FAJARDO

PHONE-800-252-2148

EMAIL-HELP@FMSERVICE.COM

FAX NUMBER: 1-888-778-4409

ADD FOR POA: Franklin Madison Group Plan Administrator P.O. Box 689070 Franklin, TN 37068-9070

ADD TO SEND ACTIVATION FORM: Benefit Plan Administrator P.O. Box 689070 Franklin, TN 37068-9070

41500 NASHVILLE TN

CLAIMS FAX-844-399-9346

CLAIMS EMAIL: fmclaimsintake@franklin-madison.com.”

CLAIMS ADD: Plan Administrator Claims P.O. Box 681749 Franklin, TN 37068-1749

PAYMENT ADDRESS Franklin Madison Group PO Box 11817 Newark, NJ 07101-8117

If customer wants to send payment overnight: Franklin Madison Group ATTN: Cash Department 120 Brentwood Commons Way, Suite 700 Brentwood, TN 37027

The customer has the option of faxing or mailing their correspondence to Franklin Madison. The correspondence should include: Coverage ID Action Requested Name and Address Financial Institution Date and Signature Telephone Number Correspondence should be routed to:

Franklin Madison Group Attention: Plan Administrator P.O. Box 689070 Franklin, TN 37068-9070

OR

FAX: 1-888-778-4409

Once their request is received, it can take between 5 and 10 business days for a response.

AFFINION- 1979 FMG- CHANGE NAME IN 2018

BALTO LOGIN-1308502@intelogix PW-FranklinMadisonBalto!

PRODSYS LOGIN: CSINT0018 MADISON2

LIVEVOX LOGIN: 1308502 Fajardo2024!

SEAMPAY GCPH003568 7ntq!Bd5yf

NURSE HANNA EMAIL: hannah.lois.montalbo@intelogix.com

AD&D Accidental Death and Dismemberment covers the insured in the event of loss of life, limb, sight, speech or hearing due to a covered accident

HAP The Hospital Accident Plan (HAP) provides cash benefits to the insured in the event of hospitalization due to a covered accident.

RECUP The Recuperative Care Plan provides cash benefits for hospitalization and recuperation to the insured upon release from the hospital, in the event the insured is hospitalized by a covered accident or sickness.

RECUP/ZURICH The Daily Hospital Confinement Injury and Illness provides cash benefits for hospitalization and recovery to the insured upon release from the hospital, in the event the insured is hospitalized by a covered accident or sickness.

BALTO NOT WORKING-06/21/2024

[IF THE DATE OF CANCELLATION IS WITHIN 10 DAYS OF THE NEXT BILL DATE, USE THE FOLLOWING SCRIPTING.] “Please be advised because we are close to the next bill date and we may not be able to prevent the next billing. If you are billed again, please call Franklin Madison to request a refund.”

Savings or Share SAV, SHAR, ESAV, ESHAR Checking or Share Draft CHK , S/DR, ECHK, ES/DR Credit Card CCRD, ECRD Direct Bill DBIL

REBILL “We were unsuccessful in debiting your current premium. We will attempt to debit your account again on or around the 15th of the month. Please have funds available at this time to prevent cancellation of your insurance.”

Credit Union National Association (CUNA)

HAP/MNL-NO TERMINATION OF AGE AND NO AGE REDUCTION

AMR-ACCIDENT MEDICAL REIMBURSEMENT

DONT EMAIL CPO FOR TRANSAMERICA

CLAIMS CALLBACK:

“Please be on the lookout for a callback within 1 – 2 business days from the toll-free number 866-567-6996 or a number beginning with area code 615.”

CLAIMS PACKET REQUEST: Once we receive the completed claim forms and documents, we will process and send them to the carrier for adjudication. If any additional information is needed to process the claim, the carrier will reach out to the claimant directly. Please allow 7-14 business days for carrier decisioning once all required information is received.”

All communication will come from the carrier regarding the status of the claim.

*FINAL DETERMINATION IS MADE BY INSURANCE COMP

How are Benefits paid? Benefits for dismemberment loss of the Primary Insured; or loss of life of covered dependents (family coverage), will be paid to the Primary Insured.

Benefits, for loss of life of the Primary Insured, will be paid to the named beneficiary(ies). If there is no beneficiary, benefits will be paid to the lawful spouse; otherwise to the duly appointed representative of the estate.

BREAK SCHED

B- 10:00-10:15 L- 11:15-11:45 L- 01:00-01:30 B- 3:00-03:15

MARLENE DE QUADROS 732373826

PROXY 10.;.gcserv.com;*.intelogix.com

https://hntpaappsv01.gcserv.com/index.php

10/10/2024 https://login.specopssoft.com/Authentication/ -

USERNAME- 1308502@intelogix.com PW;Youandmeonly@1

SECRET QUESTION: 1.WHAT IS YOUR FAV PIN CODE?-143444 2.WHAT IS THE FIRST AND LAST NAMEOF YOUR FIRST PARTNER?-SATURNINO FAJARDO 3.What is your partner's MN? PANINSORO

10.;.gcserv.com;*.intelogix.com - 1307176 - 1:10 PM

https://hntpaappsv01.gcserv.com/index.php - 1307176 - 2:23 PM

THERES AN OFFSHORE CALL CENTER HERE

WHAT YOU CAN SEE ON YOUR POL ONLINE/YOU CANNOT VIEW THE ACTUAL POL

TYPE OF POL BILLING INFO/PAYMENT/IF HAVE PAST DUE BENEFICIARY

WE DIDNT COLLECT PAYMENT IN ARREARS

      THIRD PARTY

INTELOGIXDFAJARDO/ DAUGHTER CI TO CXL PI DECEASED POL/VER AND PROCESSED REQ WITH REF/DID NOT FILE A CLAIM

PROCESSED CPO VIA MAIL/EMAIL PER REQ

INTELOGIXDFAJARDO/ DAUGHTER CI TO CXL PI (NOT AVAIL) POL/VER AND SEND LTR OF CXLTION

INTELOGIXDFAJARDO/ DAUGHTER CI TO REPORT PI PASSING/VER AND CXL POL WITH REF/DID NOT FILE A CLAIM

INTELOGIXDFAJARDO/ DAUGHTER CI TO REPORT PI PASSING/VER AND CXL POL WITH REF/PROCESSED CPO VIA MAIL/EMAIL PER REQ

INTELOGIXDFAJARDO/ DAUGHTER CI DUE TO PI DECEASED RCVD A PDN/BILL/VER AND CXL POL

INTELOGIXDFAJARDO/SPOKE WITH SP AND PI ABT THE CHARGE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/ DAUGHTER CI TO CHECK IF PI DECEASED POL IS ACTIVE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/ DAUGHTER CI ABT THE CHARGE ON PI ACCT/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/SPOKE WITH SP AND PI WHAT IS THE $33 CHARGE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/SPOKE WITH SP AND PI WHAT KIND OF COV THEY HAVE/VER AND PROVIDE INFO

      PRIMARY INSURED

INTELOGIXDFAJARDO/PI CI TO CXL THE POL/VER AND PROCESSED REQ

INTELOGIXDFAJARDO/PI CI TO CHECK IF POL IS ACTIVE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI TO GET COPY OF POL/VER AND SEND DUPCERT VIA EMAIL

INTELOGIXDFAJARDO/PI CI WHAT TYPE OF POL/COV SHE/HE HAVE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI TO UPDATE ADD/VER AND PROCESSED REQ

INTELOGIXDFAJARDO/PI CI TO CHANGE/UPDATE BENE/VER AND SEND BENE FORM VIA EMAIL

INTELOGIXDFAJARDO/PI CI TO CHECK WHO IS THE BENE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI TO UPDATE ACCT INFO/CC/CHECKING ACCT/VER AND SEND ACF VIA EMAIL

INTELOGIXDFAJARDO/PI CI WHAT IS THE CHARGE ON HER/HIS ACCT/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI DUE TO RCVD PDN/BILL/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI TO MAKE A PAYMENT/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI WHEN IS HIS NEXT PAYMENT/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI WHEN IS HER NEXT PAYMENT DUE/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI DUE TO RCVD PRIVACY NOTIF LTR/VER AND PROVIDE INFO

INTELOGIXDFAJARDO/PI CI TO FILE A CLAIM/VER AND PROCESSED CPO VIA EMAIL

VIA MAIL

INTELOGIXDFAJARDO/PI CI TO CHECK STATUS OF CLAIMS/VER AND PROVIDE INFO AND TF

INTELOGIXDFAJARDO/PI CI TO CHECK STATUS OF CLAIMS/VER AND TRANSFER TO CLAIMS DEPT