Bankers Life & Casualty Long-Term Care Insurance Reviews

When my aunt passed, I contacted Bankers to finalize the policy and receive her final LTC payments. After providing the information requested to finalize the policy, I made ~16 phone calls to Bankers customer service (800-621-3724) over ~4 months. Each time Bankers representatives provided no new status or requested additional, conflicting, or duplicate information. Finally, I demanded a supervisor and after being on hold for 75 minutes was told Bankers required more information, contrary to previous calls where I was told they had all information needed. After providing this information again, I got the same runaround and after pressing the issue found the supervisor was at a Manila call center, did not know the Bankers Life location in America, and had no influence in resolving the claim other than notations in their system.

At this time, I contacted the local Bankers agent who had helped get the LTC policy turned on. After telling the agent I was considering filing a Consumer Complaint with the State Insurance Board, the agent contacted his supervisor, who contacted the Main Bankers Life headquarters. Finally, a Bankers Life representative from the main office contacted me, and after briefing the agent on what I had been dealing with for ~ 6 months and providing previously submitted information, the claim was approved, and the final LTC payment received.

From this experience it appears Bankers Life’s LTC business model is to make it so hard people (especially the elderly without an advocate) will get frustrated, worn down over the continued bureaucracy and conflicting information to understand what is required, and give up, thus getting Bankers out of paying the policy holders what they are entitled. I recommend others trying to get payment resolution from Bankers to avoid the customer service number and go directly to your local agent to avoid frustration and runarounds. Hopefully enough consumer complaints will change the current Bankers policies and procedures that hurt the elderly.

Avoid this company at all costs. Get refunds for all your premiums NOW, and look for a much better rated company. I'm a telecommunications executive in my late 40s. My mom, 82 yrs old. If my mom was trying to fill out forms and get a claim approved much less reimbursed, she'd be dead a decade and OUT all her premiums AND dead broke since BL won't ever reimburse you no way no how. Next stop is calling the local news station and get more spotlights on this company and its shady business practices.

My story: It took 10+ phone calls talking to a different person each time, multiple letters containing requested documentation, extremely long turnaround times to get an answer, to start getting paid. Then some claims would be denied for various bogus reasons, such as my father signed the check to the caregiver, and your mother should have signed it, SERIOUSLY, this actually happened! Their standard answer when I asked how long it will it take until we see a check was, "Well, it takes 30 days from the time we approve the claim to send the check out". What they ALWAYS neglected to add was they didn't know how long it would take to approve the claim AND then it takes a week to put it in the mail, then it takes a few days to reach us.

In other words, they can stall, and stall, and stall they did. After months of back and forth, literally hours on the phone and providing various written documentation, not to mention the extreme frustration I threatened to complain to our state insurance commissioner, magically, they started to be more helpful and we started to receive checks. Ultimately they put me with a 3rd party online caregiver hours reporting system that did work well. Why didn't they do this in the beginning?? Ultimately, we were reimbursed for our caregiver expenses but getting there was extremely difficult, to say the least. My parents would not have been able to navigate it.

Then the Nurse called the following week and was told they received the documents except 1 page, so she re-send the missing page. I then called the following week to check on status but was told that they received... NO information at all!!! The people are crooks. They just do not want to pay. People can't be this incompetent without actually trying to be that bad. I try to speak to a supervisor and am told "someone" will call me back, which does not happen. I ask to file a complaint and told I have to "mail them a letter" --- which I'm sure they will lose too! Do NOT purchase this insurance. My Mother's Dr. office tell me they have had lots of problems with this company many other times. This should be illegal.

My father took out one of their Long Term Care policies back in 1993 and set up the premiums to be paid directly out of his bank account. In August of last year he had a major stroke and would now be needing long term care at a local skilled nursing facility. Even though he had Medicare and supplemental through his work, I started the process of alerting Bankers that I would likely be filing a claim after the first two options ran out. I didn’t have in my possession the actual policy that he had taken out with them and couldn’t find it at his house. I alerted Bankers Life and they told me they would resend the policy to his residence and not mine since they didn’t have my existing POA papers. I said that was fine since I was having his mail forwarded to me anyway and that I would send the POA papers to them. I uploaded the POA forms and waited for the policy.

Weeks later I realized I hadn’t received them, (my bad, but life got in the way). I called again, spoke to someone else who said they had no request on file and they had no record of my POA being uploaded. OK, stuff happens, so I re-uploaded the papers. Waited another couple of weeks, no policy. I call again. They have them. They’re being processed. Several more weeks pass and I receive a confirmation letter that my POA has been recorded in the name of my mother, who had passed 5 years previous. Another phone call to the agency that now is supposed to be servicing the policy since the original agent is now long gone. Agent tells me that they didn’t receive second page of POA. I resend everything again, including my mother's death certificate, but this time to the agent.

Weeks go by, receive another letter finally stating me as the POA. Still no policy. Call again, speak with phone rep, Unique, in of all places, their call center...in Jamaica. Still no request on file for sending me a policy. Request a policy, but they have no record of my POA. Tell her I have a letter stating me as the POA. She says it doesn’t matter, she has no record of it. I am now thoroughly pissed and not certain what to do.

On Nov. 20th, my father passes away. At the beginning of Nov. the nursing home was kind enough to fill out the majority of the claim and submit the claim. This is a service they offer to all their patients' families. She had questions about the claim as well and calls Bankers numerous times and couldn’t get straight answers and could never talk to the same person twice because Bankers doesn’t assign a single person to handle your case, you have the misfortune of having to talk to whomever is available...in Jamaica. She tells me that they keep asking for the same information from the nursing home again and again and again. It is now well into Dec. and they keep asking for the same info yet again. They are sending me letters now, telling me what they are asking for and it’s the same thing as the time before and the time before that etc. The nursing home has now sent the information 3 times.

Oh, and Bankers also doesn’t deal with 21st century technology, everything is done by snail mail. One of the forms I received from them was dated 18 days prior to the date I received it. All of the information from the nursing home had to be snail mailed....again and again and again. The nursing home is now calling me to see if I can call Bankers, since they will give out no information to the nursing home, (and this is after I have told them twice to give the nursing home any and all information that they need), I am furious at the stall tactics and call Bankers yet again.

Spoke with another rep in the Jamaican call center. Can’t understand a darn word she’s saying. They transfer me to another rep. Ann. She can only tell me that the claim is in process and they are waiting on the nursing home. I tell her she’s lying because I just got off the phone with the nursing home and that she has sent all the necessary information 3 times with the last time being 2 weeks ago. I again demand a copy of the policy, she refuses because, guess what? They don’t have me listed as POA??!! And now they don’t have to send me anything because POA ends at death! Oh, that’s right, Bankers didn’t even have that little tidbit of information in the file! I had told everyone I had spoken with after Nov 20th that my dad had passed. I got a condolence letter in Dec, but no one had recorded it in the file. How pathetic is that? And now I don’t have a leg to stand on to get a copy of the policy or any other information.

I demand to speak to her supervisor. I also now am demanding to know where the call center I am speaking to is located. She dances around the issue until she blurts out “Jamaica. We are on the island of Jamaica.” Way to go, Bankers Life. She also was not wanting to tell me her supervisor's name, since he “was out of the office at the moment.” She finally told me his name was “Willy” and that she would have him call me. Yeah, right. No call back that day, or the next.

Finally frustrated to the point of tears, I call the union liaison that Navistar has appointed to help its retirees with insurance claims. He proceeds to tell me how much trouble he has had with them and that maybe the reason they don’t want me to see the policy is because some of their policies he has dealt with offer a refund of premium if no claim is made. I’m now righteously angry.

I now call the agent again, in Waterloo, IA. I explain the issue to her and I’m not speaking softly. She offers to call the home office if I calm down and stop yelling. I apologize and give her a synopsis of the problem. I can tell she thinks I’m exaggerating. She calls back in about 30 mins. Lo and behold, they won’t give her any information or fax her a copy of the policy. This is the AGENT THAT IS SUPPOSE TO SERVICE THE POLICY AND THEY WON’T GIVE HER ANY INFORMATION! She is stunned. Does tell me that as soon as the higher ups return from their New Year’s retreat, (yes, by now it is 2018.) I am done waiting.

I draft an email to her (although to her credit she is the only person at Bankers that actually tried to help me and showed some modicum of empathy towards me). The email stated that I wanted a copy of the policy in my hands in 2 days and that I had already contacted my attorney and was filing a bad faith lawsuit. I also stated that I had already opened a case against them in the State of Illinois with the Department of Insurance. The next call would be to my State Senator and a local Circuit Judge. I get an immediate response from the agent that she is forwarding my email to the powers that be regardless of what retreat they are on.

The next day, I get a call from Rob in the home office...in Chicago. He is stunned and amazed by how Much trouble I have had...But he still can’t send a policy directly to me!!! He assures me that he will personally oversee the rest of my claim...that it is in process and they are only waiting on the nursing home!!! He assures me that he would make sure a check is cut to the nursing home as soon as the claim is completed. He says they will overnight the policy to my father's address, in Central Illinois, 4 hours away from me. He says they will forward it after I tell him there is no one there to receive it. No problem, he says they will definitely have it forwarded. Guess what? It wasn’t forwarded! Fed Ex left it in the freaking DOOR!!! My husband drives 8 hours round trip to retrieve the policy. Finally received a check from them for the claim on February 2nd, when I had begun the claim process on Oct. 4th. Yes, that’s 5 months.

My husband, who works for a major insurance company, was appalled by how badly this company runs its claims. The final icing on this wretched cake came with the check. In a small statement on the stub, the comment was written, and I quote this, “patient has not met the required waiting requirements. Your insurance does not pay for losses to the extent that they are covered by Medicare. However, as a valued policyholder, and to provide you with the best possible service, we are applying Medicare covered days towards your elimination period. You have met 20 of 20 days of your elimination period to date.” Yes, thank you Bankers Life for being so gracious as to afford me the finest possible customer service, you pathetic excuse for a company. If this is the best possible service, I would sorely hate to see their worst.

Bankers Life accepted my copies of the paid weekly invoices but never mentioned to me that more information was needed. My contact at the caring facility mentioned that this was the worst insurance company she had experience. Their system for invoicing was not set up for the week's calendar dates and hours of care. She built a handwritten spreadsheet on one of their invoice form. I mailed this form to Bankers Life on December 5th. We didn't hear from them so I assumed it was trashed. Three weeks later I built a Excel spreadsheet in date sequence, showing my check number, the date, the facility, total hours and check total. I mailed this on December 27, 2017 with another set of copied invoices which included the image of my payment checks.

Later I called them and told my Bankers Life contact that if I didn't receive the amount due me from my spreadsheet I was going to report them to the my state and I'm thinking of getting a lawyer to take the company to court and Bankers Life will pay for all costs. My contact told me I would have priority and reimbursement checks will be mailed within a few days and he will keep me posted, which he did. I received the checks around January 20th and another check about a week later. I would not recommend Bankers Life for long term care insurance.

We waited... and waited for about 6 weeks. They called and said that they needed additional information. We sent it... and then waited. After a few more weeks they sent out a nurse to evaluate him. She ran some basic tests and then we waited. They asked for more information. But while we were waiting for them to review the new documents... my father had a fall and broke 4 ribs. He was sent to the hospital where he stayed a week before being sent to a rehab facility. Because Bankers was dragging their feet for so long, and weren't helping with any costs, we had to take my father out of the assisted living facility. We figured that once he was released from the rehab facility he could move back into our home again while we waited for Bankers to finally get around to approving him.

He was at the rehab facility for a month and all of the doctors and nurses told us that there should be no problem getting him approved for long-term care with his physical limitations and dementia. We moved him back home with us and we heard that Bankers Life didn't feel that he needed any assistance and denied his long-term care. We appealed, and sent in 90 pages of documentation from doctors and nurses, stating all of his physical and mental conditions, and the doctors recommending that he be in an assisted living home... but that too was denied. Well, we decided to have help in our home while we went back and forth with Bankers Life.

So we called a home health company, who had helped out previously, and they sent a nurse out to evaluate him for home health. We also contacted Bankers Life, yet again, about home health while we could make arrangements to get him back into assisted living. They also sent out a nurse. Both nurses arrived the same day and at the same time. Both evaluated him and both agreed he was needing help. The local home health company worked through Medicare and started the next day. We heard from Bankers Life a few weeks later telling us that his claim was under review. Another month went by and they sent us another letter telling us that it was still under review.

We finally heard back today that they will approve home health assistance, but we are moving him into a nursing home next week. Hopefully they will allow the care that he gets there as proof enough to allow us to move him into an assisted living facility again. There is zero chance of us ever referring anyone to Bankers Life. They are very skilled in the art of delaying and dragging their feet to the point that people want to just give up. Horrible, horrible service and company.

I told them I had an attorney because I had been appointed Legal Guardian of Mom since she was unable physically and mentally to care for herself which they were fully aware of because I had sent them a copy of the guardianship papers from the court. I then told them they could pay the attorney fees, court costs AND pay my mom. I would not be contacting them again and I did not want them to contact me unless it was to send me a check for Mom. They started sending me checks. It is a shamed that you have to threaten them to get them to do what they were paid to do. I wouldn't even give them 1 star.

I gave her a list of questions to ask about the policy and some pointers about what to look for. When the agent from Bankers Life arrived, he was very pushy and actually told my client to omit some health details when filling out the application. She also tried asking him the questions I gave her about the policy and he noticeably was growing very frustrated with my client and eventually told her if she doesn't trust him then he's not doing business with her then he packed up his things and left. These business practices are very unethical and need to be looked into.

I would set an appointment with the current agent and tell her horror story about what a horrible company they work for. By having the current agent from Bankers Life come to her home even after her death, was a way to keep Bankers Life products out of someone else's home at that time. I had to give up my full time job, take a $50,000 pay cut to take care of my mother for over 10 years due to Bankers Life's unethical practices. Income loss total of over $500,000. I love my mother and did what I needed to do to take care of her.

I hate unethical companies like Bankers Life. BUYER BEWARE! I have since dedicated my life to helping people through the Knights of Columbus. I have become a field agent for more than 11 years now. I am an MDRT member and love helping families with an award winning Most Ethical Company. Thank you Knights of Columbus for helping me provide benefits to families that are guaranteed to be there when families need the most.

I am turning them into the insurance commission and contacting my lawyer. As my parents will now have to sell their house just to afford my father's care. Mind you they bought this policy in 1996. And Bankers won't pay off on the claim but they still want my mom to pay them every month for a policy they won't honor. You are better off same bagging your money to pay the care home direct when your time comes. Bankers Life and Casualty is taking advantage of senior citizens. Please don't let it happen to you.

My father will now have to pay for care out of pocket for 6 months before they will review another claim. "Customer service rep" when asked if he would likely be covered if he had to have a foot amputated or had a stroke replied "probably not." This company just plays games with people. Your loved one may die waiting for their care. If you want to pay for years to only get a year of coverage then you might not think it's so bad. Buyer beware.

Think about it before you invest in this company & coverage or lack of it. Wish you luck. I'm in my 3rd month keep copies of everything, record conversations with company. Protect yourself with some other company is my advice. I can face or put on my phone & send photos of all I have done on my behalf to get funds paid. On my third visit to doctor I was told they knew nothing about it. Wonder egos making money on this & would like to see how many people have had same experience.

I wrote a blunt letter in late January of 2016 telling them not to contact her again and sent another copy of the POA. I then heard nothing else until last week. It was a letter dated mid-February stating that she qualified under the terms of her coverage as of mid-April 2015 (the beginning.) The next day I got a $12,000 check in the mail for October 15 - January 16 bills.

I called today to check on the other months and refund of the premiums for the retroactive months during which we had paid the $400 per month in premiums. The customer service representative said the check for mid-July - September of 2015 has been processed and mailed out and a separate one is in process for the refund of eight months of premium payments. The total of the payments for the retroactive coverage is $26,000. This miracle has occurred without any intervention on my part beyond the one letter I sent.

My brother and I were hoping they would start paying as of now, but figured we would have to fight for it. We certainly had not dared to hope they would backdate her eligibility (even though the policy said they might). After this unbelievably positive experience with Bankers Life, I felt I owed it to that company to write this review.

We live in a suburb of Boston - the latest letter regarding our application for reimbursement for home care services provided states "we were unable to locate a Licensed Home Health Care Agency near your address." Are you kidding me? They're all over the place being so close to a metropolitan area with numerous world known hospitals!!! The consequences are that I'm paying out of pocket for home health care support because any "Licensed Home Health Care Provider" that I spoke to would not work with Bankers Life and requires private pay.

The agency is being great providing me with documentation every week to try to meet the requirements. I'm going into debt so I can go to work part-time to avoid too much FMLA unpaid time. These stories would make good fodder for a John Grisham novel. 5 red stars in all areas (the system would only allow 2 for dissatisfied) - my parents' money went down the drain $110 a month for 25 years - now nothing but stress and possibly attorney's fees to show for it.

I have contacted the SC insurance commissioner and launched an investigation for Bankers purposely prolonging claims and cheating the ill elderly. This company will do anything not to pay. Worst company I have ever in my lifetime dealt with. It's a shame they don't pay what people have paid for all their life. It's stressed and upset my mom to the point she has lost too much weight so I had to tell them not to contact her. My mother is in her last stage of renal kidney disease and is on dialysis 9 hours a day to stay alive. I cannot believe we have a company like this in operation. It's a total nightmare.

In the meantime I have spend all of my savings paying someone. At the rate this be handled I might be dead before you people do what you said. I have a policy and have read it three or four time looking for the information you said you needed. If my claim is not processed and paid by 12/10/2015, I am filing a claim with the Better Business Bureau and writing the Insurance Commission about shady business practices. Who would do a sick senior citizen like this?

Once we had that taken care of, we were told to send the monthly invoices we received from the facility (after they were paid, of course) to Bankers Life claims department and they would reimburse us. We did, and we have received nothing but stall tactics, headaches and frustration. This company will try ANY trick in the book to deny the monthly claim. I have begun documenting EVERY representative that I speak with and my mothers long term care facility has as well.

My experience has been nothing but frustrating and full of headaches. Today the representative told me that they STILL need more information and I was happy to be calling from home and not my desk at work because I let loose and after almost 10 minutes on hold and me providing the date, time, and name of the person the nurse spoke with and the last check magically went out yesterday. I told her... "I'm in Wisconsin and you're in Indiana and if that check isn't here in 5 business days I will be calling again!"

We left a lot of the benefits in place because Mom like John and she didn't suffer from acute Alzheimer's like my father, but she did have mild dementia and when the insurance company gave her the runaround she was not equipped to stand her ground or meet their redundant requests. That's when my sisters and I took charge. It is the same story that many of you share here. Refused claims even when paperwork is in order, loopholes, rude customer service agents, endless transfers and excuses. It took us almost a year of constant battling to get their claim approved and benefits in place.

My father died before he could use all his benefits, but mom exhausted her care allowance and has to pay premiums again for six months before she can make another claim. We knew this ahead of time and called to make arrangements to restart policy premiums and to start we did not want to risk losing this policy. It is all that stands between her and a nursing home. We faxed the documents. I have the fax log confirmation. I faxed it again requesting information. Nothing came in the mail, and honestly I forgot to get back with them. I thought I would be reminded by something arriving in the mail. I should have known better. I already know their tricks.

Four months later we are getting close to making another claim. I'm getting ready with doctor's evaluations, statement of receipt, certified CNA's, daily care logs and proof of care. I am meticulous because I have learned what they want. I looked in her bank to count how many ACH withdrawals have been made from Bankers Life- ZERO. No evidence of any activity from Bankers Life in the checking account. I call their customer service dept to learn the policy had been cancelled due to non-payment. Wait, what?

They said they never rec'd the fax. Even though I said I have the fax confirmation, the reps response was "that only proves you sent it, it does not prove we rec'd it." It is past the deadline now and the policy has been cancelled. I could submit a letter requesting reinstatement was the response I received when asked what I needed to do to fix this situation and get things back on track. This information was not freely given. I had to ask several times. So now, I am sending the fax confirmations, the ACH paperwork and a request to reinstate via fax, upload and snail mail to be sure they received the info. I am also sharing this with my Senator Bill Nelson who was key in expediting VA spousal benefits for my mother when the VA was taking a year to process her claim. I am hopeful for good results.

You have to understand their goal is to make it SO difficult to submit a claim that most older people just give up. Get involved with your parents care, document every fax, phone call, email. Save everything. Record the phone calls and tell them that you are doing it. If you have done everything you're supposed to and you still feel cheated please email your senator. Involve your local politicians, that's what they are there for, to help you when situations seem hopeless or unfair. I wish I had an ending for this story, we are still engaged in a battle.

Well 25 days has come and gone and we have yet to receive an answer or check. I will not give up. My dad has paid on this policy for 20 years and he will receive the benefits promised. I am up for a class action suit or a private suit. But I will not give up. I will call the agent and the claims department everyday if I have to. This is ridiculous. They promise the moon when they are selling the policy but won't give you a light bulb when the time comes to cash in on the need.

The Long term care claims were denied because my husband attended his doctor during the week the policy was being processed. Policy denied. Now my husband has passed away and I'm told this policy is being contested as well. The policy was underwritten by professionals and we complied with every request to provide access to all medical records. Now when I need help the most I get the cold stare from the agents and the company.

Minimal communications - the lady on the phone said something will be mailed to me. I submitted this policy to the funeral home in good faith. This company is a sham. I'm cancelling my existing policy because I don't want the same thing to happen to my loved ones. Consumers have no protection against these slick agents and underwriters. They have access to your medical records and doctors and can deny a policy at will.

We began meeting with the first agent in January of 2012 after my father-in-law went missing and was thankfully found. We started the claim process at that time. After numerous delay tactics, mismanagement, and incompetence on the part of Bankers, we were finally, one year and two months later in March 20, he was DENIED money for his daily care. We were asked numerous times to provide information that we had already provided. It went on and on. In addition, our caregiver was told to take classes for her certificate and she would be covered. She spent over 700.00 to complete the course, but they refused to pay on the grounds that she was an independent caregiver. Nowhere in the policy does it stipulate that the caregiver needs to be associated with an agency. I wrote to the NJ Insurance Complaint Department, but to no avail.

Just recently, my father-in-law stayed at a local facility for respite care, which was covered in his policy. The dates were 12/24/14-1/5/15. Of course the facility faxed 33 pages of information to Bankers, then completed another 10 pages deemed necessary for the claim process to continue, which it hasn't. That was not enough. They required an itemized bill, which the facility does not complete. I'm sure Bankers knows this well.

However, the facility has been very helpful and is trying to meet all of Bankers' requirements. The facility stated that they have NEVER dealt with this problem before and they deal with companies all the time. I have called Bankers repeatedly. The last time I asked how many people were handling our claim and the man said, "Quite a large number of people." This is absurd. Every time I call now I am taking names and writing what they tell me about the claim so I can keep track. I get someone different all the time. They appear to be reading from a script. I could go on and on. This claim still has not been resolved. But let's do something.

Please help me do the following: Write a letter to the president of the company - Mr. Scott Goldberg. It looks like the HQ is in Chicago. 111 E. Wacker Dr. Chicago, IL 60601-3713. Write to the insurance complaint department in your state. Nothing will help unless we make this more public. My next step will be to contact 7 On Your Side, our TV station in NYC. Please contact your local station. Please send letters to your local newspapers. CNN also has investigative reporters such as Drew Griffin. Write to the BBB of Illinois. You can do that on the BBB website. I am appalled at how much time this takes. But the bigger issue is that this company is getting away with making promises and knowing full well that unless an elderly person has someone to fight for them, they will never get a penny.

This company preys on the elderly who can't defend themselves. It is as bad as the scams you read about with people taking money from the elderly. I will keep on this company until something is resolved!!!

They tell you you can go with whoever you want, but that is pretty much a lie too because they will look for ANY reason not to pay a claim. They keep calling to see if they can find something in your recorded conversation that will let them off the hook. If you're even considering this company - run - don't walk. I would NEVER get a policy like this and especially NOT from Bankers Life, after seeing how difficult it is to use it. It was definitely a waste!

Finally I have been getting help with an office locally. She would fax to them my paperwork so no excuses. They have been wonderful but now the headquarters say this is not enough. I would send them for the last couple of years a copy of the back and front of the check. Now they want the banks cancelled check so we are talking waiting a month before I get my statement and a couple weeks for them to process. I am tired out fighting this awful company. Would love to quit but that is probably what they want. Can't something be done???

She did a brief stay in Rehab, while in Assisted Living (which Medicare & supplemental Insurance covered). We just got a letter in the mail stating that they've now overpaid us (since they paid for the Rehab stay--which we told them OVER & OVER that we were NOT claiming for that care), but they refused to listen & cut the check anyways. Now they are requesting reimbursement. We finally received one check and have submitted additional invoices for her care thru October 2014. In the meantime, we've spent well over $24,000 for her care, and her move to a permanent Long-term care Nursing Home. We're waiting for reimbursement of Sept. & Oct. charges to continue to pay for her care. We cannot put her on Mass Health as long as there is Insurance Money that can be used.

Now, we're scrambling to make another Month's payment to the Nursing Home. BUT I have to get on the phone & explain to them AGAIN, that they paid for care they shouldn't have, and that we're still waiting on payment for her Assisted Living expenses, and Nursing Home care. They very readily took her $$ for 12 years, but when it comes to submitting a claim for reimbursement, they make it extremely difficult - and if it wasn't for me, her daughter handling this, she would've given up on submitting any type of claim - due to her age & health. Oh yes, and as her Power of Attorney, it took over 3 phone calls to get them to even talk to me. They wanted an Original copy of the PoA which I don't mail out to anyone. I wouldn't recommend anyone buying LTC Policy thru them, unless you don't plan on using it.

I contacted Banker's and asked what they needed for me to file a claim. They gave me a list, reminding me that this was supposed to be a home policy and therefore they would only pay the amounts for the services themselves, not the "room and board charges." I assembled everything they asked for in a packet and sent it to them. They continually requested the same information from me and her doctor and Patriots Landing numerous times, then denied the claim. I contacted Kip, the agent, who said he didn't know why they would deny it and that he had also sent a copy of the info to them. Since then, the Claim Dept has told me to file for an appeal, as my mother's Dementia has progressed to the point where she could not stay in Assisted Living (she attacked other residents) so she was sent to Highline Medical Hospital's Specialty Campus, where she was evaluated again for a two week time period with a final diagnosis of Dementia and Alzheimer's.

Since Patriot Landing had no opening in their Memory Care wing, she was transferred to Emeritus @ Harbour Pointe, in Ocean Shores, WA. My sister had built a house there, and would be able to visit with her there. I filed and sent all the paperwork again, this time as an appeal. After weeks, I called to be told they wanted it filed as a new claim since she was at a new facility (meaning we would not be reimbursed the amounts they should have paid from February 2013 on). And finally, we get to today, when I received a call telling me the claim was denied. Emeritus hadn't sent the documentation to prove Dementia, nor other statements of itemized billing and their Facility License, and that even if they had, we need to go to a different company called "Personal Service Providers" at ph (360) 538-1540.

The claim was denied. I have been around and around with this company, supplying the paperwork time after time, and they are still taking money every month for this policy they refuse to pay on. I can't be the only one they are doing this to, and I am ready to do whatever it takes to get them to honor their contract or refund all monies they have collected from my mother, with interest calculated at the 2002 rates.

The way this stacks up, the family must make the payment to the nursing home and then depend upon a reimbursement each month from Bankers Life. All other companies make payment direct to the nursing home at the beginning of the month. In other words, you may have to pay out 16,000 dollars before you will see one penny from Bankers Life. Think about it.

I recently received a letter indicating that my premium was going up in July "due to a change in your age." I called Pat two times to find out why my premium was going up in July and not in November, as that is the anniversary date of my policy and my birth month. Pat never returned my calls.

I finally called the 800 number and was told my premium was going up in July since that was the month I signed up for the policy. I protested, indicating that my policy and premiums did not start until November and that is when the increase should become effective. This is five months too early and it adds up every year it happens. I didn't get anywhere and asked for a supervisor and she (Raquel) indicated she would have a "processor" review and get back to me in 10-15 days with a decision. That was on June 21 yet I have not received any call from her since that date.