The Eight Elements of Extended Care Riders – Element 7 – Payment method

Presented by Brian Leising

inding the right formula for each client

Not all extended care riders on life insurance policies are created equally. Do you know the differences? Different combinations will appeal to different clients more than others. Here are eight of the major distinguishing features among insurance companies offering extended care riders. All include some combination of the eight elements. This allows you to find the right formula for each client.

Premium Payments Benefit Qualification Benefit Amount
Pf Payment Frequency Pa Payment Amount
Lg Lapse Guarantee Tc Tax Code Pm Payment Method
Wp Waiver of Premium Ep Elimination Period If Inflation

Element 7 – Payment method

Insurance companies pay extended care benefits via one of two methods: reimbursement or indemnity. With the reimbursement model, the company either pays the insured’s health care providers directly or reimburses the insured upon proof of care expenses. The indemnity model offers the client a lump sum payment without having to provide an exact accounting of expenses. The insured may use the money however they wish. Some extended care expenses may fall outside the realm of traditional services. Maybe they wish to compensate a neighbor or loved one for providing care. The money could also be used to fly a loved one across the country, or for their hotel and meals while visiting. If the clients’ expenses fall below the indemnity benefit, they could request a lesser amount, save or invest the extra dollars.

Look for Element 8 – Inflation in August.

The Eight Elements of Extended Care Riders – Element 1

Presented by Brian Leising

Finding the right formula for each client

Not all extended care riders on life insurance policies are created equally. Do you know the differences? Different combinations will appeal to different clients more than others. Here are eight of the major distinguishing features among insurance companies offering extended care riders. All include some combination of the eight elements. This allows you to find the right formula for each client.

Premium Payments Benefit Qualification Benefit Amount
Pf Payment Frequency Pa Payment Amount
Lg Lapse Guarantee Tc Tax Code Pm Payment Method
Wp Waiver of Premium Ep Elimination Period If Inflation

Element 1 – Payment frequency

Life insurance policies with extended care benefits come in single-pay or multi-pay varieties. The single-pay plans were the first life insurance based extended care plans on the market. Clients pay one lump sum into a modified endowment contract (MEC) which is leveraged to purchase a death benefit and a long term care (LTC) benefit. In many situations, the death benefit approximately doubles the lump sum and the total long term care benefit nearly triples the lump sum. This policy design works well for clients with money already set aside to “self-insure” their extended care risk. Potential clients for multi-pay policies comprise a much larger market and account for most sales. These are funded with recurring (annual, semi-annual, quarterly, monthly) premiums and are an affordable option for clients who are used to paying for all their insurance policies (auto, homeowners, traditional LTC, health) in this manner.

Look for Element 2 – No-lapse guarantee in February.

Critical Illness Insurance for the Small Business Owner

Presented by Tim Dreher

What kind of an illness or injury would it take to keep a small business owner at home and away from their business?  A bad case of the flu or a broken arm, probably not.  Most business owners got where they are today by being diligent hard workers who have shown up every day to get the job done.  It would take something more than a little illness or injury to keep them at home.  However, an event such as a heart attack, stroke or a cancer diagnosis probably would.

Critical illnesses are striking more Americans every single year.  Some 1.4 million Americans are diagnosed with cancer (American Cancer Society) annually.  An estimated 785,000 Americans will have their first heart attack and some 600,000 Americans will experience their first stroke (American Heart Association), and with new advances in medicine, the vast majority will survive.

The financial consequences of surviving a critical illness are something few people are prepared for.  A lot of the cost associated with caring for someone with a critical illness is covered by most health insurance plans.  But approximately 67% of all costs associated with a heart attack, cancer and stroke are non-medical costs.  Also, most high-deductible health plans have deductibles and co-pays that can easily run into thousands of dollars and yet they would still need to continue to pay their premiums.

Suggest purchasing a Critical Illness policy.  This specialized insurance provides a lump-sum, tax-free payment upon diagnosis should a policyholder suffer from certain specific critical conditions.

What a difference a cash payment of $10,000, $25,000, $50,000 or even $100,000 would make to a client when their covered condition is diagnosed.

The money could be used to:

  • Pay off a mortgage, or just make the monthly mortgage payments, credit card debt or other loans
  • Supplement lost income as a result of waiting periods, elimination periods or deductibles
  • Find alternate medical treatment that may normally not be covered by most health insurance plans such as experimental treatments
  • Make modifications to their home in order to accommodate different health conditions
  • Or even just to take some time off to heal and not have to worry about their business but instead concentrate on getting well again.

Having a lump sum payment from a critical illness plan paid to your client just might make the difference of the business surviving.

Contact your Critical Illness marketing specialist at Financial Brokerage at 800-397-9999 to get additional information about this highly important form of protection.

Protection for the stay-at-home spouse?

Presented by Donna Ries

 

Few carriers allow disability income insurance protection for the homemaker due to lack of income.  Another alternative to consider is a critical illness plan.

In the case of a major event such as cancer, heart attack or stroke, a lump sum payment may help the family cope with such a situation.  To qualify for critical illness, there is typically limited income restrictions, limited occupational analysis and an easy solution to a huge potential financial burden on the family.

The hidden cost of major health crisis is something we don’t give much thought to.  Transportation, housing and time off of work all become big issues if care is being received away from where a person lives.  Health insurance policies don’t pay for the non-medical cost of care.

“Cancer, heart attacks and strokes happen at all ages and most people are not prepared for either the emotional or financial cost,” explains Jesse Slome, Executive Director of the Industry Trade Organization.  “Nearly two-thirds of U.S. bankruptcies are the result of medical expenses and 78 percent of those filing for bankruptcy had health insurance when they were first diagnosed.”

A lump sum payment may be the answer to help the affected spouse to concentrate on recovery.  Your Financial Brokerage marketer is here to help you place more of this business.  Give us a call today at 800-397-9999 to discuss the plans available.