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Time
Insurance TeleApp Nine Questions
If
you answer YES to any of the following Nine Questions,
you are NOT eligible to apply using the TeleApp Process.
You must return to the Time Insurance
Application page to file out the normal Time Application.
1) Does any person
to be insured have or ever had any of the Ineligible Medical
Conditions listed below?
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Addison's disease
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Adult Respiratory Distress
Syndrome (ARDS)
with severe respiratory impairment
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AIDS
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Alzheimer's disease
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Amphetamine usage
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Amyotrophic Lateral
Sclerosis
(ALS)
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Aneurysm
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Angina (unstable, variant,
prinzmetal,
vasospastic)
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Ankylosing Spondylitis
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Anorexia Nervosa
<= 5 years
since disease
controlled = Decline
>
5 years since disease
controlled = Individual Consideration
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Aortic Arch Arteritis
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Aortic Insufficiency
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Aortic Stenosis
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Aortitis
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Aplastic Anemia
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Aregenerative Anemia
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Arterial Embolism (clot)
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Arterial Occlusion
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Arteriosclerosis Obliterans (ASO)
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Arteriovenous Malformation
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Arteritis
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Ataxia Telangiectasia
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Atherosclerosis Obliterans
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Atherosclerosis Thrombotic
disease
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Atrial Fibrillation - chronic
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Autism
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Banti's Syndrome
(spleen disorder)
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Berger's disease
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Bipolar disorder
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Bladder Extropy
(congenital malformation
of the bladder
wall)
Asymptomatic
- permanent rider
Symptomatic
- decline
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Cancer (with lymph node
involvement or
metastasis)
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Cardiac Decompensation
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Cardiac Defibrillator
(implantable)
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Cardiomyopathy
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Cerebral Palsy
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Charcot's Syndrome
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Charcot-Marie Tooth disease
(if present)
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Chediak Higaski Syndrome
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Christmas disease
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Chronic Granulomatous disease
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Chronic Obstructive Pulmonary disease
(COPD)
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Cirrhosis of the Liver
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Coarctation of the Aorta
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Cocaine Abuse
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Common Variable
Immunodeficiency
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Congenital Lymphedema
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Congestive Heart Failure (CHF)
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Cor Pulmonale
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Coronary Artery Bypass surgery
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Coronary Artery disease (CAD)
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Coronary Heart disease
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Crohn's disease |
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Curvature of the Spine
(with pulmonary,
cardiac or
spinal
cord involvement) |
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Cushing Syndrome (caused by bilateral
adrenal hyperplasia or administration
of steroids to
treat
another disorder) |
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Cystic Fibrosis |
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Cystic Medical Necrosis |
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Dejerine type Sclerosis |
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Dementia |
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Depressant Addiction |
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Depression - major
(if hospitalization
required) |
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Di George Syndrome |
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Diabetes Mellitus |
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Down Syndrome |
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Ebstein's Malformation |
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Eisenmenger's Complex |
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Eosinophilic Granuloma |
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Eosinophilic Granuloma of bone |
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Esophageal Varices (varicose
veins
in the esophagus) |
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Ehlers-Danlos Syndrome |
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Fabry disease |
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Factor VIII or IX deficiency
(clotting
disorder) |
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Fragilitas Ossium |
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Gargoylism |
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Gastric bypass/stapling |
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Gaucher's disease |
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Gender Identity disorder |
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Gilles de la Tourette's syndrome |
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Glycogen Storage disease |
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Hand-Schuller-Christian disease |
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Heart-lung transplants |
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Heavy Chain disease |
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Hemiplegia |
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Hemochromatosis |
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Hemophilia A or B |
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Histocytosis X |
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Hodgkin's disease |
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Hydrocephalus |
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Hydronephrosis (bilateral) |
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Hypersplenism |
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Huntington's Chorea |
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Hypoplastic Anemia |
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IgG Subclass Deficiency |
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Ischemic Heart disease |
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Kahler's disease |
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Kartagener's Syndrome |
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Kidney Transplant |
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Letterer-Siwe disease |
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Leukemia |
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Liver Transplant |
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Lobstein's disease |
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Lou Gehrig's disease
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Lymphoblastoma |
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Lymphomatoid Papulosis |
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Lymphoma |
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Marchiafava-Micheli Syndrome |
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Marijuana Usage (current or past history
in conjunction
with other
drugs) |
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Mental retardation (severe, emotionally
unstable, seizures
or psychiatric
impairments) |
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Mesenteric Vascular disease |
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Milroy's disease |
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Mitral Insufficiency |
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Mitral Stenosis |
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Mixed Connective Tissue disease |
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Mongolism |
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Mucopolysaccaridosis |
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Multiple Myeloma |
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Multiple Sclerosis |
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Muscular Dystrophy |
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Myocardial Infraction (MI) |
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Myocardial Ischemia |
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Narcotic use/addiction |
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Nephrocalcinosis |
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Nephrosclerosis |
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Neurofibromatosis |
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Niemann-Pick disease |
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Osteitis Fibrosa Cystica
disseminate |
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Osteitis Fibrosa Cystica
generalisata |
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Osteogenesis Imperfecta |
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Pacemaker |
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Pancytopenia |
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Paralysis |
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Paranoid or other psychotic
disorder |
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Paraplegia |
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Parkinson's disease |
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Paroxysmal Nocturnal Hemoglobinuria |
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Percutaneous Transluminal
Coronary Angioplasty |
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Periarteritis Nodosa |
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Peripheral Occlusive Arterial
disease (POAD) |
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Peripheral Vascular disease |
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Personality disorder |
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Pituitary Dwarfism |
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Plasmacytoma |
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Pneumocystitis Carinii
Pneumonia (PCP) |
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Polyarteritis |
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Polycystic Kidney |
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Polycythemia Vera |
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Polyglandular Autoimmune
disease |
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Porphyria (diagnosed less than 5 years
prior to application) |
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Primary Pulmonary Hypertension |
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Primary Sclerosing Cholangitis |
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Pseudohemophilia |
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Psychedelics usage (LSD, PCP)
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Psychiatric disorder - severe childhood
and adolescence (including
conduct disorder and oppositional
defiant disorder) |
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Pulmonary Heart disease |
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Pulmonic Insufficiency |
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Pulmonic Stenosis |
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Pulseless disease |
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Quadraplegia |
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Rhabdomyosarcoma |
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Sarcoma |
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Schizo-affective disorders |
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Schizophrena |
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Scleroderma (systemic) |
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Severe Combined
Immunodeficiency |
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Sick Sinus Syndrome |
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Sickle Cell Anemia |
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Silent Myocardial Ischemia |
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Spurway's disease |
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Stimulant usage
(amphetamines,
cocaine) |
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Stroke |
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Sturge-Weber Syndrome |
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Suicide attempt |
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Syndrome X |
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Systemic Lupus Erythematosis |
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Takaysu's disease |
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Tetrology of Fallot |
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Thalassemia Major |
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Total Anomalous Pulmonary
Venous connection |
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Tourette's Syndrome |
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Transient Ischemic Attack (TIA) |
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Transplant
(except
corneal transplant) |
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Transposition of the great vessels |
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Transsexualism |
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Tricuspid Atresia |
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Tricuspid Stenosis |
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Trisomy 21 Syndrome |
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Truncus Arteriousus |
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Ulcerative Colitis |
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Valve Replacement |
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Vascular Hemophilia |
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Ventricular Arrhythmia |
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Von Hipple-Lindau Syndrome |
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Von Willebrand's disease |
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Waldenstrom's
Macroglobulinemia |
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Wegener's Granulomatosis |
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Wilson's disease |
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Wiskott Aldrich Syndrome |
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2) Is any person to
be insured over the acceptable height/weight limits in the
Ineligible Build Table?
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Max
Height - Weight
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Max
Height - Weight
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Max
Height - Weight
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4'10''
- 190
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4'11''
- 197
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5'0'' - 203
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5'1''
- 210
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5'2''
- 217
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5'3''
- 224
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5'4''
- 231
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5'5''
- 239
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5'6''
- 246
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5'7''
- 254
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5'8'' - 261
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5'9''
- 269
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5'10''
- 277
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5'11''
- 285
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6'0''
- 293
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6'1''
- 301
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6'2''
- 310
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6'3''
- 318
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6'4'' - 327
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6'5''
- 336
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6'6''
- 345
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6'7''
- 354
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6'8''
- 363
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3) Is any person to
be insured employed in an Ineligible Occupation?
Applicants
recently laid off, temporarily unemployed or between jobs,
or on medical disability are not eligible.
Note:
Retirees, homemakers, and financially independent individuals
are not considered unemployed individuals.
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Ineligible
Occupation List
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| - Air
Traffic Controllers |
| - Armed
Forces personnel |
| - Asbestos/toxic
chemical workers |
| - Divers
(professional skin or scuba) |
| - Explosive
workers |
| - Fishermen/Crew |
| - Off-shore
oil workers |
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- Oil
and natural gas workers,
including
off-shore operations |
| - Professional
Auto Racers |
- Professional
athletes including but not limited to:
ballet,
baseball, basketball, football,
and
wrestling |
| - Professional
Crop Dusters |
| - Structural
Steel workers |
| - Stunt
Flyers |
| - Underground
miners |
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4) Is the applicant,
spouse or any of their dependents, regardless if applying
for coverage, currently pregnant or an expectant
parent?
Time
does not accept an application on a pregnant female, nor a
father of an unborn child. Coverage for the pregnant
mother or
the father of the unborn child is not available until the
pregnancy has ended. To be eligible to apply for
coverage, the baby must
have had a well baby exam at least 2 weeks after medical discharge.
5) Does any person to be
insured have a pending doctor appointment (other than routine)
or has diagnostic testing, treatment
or surgery been recommended or scheduled thats not completed?
Ineligible
applicants are those with pending non-routine appointments,
diagnostic testing, treatment or surgery. These applicants
should postpone applying until after the appointment, treatment
or surgery is complete and the results and diagnosis are
known. Wellness services, routine visits or follow-ups
to a previously diagnosed illness/disease are eligible
to apply.
A newborn must have a well baby exam at least 2
weeks after medical discharge to be eligible for coverage.
6) Is any person to
be insured NOT a U.S. citizen or an immigrant here on visa
status, or has any person to be insured been
in the U.S. less than one year?
To
be considered for coverage, applicants who are not U.S. citizens
must:
Have been in the U.S. for at least one year
Have a permanent visa or green card status
Have an established physician* in this country from whom
medical records can be obtained
* An
established physician provides a complete physical exam which
includes age appropriate testing as
defined by
the U.S. Preventive Services Task Force.
7) Has any applicant
age 55 or older NOT had a physical within the last 5 years?
Applicants
age 55 or older who have not been to a doctor for a complete
physical exam in the past 5 years are not eligible for Individual
Medical insurance coverage. These applicants will be
postponed until after the physical exam has been completed
and
results known. Visits to a podiatrist, dermatologist
and other specialists will not satisfy the complete exam requirement.
If the applicant
wishes to reapply after completing a physical exam, the following
results will need to be provided by and paid
for by the
applicant:
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Blood Pressure
Total Blood Cholesterol
Pap Test (Females)
Fecal Occult Blood Test
Mammogram (Females)
Digital Rectal Exam (Males)
Fasting Blood Glucose
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8) Does any person
to be insured have plans for extended travel?
Those
contemplating travel (within the next 4 months) or extended
travel (3 months or more) are not eligible for Individual
Medical insurance
coverage. This includes students who travel abroad or
study overseas.
9) Will any proposed
insured become eligible for any other form of medical insurance
in the next six months?
As
a general rule, medical insurance should not be taken if the
applicant will become eligible for other medical insurance
coverage.
Short Term Medical insurance would be recommended in
these circumstances.
Return
to Time Application page
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