#94695 04-30-2009 04:21 PM | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | I am trying - not successfully - to find out what the exclusions are for my employer group life insurance. It is the only life insurance policy I have, so I want to make sure I don't do anything to jeopardize it. The insurance company will not tell me anything - they say the policy belongs to my employer (yes, but I pay the premiums!), and my employer says they don't give out such information - a "company decision".
We all have a "Bucket List" (thank God for that movie - people have a clear picture of what I am talking about). Maybe its Parasailing or Sky Diving or whatever - but I need to know whether this would invalidate my life insurance. The second concern I have is with suicide. We all know that the end of this disease can get very difficult for both the patient and the family. I want to know that if I should make that decision, that it would not invalidate my insurance.
Does anyone have any experience with these issues??? I realize most of you are in the U.S., but I suspect that these policies are fairly similar in North America. Your comments are welcome.
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Donna don't even consider suicide as an alternative. It's not your mind that's sick. it's your body. There is usually a 2 year grace period for the exclusions on policies. Whoever handles youer insurance shoud be able to give you a copy of the policy. Don't let them tell you they can't. You are paying for this policy as well as anyone. There could be an extension for somethings like suicide anyway, I HOPE, but tell them to give you a copy . THat is like holding a gun to your head to not let you understand your coverage.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | Therein lies the frustration. They will not give me a copy of the policy and also will not answer my question about exclusions. The insurer says the policy is between my employer and them, and my employer - for whatever reason, isn't talking.
HELP!!
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I have no idea who your employer is, but he has to tell you. Oops, maybe you Canadians are different. I forgot we are in 2 seperate countrys. My mistake for today.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: May 2002 Posts: 2,152 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | Most life insurance policies do NOT pay if you you die from suicide so that's one exclusion that I think you can count on invalidating the policy.
Take care, Eileen
---------------------- Aug 1997 unknown primary, Stage III mets to 1 lymph node in neck; rt ND, 36 XRT rad Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND June 5, 2010 dx early stage breast cancer June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Pandora: I'm not an insurance savy person, but here is what I'd do. Although you pay the premiums, technically your employer owns the policy. Are you listed specifically as the "insured" on the policy? If you are and you've been paying the premium, you have a legal right to the info. Personally, I believe your case is more with your employer, than with the insurance co. It really doesn't matter to the insurance company who pays, they take their orders from the owner of the policy
1. Get your employer to write a letter giving permission for you to obtain the info and/or stating he's unable to provide the info. 2. Put a little pressure on the insurance company, but only if your listed an "insured." Insurance companies hate it when you ask them for something in writing. Ask them to document and/or write a letter for refusing your request.
I don't know if any of this will work, but push comes to shove, it is worth a try. I'm surprised that your employer won't give you the info. How large is the company; number of employees.
Sorry, I forgot you're in a differnt country. But maybe some of this will apply.
Hope this helps a little.
Sandy
Sandy
Last edited by SandySt.; 05-08-2009 11:20 AM.
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | Sky Diving here I come!! Despite that 49th parallell, our countries operate similarly with respect to things like insurance. Yes, the policy is owned by my employer and no, I am not specifically listed as "the insured". I agree, the onus is on my employer to provide the information. They keep referring me back to the benefits website, and I have decided that seeing as they list exclusions, but list the exclusions as being applicable only to accident and business travel insurance, that by extrapolation, there are no exclusions for the life insurance policy. Having documented this, I am going to make my sky diving arrangements. Tandem of course but I can hardly wait to do it. Donna
Last edited by Pandora99; 05-08-2009 11:00 PM.
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Donna, you are one brave soul!!!! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Pandora: Glad you got your information. Have a great time. YOU ARE ONE BRAVE SOUL!!!
Looking forward to reading about the experience. Sandyst
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Donna, you gave me what I needed this morning. A good chuckle to start the day. Go for it gal but don't forget to open the chute. lol
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Donna,
Isn't it still snowing up there?
lol
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | So it snowed a little this morning. At least the snow didn't stay!
(Lord this is a cold spring - even for a Canadian!)
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | Jim - it is a tandem jump, so I am not responsible for opening the chute. Talk about trusting someone you don't know! One thing the instructor told me - if I happened to die sky diving, we would be sure to make the front page of the newspaper!
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | For those of you in the states that are worried about your life insurance payout and dying with dignity (suicide if you will) then Washington's new death with dignity act took effect in January. The law allows doctors to help the terminally ill patient die and then list the cause of death as the illness that would eventually kill them and not suicide, saving your insurance payout. This is what I understand from the bill anyway. I currently live in Idaho but was a Seattlite for 15 years and will move back if I get a recurrance due to their death with dignity act and thier medical marijuana policies...if I'm gonna go why not have a good time with it? (the last bit was a joke for those without a sense of humor)
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | OP "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | FINALLY, my employer coughed up the information. There are no exclusions on my Group Life Insurance Policy. Therefore, my e mail to set up my tandem sky dive was despatched immediately! I can hardly wait. Its good to have a "Bucket List" and even better to try to do some of them. All of us know that life is far too short!
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jan 2009 Posts: 62 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Jan 2009 Posts: 62 | Hi Donna, we just switched companies and when they found out we had skydived, they about wet themselves. We had to promise to never do it again, which honestly I have no problem with, speaking of wetting yourself. LOL I'm not sure but as worried as they were, I'm thinking they'd have had to pay regardless. Now, that's on a new policy.....I'm assuming your present policy will cover you because it was never brought up. Another thing, you're going to be signing a TON of waivers before you go, even in that case, I think the company is liable because your survivors never signed off. You live in America, everyone sues, haha. When are you scheduled to go? I can't wait to hear what you thought of it. For myself, it's probably the closest I've ever come to a panic without actually doing it. That was before the cancer however, now I'm alot more adventurous with not alot of fear. At grandparents day at the grandkids school, they call me the "extreme grandma". Fun
DX 6/05 Rt Tonsil SSC advanced to lymph node. Stage 4b. RND, took tonsils, strips off the back of tongue, throat and nose. 19 lymph nodes removed only 1 bad. Once healed, 7 weeks of treatment including 35 IMRT, 7 Cisplatin, 7 Erbitux and 35 nasty Amophostine. Almost 11 yrs out now. Woooo Hoooo!
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