Across
- 2. due to other insurance; cancel reason code.
- 5. change authority of Auth Reps once notification of death is received.
- 6. needs to be read when canceling contract over the phone.
- 9. cancellation per member's request.
- 12. Need to be checked before RETRO cancellation
- 13. Other insurance is FL Blue group contract; cancel reason code.
- 16. No written request sent; made over the phone.
- 19. this type of request must follow the verbal cancellation guidelines.
- 21. needs to be removed upon member's passing.
Down
- 1. Other insurance is FL Blue Supp contract(MIPPA plan); cancel reason code
- 3. send request to this location when person is a list bill or group retirement member.
- 4. Cannot be updated with LOA; used to determine if refund can be issued in surviving spouse's name.
- 7. Certificate; Required of date of death is more than 12 months or refunded needed.
- 8. Cancel contract for non-payment; plan status.
- 10. Other insurance is FL Blue Med Adv contract(BlueMedicare HMO or PPO); cancel reason code.
- 11. needed when there is a refund equal to or greater than $500
- 14. Letter sent when death certificate not attached.
- 15. must notify within 90 days of eligiblity.
- 17. needs to be in PDI to issue refund
- 18. type of request needed when subscriber is not the caller or is not authenticated.
- 20. no longer valid once member is deceased.
