Dart One-Hour Cleaners

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] 0, and have determined that this does not resolve my disputeI don't understand why a letter from the Social Security Administration doesn't satisfy the request for a monthly form to be submitted by a physicianI will agree only to the terms if auto pay is in place for six months at a time and the form is only to be completed at the end of the six month period Regards, [redacted] ***

This letter is in response to the follow up complaint filed with the Revdex.com of FortWorth and Tarrant County, Inc., received in our office on July 29, We have reviewed Ms.*** claim file and provide the following information.According to Ms*** certificate of insurance, in the Claim Forms Section, "Upon receipt ofyour notice, we will send you the necessary forms for filing a claimIf you do not receive theforms within working days, you can simply send us a written statement covering yourdisabilityThe statement should be signed by your physician and should include the dates aswell as the nature and extent of your disabilityThereafter, claim forms are required to be filedevery days, while disability continues." In addition, in the Definitions Section, Ms***certificate of insurance states, "During any period of disability, you must be under the care of alegally qualified physician or surgeon other than yourself, the joint debtor, or a member of yourimmediate family."On December 27, 2013, we received a copy of a letter from the Social Security Administrationaddressed to Ms*** dated December 18, 2013, which provided her Social Security AwardinformationWhile Social Security A*** information is helpful, it does not provide verificationthe insured remains under the care of a legally qualified physician or surgeon during the periodof disability, as required in the certificate of insuranceTherefore, fully completed, signed anddated attending physician statements are required to verifY the insured remains under the care ofa legally qualified physician as required in the certificate of insurance.To date, credit disability benefits have been issued, to the creditor, in the total amount of$5,508.46, for the period, October 22, through July 13, Based on the medicaldocumentation on file, Ms*** claim has been placed on our Mod-Amp program throughJanuary Mod-Amp is not a provision of the certificate of insuranceIt is an administrativeJuly 30, 2015*** ***liberalization we provide to our customers whose disability is permanent or who are not expectedto return to work for at least monthsWhile a claim is on Mod-Amp, only a fully completedinsured statement is required each month, physician information is not required until Mod-AmpendsIn January 2016, a fully completed continuing claim form, including a fully completed,signed and dated attending physician statement, will be required to consider additional benefits.We value our customers and look for*** to assisting Ms*** in the futureWe trust thisadditional information has been helpful in resolving her concernsIf you have any questions,please contact our office at the above address or toll-free a* ***

We received the above referenced complaint and appreciate the opportunity to respondWe understand that the family of Ms.*** are concerned that in spite of several attempts to cancel the above referenced accidental death insurance plan,American Health & Life Insurance Company would not
comply with their request without a copy of the Power of Attorney for Ms.***.A review of our records shows that our first communication regarding the above issue was on May 25, when ***contacted us to cancel Ms*** accidental death insurance certificateTo stay in compliance with HIPPA, we must havethe authorization of the primary insured to make any changes to their certificate; or if not available, a copy of the insured's Powerof Attorney or other legal document giving the authorization to a 3'' partyMs*** daughter, ***, was advised thatwe would need the authorization from Ms*** or a copy of her Power of Attorney in order to discontinue the coverage.On May 31, 2016, we received a copy of the Power Attorney and when *** telephoned on June 6, 2016, to inquire if it wasreceived she was notified that it was and would be processed in the order of its receiptUnfortunately, when the Power ofAttorney was reviewed on June 7, 2016, it was found to be only a portion of the document; we require the full copy of the Powerof AttorneyA letter was mailed to the address on file instructing that the full copy of the Power of Attorney would be necessary.On June 15, 2016, *** telephoned again and during this call she was notified that the Power of Attorney document wasincompleteOn June 21, 2016, we received the completed copy via faxOn June 28, 2016, we received another call from*** requesting that a refund of premium for months be givenShe was advised that her request would be forwarded to theappropriate department for consideration.On June 29, 2016, the Policy Administration department reviewed ***'s request along with the Power of Attorney documentand was able to cancel the coverage effective February 7, and process a 3-month premium refund in the amount of $38.25.A check in this amount was mailed to the address we have on file for Ms***.Given that the initial request to terminate the insurance wasn't until May 25, and that Ms*** remained covered underher certificate up to the time it was cancelled, we believe the refund amount issued to be a fair resolutionRemoval of anyadditional charges or fees applied to Ms*** Sears Credit Card, other than premium charges, will need to be addressedwith the credit card company.If additional information is needed or you have any questions, please feel free to contact me at the telephone number or emailaddress listed below

This letter is in response to the complaint filed with the Revdex.com of Fort Worth and TarrantCounty, Inc., received in our office on July 21, We have reviewed Ms*** claim file andprovide the following information.On September 11, 2012, our records indicate Ms*** elected
to purchase optional credit disabilityinsurance in connection with her OneMain Financial loan, ***, effective September 11, 2012and expiring on March 11,We have enclosed a copy of Ms*** signed and dated certificate ofinsurance for your review.According to Ms*** certificate of insurance, in the Claim Forms Section, "Upon receipt of yournotice, we will send you the necessary forms for filing a claimIf you do not receive the forms within 15working days, you can simply send us a written statement covering your disabilityThe statement shouldbe signed by your physician and should include the dates as well as the nature and extent of yourdisabilityThereafter, claim forms are required to be filed every days, while disability continues." Inaddition, in the Definitions Section, Ms*** certificate of insurance states, "During any period ofdisability, you must be under the care of a legally qualified physician or surgeon other than yourself, thejoint debtor, or a member of your immediate family."On November 22, 2013, we received Ms*** initial claim for a credit disability benefitsBased onthe attending physician statement, completed by Dr***, Ms*** was unable to work due to herdisability from October 22, through November 26, On the form, Dr*** also marked the1-months box for the approximate date Ms*** would be able to return to workTherefore, onDecember II, 2013, credit disability benefits were issued, to the creditor, in the amount of $306.03, forthe period, October 22, through November 25, 2013.On December 27, 2013, we received a copy of a letter from the Social Security Administration addressedto MsWard, dated December 18, 2013, which provided her Social Security A*** informationWhileSocial Security A*** information is helpful, it does not provide verification the insured remains underthe care of a qualified physician or surgeon during the period of disability, as required in the certificate ofinsuranceOn January 3, 2014, we received continuing claim informationThe attending physician* **
***
*** *statement received, completed by Dr***, and now indicates that Ms*** will never be able toreturn to full-time workTherefore, on January 13, 2014, we issued credit disability benefits, to thecreditor, in the amount of $341.00, for the period November 26, through January 3, OnJanuary 13, 2014, we placed Ms*** claim on our Modified Automatic Payment Program (ModAmp)through July Mod-Amp is not a provision of the certificate of insuranceIt is anadministrative liberalization we provide to our customers whose disability is permanent or who are notexpected to return to work for at least monthsWhile a claim is on Mod-Amp, only a fully completedinsured statement is required each month, physician information is not required until Mod-Amp ends.To date, credit disability benefits have been issued, to the creditor, in the total amount of $5,508.46, forthe period, October 22, through July 13, Based on the medical documentation on file, Ms.*** claim has been placed on our Mod-Amp program through January In January 2016, a fullycompleted continuing claim form, including a fully completed attending physician statement, will berequired to consider additional benefits.We value our customers and look for*** to assisting Ms*** in the futureWe trust this additionalinformation has been helpful in resolving her concernsIf you have any questions, please contact ouroffice at the above address or toll-free at *** *** *** *

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted]0, and have determined that this does not resolve my dispute. I don't understand why a letter from the Social Security Administration doesn't satisfy the request for a monthly form to be submitted by a physician. I will agree only to the terms if auto pay is in place for six months at a time and the form is only to be completed at the end of the six month period.
Regards,
[redacted]

American Health & Life Insurance CompanyP.O. Box 901099Fort Worth, Texas 76101-2099March 10, 2017[redacted] Fax: [redacted]Revdex.com Corporate Office 1005 La Posada Drive Austin, TX 78752RE: insured [redacted]Complainant: [redacted]Claim # [redacted]Certificate #...

[redacted]Dear [redacted]:This letter is in response to a consumer complaint filed with the Revdex.com, received in our office on March 7, 2017. According to our records, we have not received a signed and dated authorization from Lynn [redacted] to release information to the Revdex.com. Therefore, we will be responding directly to Ms. [redacted] regarding the complaint.If you have any questions, or require additional information, please contact this office at the above address or by phone at [redacted] or you may contact me directly at [redacted].Sincerely,[redacted]Claims Unit Leader[redacted] 
Fax [redacted]