FIELD GUIDE AND DRUG LIST

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Roxanne Terry
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1 FIELD GUIDE AND DRUG LIST CONTINENTAL CARE INSURANCE Continental Life Insurance Company of Brentwood, Tennessee (CLI) An Aetna Company CLICC

2 FIELD GUIDE Always take enough time with every applicant to assure that they fully understand all application questions and terminology. Applications for coverage will be rejected for the following: Anyone other than the applicant supplies the answers to the questions and signs the application. The applicant did not know they applied for insurance. The applicant is unwilling to complete a telephone interview. (Telephone interviews will be completed with all applicants.) Please advise the applicant to expect a call. If the application was submitted with a check from a third-party payor that has no family (spouse/partner, child, etc.) or business relationship (business owner, employee or retiree of the business). No premium or electronic funds transfer information is submitted with the application. CHOOSING AN EFFECTIVE DATE The effective date must be on or after the date of the application and, normally, will be the date the policy is issued.

3 UNDERWRITING Applications are underwritten up until the time the policy is issued. If a declinable health condition emerges between the time the application was taken and the time of policy issuance, the application will be declined. A yes answer to any part of Question 3 will automatically disqualify the applicant and the application should not be submitted. Questions on the telephone interview are identical to the application questions; however, questions concerning current medications and physicians being seen are also included in the interview. While the application form does not include a medications question, it is always advisable on any application to ask the applicant for medications currently being taken. Listing the medications may prompt the applicant to remember a condition, included in the application, which he/she may have overlooked. Certain medications may indicate a condition that is included in the application. The following Drug Information List contains commonly prescribed medications that are prescribed for conditions listed on the application; however, new drugs are regularly introduced and may not be included but may be unacceptable. Any questions concerning questionable medications should be directed to the Underwriting Department. A discussion of physicians being seen is helpful in determining eligibility. An applicant who is seeing certain specialists may suggest a condition included in the application; for example, an Oncologist may indicate treatment for cancer or a Nephrologist may indicate treatment for an unacceptable kidney problem. Other specialties that may suggest an unacceptable condition are Cardiologist, Hepatologist, and Psychiatrist. For questions, the Underwriting Department can be reached at , option 3.

4 DRUG LIST Abilify Actigall Actimmune Adriamycin Adrucil *Akineton for: alemtuzumab Alferon Alkeran *amantadine for: ambenonium Anandron anastrazole Aredia Aricept Arimidex aripiprazole *Artane for: Avonex AZT (azidothymidine) Azilect *baclofen for: multiple sclerosis benztropine Betaseron Bexxar bicalutamide *biperiden Blenoxane bleomycin bromocriptine bumetanide Bumex busulfan Busulfex calcium acetate Campath capectabine *carbidopa for: Casodex CeeNu Cerubidine chlorambucil chlorpromazine cisplatin clozapine Clozaril Cogentin Cognex Comtan Cosmegen cyclophosphamide cytarabine Cytosar Cytoxan dactinomycin Dantrium dantrolene daunorubicin *Demadex didanosine dideoxyinosine Disipal

5 docetaxel donepezil *Dopar for: doxorubicin Droxia edrophonium Eldepryl Eligard Eloxatin Emcyt Enlon entacapone epoetin alfa Epogen ergoloid mesylates Eskalith estramustine etoposide Eulexin Exelon Faslodex Femara floxuridine fluorouracil fluphenazine flutamide foscarnet sodium Foscavir FUDR fulvestrant galantamine gamma interferon gefitinib gemtuzumab Geodon Gleevex goserelin Haldol haloperidol Hydergine Hydrea hydroxyurea imatinib interferon alpha 2a interferon alpha 2b interferon beta Intron A Invega Iressa Kemadrin *Laradopa for: lenalidomide letrozole Leukeran leuprolide *levodopa for: *Lioresal for: multiple sclerosis Lithane lithium Lithobid *Lodosyn for: lomustine loxapine Loxitane Lupron Lysodren Matulane mechlorethamine Megace megestrol

6 Mellaril melphalan memantine mercaptopurine (6MP) mesoridazine methotrexate Mestinon Mexate *Mirapex for: Mithracin mitomycin mitotane Moban molindone Mustargen Mutamycin Myleran Mylotarg Mytelase Namenda Nardil Navane Nebupent neostigmine Nilandron nilutamide olanzapine Oncovin orphenadrine oxaliplatin paclitaxel paliperidone pamidronate Parlodel Pentam pentamidine perphenazine phenelzine Phoslo Platinol plicamycin *pramipexole for: procarbazine Procrit procyclidine Prolixin Prostigmin Purinethol (6MP) pyridostigmine quetiapine rasagiline Razadyne Rebif Reminyl *Requip for: Retrovir Revlimid Rilutek riluzole Risperdal risperidone Rituxan rivastigmine Roferon-A *ropinirole for: Parkinsons Disease selegiline Serentil Seroquel

7 *Sinemet for: Stelazine *Symmetrel for: Tabloid tacrine Taxol Taxotere Tensilon Teslac testolactone tetrabenazine thioguanine Thioplex thioridazine thiotepa thiothixene Thorazine torsemide tositumomab Trelstar LA trifluoperazine trihexyphenidyl Trilafon triptorelin pamoate Urso ursodiol Velban VePesid Viadur Videx vinblastine vincristine Wellferon Xeloda Xenazine Zelapar zidovudine, AZT ziprasidone Zoladex zoledronic acid Zometa Zyprexa lower case: generic name Upper Case: brand name

8 Continental Life Insurance Company of Brentwood, Tennessee An Aetna Company aetnaseniorproducts.com 2012 Aetna Inc.

DECLINABLE DRUG LIST

DECLINABLE DRUG LIST Individual Whole Life Insurance indicates that the drug will result in a decline. Make sure to list ALL medications on the application. Prescription medications may be used for multiple