Understanding The Nuances Of LTC And Chronic Illness Riders

As more Life Insurance carriers enter into the Linked Benefit marketplace, it’s important to understand that there are key differences in how their policy riders will provide living benefits to the insured.

Knowing the ins and outs of these riders will help save you and your clients from some potential problems in the future.

There are two different ways in which insurance carriers file for these accelerated benefit riders – first as a Chronic Illness Rider or second as a Long-Term Care (LTC) Rider.

What are the differences?

Chronic Illness Riders generally require a physician to certify the condition as “likely to last the rest of the insured’s life” while LTC Riders can be utilized for either temporary or permanent claims.  While on claim for a LTC rider, policy premiums are likely to be waived though some carriers will still require the scheduled premium to be paid.

For temporary claims, you’ll want to be mindful that carriers can require a catch-up premium for the waived scheduled premium which was not remitted while on claim if the client recovers and is no longer in need of Long-Term Care.  This can become very prohibitive if the scheduled premiums are significant and/or the client is on claim for an extended period of time.

One way to work around this issue is to have shortened premium paying period inside of a “paid-up” policy so that there would be no additional premiums due in later policy years when a client is more likely to have a LTC claim.

When promoting a Chronic Illness Rider, it is important to understand whether there is a cost or charge for the rider when it is accessed and also if there will be any limitations to the amount of the benefit available to the client.

Some products will not charge a cost until the rider is accessed and some carriers will not be able to determine the amount of benefit available until a claim is applied for.  Clients should be made aware of these points before making a final purchase decision.

Another key consideration is how the benefit will be paid to the client

For Chronic Illness Riders, it may only be a question of how frequently the benefit is paid out.  For LTC Riders, you will need to know whether the rider is indemnity or reimbursement style.

Indemnity allows for the full benefit to be paid once the client qualifies for the rider without consideration for the actual expenses incurred as result of the LTC provided.  Reimbursement riders will only provide benefit for the actual cost of the qualified LTC services and require the client to coordinate the benefit with the carrier.

These are just a few of the different features and functions that you should understand when promoting permanent insurance products which include living benefit riders.  Additional consideration should be given to the specific details for each product and rider that you are recommending to your clients.

If you have any clients that you would like to consider for this concept or if you would like learn more about any of the particular products or riders available, please call your dedicated Life Sales & Marketing Specialist today.

High BMI Weighing You Down?

Our Underwriting Department can help you make the sale for your clients whose heavy build may be weighing down a chance for a favorable underwriting decision.

The Reality:

71% of American adults are considered overweight and nearly 40% considered obese
20% of American adolescents ages 12-19 are overweight or obese
18% of American children ages 6-11 are overweight or obese

Here are some case examples from A+ carriers that may surprise you:

A male non-smoker, 5’11” and 265 lbs. and in good health otherwise could qualify for STANDARD rates
A female non-smoker, 5’4” and 235 lbs. could qualify for STANDARD rates assuming no co-morbidities (heart disease, diabetes, sleep apnea, etc.)

Call our Underwriting Department today to turn real life cases into success stories for you and your client.

LTC Costs Are On The Rise – Are Your Clients Protected?

Over the years, we have been able to recognize and identify trends across the long-term care market.  While the cost of care among all providers has increased, the cost of facility based care has grown at a much greater rate than home care.

While your clients have more choices than ever before, it is vital to be aware of the associated costs in order to build a better asset protection plan.

If you live to 65, there is a 70% chance you will need some form of long-term care services, so creating a sound financial plan for managing future costs is very important.

What are the costs?

The majority of claims are paid out for home care or for an assisted living facility, which typically costs much less than a nursing home.

The national median rate for a home health care aide is $20 per hour, with the annual five year growth being only 1.32%.  Assisted Living Facilities have the highest annual five year growth rate of 4.29%, with the national median rate at $3,500 per month.  A private room in a nursing home is not far behind with an annual five year growth rate of 4.19%, and the national median rate will set you back $240 per day.

As these costs continue to rise, your clients’ assets are at greater risk.  Considering the average three year claim, in 25 years, figuring on a 3% inflation rate, the average claim will reach $840,000 for a private room in a nursing home.  Are your clients prepared for that expense?

Give your LTC Sales Rep a call today to help you design a plan to protect your clients’ assets – their families will thank you for it.

Are You Interested In A Guaranteed 5.82% Return On Investment?

Clients purchase insurance to protect themselves and their families from life’s unknowns.

With Disability Insurance, clients can sleep through the night knowing that if they were to wake up sick or hurt – financially, they’d be okay.

But what happens when your clients remain healthy throughout the entirety of their working years?  Clients would have been paying premiums for years just for peace of mind – which, as you well know, is not always an easy ‘return on investment’ to sell.

Income Protection Plans are available with a 100% return of premiums paid.  Meaning, that if your clients didn’t use it, they wouldn’t lose it – they could have all of their premiums returned, income-tax free.

Here’s How It Works

A 39 year old male, private school Principal earning $80,000 annually qualifies for a plan that would pay him $3,800 monthly (tax-free) in event of an injury or illness.  His monthly premium is $71.46 per month, with his total premium paid reaching $22,738 at age 67.

If he does not place a claim throughout the life of his policy, the $22,738 would have paid for his protection, and otherwise be lost.
However, if he adds the Return Of Premium Advantage to his plan – his monthly premium would be $118.63 – BUT he would receive a check for a tax-free amount of $37,745 at the end of his policy, assuming no claims placed.

That is the investment return equivalent of 5.82% Guaranteed* for an additional $47.17 on his monthly premium.

And there’s more – even if your clients are disabled for a short period and only temporarily receive benefits, all of their premiums will be returned, less any benefits they receive.

At age 67, your clients can also select a refund option that works best for their financial plans.  Their returns can be taken in cash, left with the carrier to accrue interest, paid in installments or annuitized, or even paid out over their lifetime.

If you have clients who are reluctant to purchase Individual DI coverage because they are concerned they will be paying for something they will never use – now is the time to reach out.  Offer them the valuable coverage they need and peace of mind they want.  Contact your DI Sales Rep for more information.

*the IRR will vary subject to clients age, occupation and benefit amount, and is not available in all states.  The ROP is not an investment and should not be compared to any specific investments, securities or other assets with value.

The Advantages Of Using A LTC Rider On A Buy-Sell Agreement

A Buy-Sell Agreement is used to protect the surviving owners of a business when one of the owners dies.  The agreement determines a fair value for the business and to whom the business can be sold.

Buy-sell agreements are missing an important component to the plan

What would the business do if something happened to a partner, which left them unable to further participate in the business?

While most Buy-Sell Agreements include the needed Life Insurance, what happens if there is no death?

Without a death, the Life Insurance will not pay the death benefit necessary to provide the funds for the buyout.  The business or healthy owner is left with a partner who may no longer be able to participate in the operations because of a cognitive impairment or health concern but has no funds to buy this partner out.

Possible solutions would be to cash in the Life Insurance contract for the cash value, but this will not come close to supplying the total funds needed for the buyout, especially if the policy is fairly new.  That leaves getting a bank loan, or possibly depleting company assets.

An alternative solution that may help with some unforeseen situations is to add an indemnity-style LTC rider to the Life Insurance contract to allow for an installment buyout.

The indemnity style LTC pays the benefit directly to the owner of the contract

The LTC rider is actually an accelerated death benefit that is triggered by the insured (in this case the owner who can no longer participate in the business) having cognitive impairment, or being unable to perform two or more ADLs.

This benefit would be used to buy out the business owner who can no longer work through installments.  If collecting the benefit, the installment buyout would be complete in 50 months (subject to a 2% benefit.)

Here’s an example:

Two owners, Sam and Dave, determine that their business is worth $700,000.  They purchase policies with an LTC rider on each other for $350,000.

Dave becomes ill and is unable to participate in the business any longer.  In this case, the Life Insurance policy is still of value to the situation, because it will pay an accelerated death benefit after the 90-day elimination period based on Dave qualifying for benefits under the LTC rider.

The benefit would be $7,000 per month – and will be paid federal income-tax free to Sam.  Sam will use those funds to make installment payments over the next 50 months to buy out Dave’s share of the business.

Please contact your Life Sales & Marketing Manager today for more details on this solution or any other alternative business succession plans.

Get ‘Credit’ For The Work You Do

A carrier’s underwriting assessment involves the review of the overall medical history and the application of crediting tools to improve upon and provide the best underwriting class possible.

Here is a case study that demonstrates how credits can make a difference in the sale, by reducing the premiums.

54-year-old female
Applying for $1 million of term life
Has type 2 diabetes; treated with Metformin
Build is 5’3”; 220 lbs.

Initial work up Table 4.

But with credits for:

Lifetime non-smoker
Income of $100,000
Preferred or better driving record
Negative cardiac testing
Controlled blood pressure

Final offer is Table 2!

Do what’s best for your clients with health history.  Contact our Underwriting Department for assistance with your impaired risk cases.

When Asset Based LTC Is A Fit

Most people will need long-term care services at some point during their lives, and the costs can be staggering.

Asset Based Long-Term Care offers your clients an efficient way to plan for these potential expenses with LTC coverage plus as well as a death benefit for cost recovery.

Four potential client profiles for Asset Based LTCi

1 | Clients ages 40-80 with “sleeping assets” or cash, such as:

Cash, CDs or bonds that are maturing
Proceeds from selling a business
Funds from downsizing/ selling a home
A recent inheritance

CONCERN: Impact a LTC event could have on their spouse, family and finances
PAYMENT: Single Premium

2 | Clients ages 55-67 closing in on retirement who are:

In the peak of earning capacity with excess income for premiums
Preferably age 59.5 or older so they can access qualified money not needed for retirement income

CONCERN: The financial and lifestyle risks LTC expenses could have on their spouse
PAYMENT: 5, 10, 20-pay or pay for life

3 | Retirees with IRAs, annuities or income sources to reposition:

Required minimum distributions from IRAs not needed for income purposes
Annuities not needed for retirement income purposes
Social Security benefits not needed for living expenses

CONCERN: Protecting assets/ income and reducing LTC dependence on family
PAYMENT: 5, 10, 20-pay

4 | High earners not rich yet (HENRYs) ages 40-55 who:

Have excess annual liquidity
May have experienced providing care for a parent or grandparent
See the value of buying earlier rather than later
Would like to insure their parents for LTC to protect their own savings and retirement assets

CONCERN: Protecting assets/ income and reducing LTC dependence across generations
PAYMENT: 5, 10, 20-pay

Contact your LTC Sales & Marketing Associate today for more information.

$50M Key Person Disability Placement

Capital Management Firm Case Study

Client:

A Southern California based Asset Management & Investment firm managing a portfolio of $17 billion.

Situation:

The CEO wears many important hats—CEO, President, Chief Investment Officer, Market Strategist—as well as overseeing all the firm’s U.S. equity and hedge fund strategies.  In the past 10 years, the firm’s assets under management have risen from $3.5 billion to $17 billion dollars, thus elevating the overall importance of the key person’s responsibilities.

Assessment:

Chief Investment Officers in the hedge fund universe are unique human capital assets. Investors invest in a fund based largely on performance, which is attributed to the CEO.  In the event of a serious disability, cash would be needed to retrain key staff as well as manage the winding down of the fund if a permanent disability were to strike.  With the obligation of succession planning resting on the shoulders of the Board of Directors, the Board saw a need to initiate additional coverage in the event the CEO was no longer able to perform his duties.  The Board’s directive stipulated that an accelerated divestiture clause be built into their investment agreements, which would allow investors to accelerate the rate at which investors can pull their funds should the fund manager become incapacitated.

Solution:

A plan was designed for a $50 million key-person disability insurance policy, payable to the company in a lump sum after 12 months, should the CEO be unable to perform his duties.

Result:

With a reasonable level of key person disability insurance protection now in place, an additional succession planning strategy was created to manage the associated risks involved if the CIO were seriously disabled.  A number of sub managers were also identified as critical, and additional protection was likewise sought for four additional investment managers.

To the Producer:

The premium on this case exceeds $200,000 annually plus taxes and fees.  Please keep in mind, while it’s a great case and one we want to replicate often, many of the key person disability policies we write are your $2M/$5M/$10M placements, which are almost always cross-sold in conjunction with key person life insurance.

Have you identified an opportunity or two within your client base?  Please contact your Disability Specialist for assistance, or with any questions you may have.

Simple Conversations That Will Close Your Sale

When planning for retirement, most people take stock of their expenses to ensure they have enough income to live comfortably.  But many fail to consider the significant price of long-term care services.

The average cost of nursing home care is approaching $80,000 a year.

Making it easy to see how a long-term care situation could quickly deplete the retirement nest egg that your clients have worked hard to build.

Explain how Long-Term Care Insurance (LTCI) will help protect their retirement funds and close the sale with these simple conversation pointers:

Conversation Starter 1:

“Let’s talk about how your plan to live a long life could impact your spouse and your children.”

As people get older, they generally need more help.  If your clients are like a lot of people, they mistakenly believe their long-term care needs are already taken care of.

Ask them if they have thought about:

Who will take care of you?
Will that person be able to be a full-time caregiver?
Where will you live?
Which one of your children might you be able to live with?

Conversation Starter 2:

“Did you know that major medical insurance doesn’t cover long-term care services?  Medicare coverage is limited to helping people get back on their feet after an illness or injury.  And relying on Medicare may mean spending down assets to qualify.”

Ask your clients how they would pay for the care they need if these options were taken off the table.

Have them consider:

Could you afford to pay an extra $36,000-$80,000 a year out of your retirement savings?
Would you have access to the funds you need?  Or would you have to sell assets, cash in stocks, or dip into 401(k) or other savings accounts?
Which assets would you use to pay for your care?

An LTCI policy ensures that the funds your clients need are available to pay the bills for long-term care expenses – protecting their retirement assets and making their retirement dreams a reality.

Design a plan that is both affordable and the best solution for your clients’ needs – contact your LTCI Sales Rep for guidance.

Expanded Guidelines Allow More Clients to Qualify for Disability Coverage

We can help you to write your first Disability Insurance (DI) policy or assist you in generating more production in the Disability Marketplace.  Remember to ask your client’s about how they would pay for their various living expenses in the event that they could not earn their income at work due to sickness or injury.

If your client does not have a plan in place, you can help provide the solution.

To assist in providing you with the most competitive DI solutions, we have a number of carrier outlets for both blue and white collar clients.  One of these carriers recently released their latest changes to product and underwriting guidelines.

Below you can find a summary of the various enhancements and changes along with a brief narrative detailing the impact of the change.

Expanded Select Occupation Discount

Guidelines have been expanded to provide for upgrades and discounts for more occupation classes within education and scientific fields. They have also added more Physician classes to make qualifying clients based on job duties considerably easier.

Foreign Nationals

Acceptable Visa’s expanded from only H1B, L1 and J1 to now also include O1 (Individuals with exceptional abilities in science, education or business) and TN (Canadian or Mexican citizens who work in the US) classes.

High Net Worth Clients

Individuals with a net worth up to $10M can now be considered for Individual DI. Clients with a net worth between $6M and $10M will need to be considered individually based on their “asset mix, nature and type.”  This allows us to consider a traditional carrier outlet for the first dollar of coverage on high net worth clients before having to consider the surplus market.

IT Industry

IT solutions are changing the way we live our lives and it also impacts the job duties of our IT Professionals – we can now offer Top Occupation classes now available for IT Computer Programmers, System Analyst, and Software Developers, Database Administrators

These enhancements make an already competitive product portfolio that much stronger.  The occupation class changes will improve pricing, while the foreign national and high net worth client enhancements will allow you to provide DI coverage to clients that previously would not have been qualified for coverage in the traditional marketplace.

If you would like to obtain a quote or talk about what products may be available for your clients, please contact us today and we can help you to initiate and implement the sales process.