance because the ER will need to know who to refund.
However, there are a few groups that require us to refund the employee directly: General Dynamics, Mantech, Okaloosa County School District, KBR and Navy Federal Credit Union. The insured will get a direct check mailed to their address on file.
If a caller states that a refund check was lost or never received, please send an email to Billing including the check number, amount, and date. Billing will reissue a new check after tracing the original to ensure it was never cashed.
It is the insureds responsibility to notify Selmanco of any changes with the primary. For Example, If the dependent/spouse is removed from primary coverage today, the insured must call us to remove the dependent/spouse.
The dependent/spouse will be removed from the policy the first of the following month.
All premium collected for the dependent/spouse after the first of the following month in error will be refunded.
However, if the dependent/spouse is removed from the primary coverage 06/13/2014, and they contact Selmanco today. We are not responsible to refund the premium from 06/13/2014 to today's date. Remember, we are not Tricare/CHAMPVA, we are the supplement. It is the responsibility of the insured to notify us of all changes immediately.
This includes signing up for our supplement and not being eligible for the primary, Tricare or CHAMPVA.
We do not verify eligibility, therefore we do not refund premium to the insured when they request to terminate after paying premium and uncover they do not have the primary. That is the responsibility of the insured. No refunds are issued for this.
****ALL REFUNDS WILL BE LESS THE AMOUNT WE ISSUED IN CLAIMS ******