6 - Meeting Customers' Needs: Protection Flashcards

1
Q

What are the main underwriting factors in Life Insurance?

A

1 - Age
2 - Applicants hobbies and pursuits
3 - Health
4 - Lifestyle (drinking/smoking etc)

The above will affect the type, level and cover required as well as the premiums associated with those.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two main factors that influence the terms of cover?

A

The term of any liabilities to be covered; mortgage, other longer-term debts and capital needs.

The length of cover to be received by the dependents; important to note the age of children and spouse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What factors should we consider when discussing the level of cover?

A

1 - Sufficient capital is required to pay off debts such as the mortgage, future school fees and money in the bank - or funds to buy a house if renting.

2 - Sufficient level of income cover, to cover the lost income that will be missing. That should take into account the following

  • Level of income required each year to maintain the current standard for the current family.
  • The level of annual increase required to keep pace with inflation.
  • The length of time the amount should be required.
  • An estimate of the rate of return earned on capital over the period*

A scientific approach would be to have the capital enable a return on itself through investment, to allow for the annual increase and to allow for a lower capital amount to be invested - to enable lower premiums.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What types of plan are there for life policies?

A

Single Life, own benefit:

The policy only covers the holder of the policy which is paid out to the estate on the death of the policyholder. There is no limit to the amount of cover one person can arrange to have on themselves. Self-cover.

Life on another:

A single-life policy cover is taken out by another person (usually the spouse) to be paid to the spouse on that person’s death. The following can take out a policy such as:

A spouse, a creditor (for long term debt), an employer (key employee), partners in business.

Joint Life First Death:

Both parties are covered but only paid out on the first death, the policy then finishes and no further cover is granted to the survivor.

Joint Life Second Death:

Two people covered but only paid out on the second death, to the estate. These are usually used to limit inheritance tax obligations to the surviving children.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the key aspects of a Whole-of-Life Assurance?

A

Cover remains in place for as long as the premiums are paid, but may increase when the person reaches 60-65

The policy pays out only WHEN the person dies, not if (?)

Premiums usually provide an aspect of investment and protection.

Depending on the policy, the amount will either be guaranteed throughout the life, or reviewed at set intervals.

If the policy is terminated on some investment linked plans, then there may be a terminations surrender value. Which will may be smaller than the initial sum given in premiums.

If premiums are stopped, the sum that may have accrued from the investment aspect, may be used to cover missing premiums.

For non-profit whole of life plans, the amount is fixed on the insured amount - it cannot be changed at a later date.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the key aspects of With-Profits Whole-of-Life Plans?

A

The funds are invested with the companies with-profit fund, which is then invested in a range of assets by the fund manager - the fund covers a number of things.

— promises made to policyholders – sums assured and bonuses already declared –
known as ‘liabilities’;

— the expenses of running the fund;

— reserves – some of the funds are allocated to reserves, to cover unexpected events and to allow the manager to declare bonuses in years when fund performance has been poor;

— once the manager has allocated parts of the fund to cover liabilities, expenses and reserves, they are left with the profit, which they can share with policyholders;

— the expenses are not ‘transparent’ in that there are few if any stated expense figures for each individual policy; the manager takes a sum to cover all policies.

The GSA (Guaranteed Sum Assured) is established at the start.

Premiums are fixed and payable for life - some may allow the premiums to stop at a certain time in life.

Each year the company will assess whether the fund is profitable or not. If profitable, then those bonuses are paid in your fund increasing the GSA. If the fund is underperforming, this will not decrease your original GSA.

A terminal bonus will often be added when the policyholder dies. This is not added until the death of the policy holder and is calculated at that time.

It is possible on some policies to borrow again the policy - sometimes up to 90% of the current cash value. Interest will be charged on loan.

There is no maturity to the policy as it is only paid out when the policyholder dies. The plan does build up a cash value which can be declared if the policy is cancelled.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Unit-Linked whole-of-life policies. Key features are?

A

Usually referred to as flexible.

Each premium buys a unit in the policyholders chosen linked fund. These of course can grow or fall in value over time.

Fees for the management of the funds are taken out by cashing out some of the units in the linked fund of the policy.

Reviews are made every 10 years, to assess the fund growth, management fees and so on, to make sure that the costs of running the fund, any profits/losses on the fund are assessed and whether the premiums have to be increased or decreased accordingly.

The policyholder will select a premium based on the level of cover required; depending on the performance of the fund, the premiums could be in the region of £25 - £80 per month. The lower level may suffer from insufficient funds to keep the cover required and premiums will rise.

The higher the level of life cover, the larger the number of units that will be cashed to pay for the cover. Obviously, the lower the premium is chosen, the lower the number
of units remaining each month. For example, assuming the same level of life cover on both plans, a premium of £80 might buy 80 units, while a premium of £25 will
buy 25 units. If the charge for life cover requires 20 units to be cashed, the lower premium plan will have five units left rather than 60 with the higher premium. This
differential will be repeated each month. Clearly, at the first review, the second plan Protection against the financial consequences of death will have many fewer units to sustain the plan until the next review, and so the
company will almost certainly increase the premiums at that point.

Flexible plans offer the three indicative levels of cover:

Maximum - The maximum that would be guaranteed over that 10 year period up to the 10 year review. The premium will have to be increased to maintain that level of cover.

Minimum cover. Usually set to meet qualifying rules. These allow for a higher level of investment, but they shouldn’t be seen as investment plans. The premium may likely increase on review doe to a low level of cover.

Balanced cover is based on given assumptions on the known prior return on the investment aspect. This allows for a more balanced view, but premiums at the end of term 10 year review may increase.

Whatever the level, the sum assured is guaranteed for those first 10 years.

The policy and cover can be changed during those 10 years.

Unit linked whole-of-life plans can allow premiums to be directed into another fund (redirection) or existing units to another (switched) once or twice a year.

Fees are transparent, so the policyholder knows the costs of maintaining the cover.

There may be options for Guaranteed Insurablitly to allow the policyholder to increase the sum assured without the need for any further medical.

Indexation of benefits the sum assured increases inline with an index, for example, the Retail Prices Index or by an agreed percentage.

Waiver of Premium. (WOP) this is basically an insurance to cover the insurance. Basically, should the policy holder not be able to cover the premiums due to loss of work or illhealth, then the insurance will cover the cost of the premium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do universal whole-of-life policies tend to include?

A

Any or all of the following:

Income protection insurance
Critical Illness cover
Accidental death
Total permanent disability (TPD)
Hospital benefits
Flexible premiums

These are added at extra cost and are covered by cashing in extra units, thereby raising the cost of the premiums.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the uses and benefits of whole-of-life policy?

A

To protect the dependents against the loss of the main money earner through death.

To provide a tax-free legacy.

To cover costs of death - funeral expenses.

To provide funds for payment of inheritance tax.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the main aspects of Unit-Linked whole-of-life policies?

A

Main features are the fact they are more flexible than other policies.

Each premium buys a unit in a range of unit-linked funds to select from.

Fees for running the policy are taken by cashing in a unit. The funds are clearly stated and there a no surprises.

The plan is designed so that fees are easily covered - with a degree of assumption over the period, with a review usually in 10 years, then at 5 years.

When set up the policyholder decides on the amount of cover they require, with a monthly sum of between £25 to £80. Those starting on a lower premium may find at the review that they have fewer units to cover the assured value and there will be an increase in premiums at the review.

You’re usually given three levels of cover:

Max - your premiums will be set at a level that will most certainly reach the value of the assured value.

Minimum - this is the minimum qualifying requirement to gain the assured value at best case. It is very likely that this level of premium will be increased to cover the lack of units to cover the assured value.

Balanced - A mixture of the two, where there are a good number of units purchased, but with a balanced premium that is not overly excessive, based on balanced assumptions of previous results.

Whichever level is selected the GSA is in place for the first 10 years.

There is a good degree of flexibility in terms of moving unit funds to a different fund, that maybe better performing - this can be done twice a year without charge.

If there are premium shortfalls, these can be taken by cashing in some units to cover the missing premiums. Say due to illness, loss of work etc. Rather than saying have an insurance cover to cover this.

Fees are transparent, there are no hidden fees or surprises. Fees are taken from cashing in units.

Insured value can be increased, within limits, which is built into the premium. So someone going for the higher premiums (Max) could have their assured value increased, which in turn may result in their premiums going up at the 10 year review to cover the new assured value.

Indexation of benefits: allows the assured value to increase in line with the RPI (Retail Price Index). Therefore making sure that the assured value is in line with a key inflation indicator.

Waiver of premium: The option to have an insurance for the insurance. For a small monthy charge, the WOP will cover any missing premiums for the first 3 to 6 months of any claim of illness or loss of work.

Further options allow for:

Income protection
Critical Illness cover
Accidental death benefit
Total permanent disability TPD
Hospital benefits and other medical cover
Flexibility in premiums
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the key uses and benefits of a whole-of-life assurance policy?

A

To provide a lump sum at the death of the assured. Which can be used to:

  • provide support to the family to cover lost income
  • to provide a tax-free legacy
  • to cover death expenses
  • provide funds to cover inheritance tax (IHT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Term Assurance?

A

A set value of cover for a set period of time. Limited in frills and limited flexibility - no cash surrender value.

  • benefits only payable upon death.
  • premiums either payable monthly or yearly
  • covers only a specified time (TERM)
  • can be for months or up to 40 years.
  • cover ends at the of term, with no value.
  • no cash value built in.
  • cover ceases if not paid if the assured is still alive at the end of the term policy.
  • can be arranged on single life or joint life.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What types of Term Assurance are there?

A

Level Term - the level of cover stays the same throughout the period covered.

Increasing Term - Premiums will increase in line with the sum assured and no account of the assured health is taken when the increase is made. There will usually be a maximum amount that can be assured.

Renewable Term -

The term can be renewed without the need for a further medical of the assured, usually repeatable until the assure is 65.

The term of the plan will be the same as the original.

The premiums will be based on the assured age, but no further medical qualification is needed.

Some plans allow for an increase, without the need for further medicals.

Convertible Term -

The plan can be converted to a whole-of-life or endowment policy without further medical.

New changes will only need an age reference to determine premiums.

The maximum sum assured will only be the original sum assured in the original policy. Although some do allow increases to allow for weddings, birth, moving house etc.

The conversion is basically cancelling the existing policy and transferring it to the new. An endowment can go beyond the original policy term.

The conversion will normally at 10-15% to the premiums.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What type of Plans are available on Term Assurance?

A
By using this range of options it is possible to arrange the following types of term policies:
‹ level term;
‹ increasable term;
‹ renewable term;
‹ convertible term;
‹ renewable convertible term;
‹ renewable increasable term;
‹ renewable increasable convertible term.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the main aspects of Decreasing term Assurance?

A

DTA’s decrease over time and premiums remain constant throughout and sometimes payable for a limited amount of time.

The amount of cover reduces each year.

The gradual reductions allow for a far cheaper premium than standing level Term assurance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a mortgage protection policy?

A

A policy that covers the mortgage on a property, that will usually decrease over time - in line with that of the mortgage outstanding on the property. Should the assured die, the outstanding amount is paid off the mortgage.

17
Q

How does Family income benefit work?

A

Designed to replace the income of the assured upon their death. In the form of a decreasing term assurance.

  • premiums remain fixed
  • the sum paid out is in fixed set amounts over a period of time.
  • if the assured dies during the assurance term, then the policy is paid out for the term of the policy. Alternatively a cash sum can be paid.
  • Only income payments due from the time of death are paid.
  • it may be possible to increase the amounts, but premiums will rise.
  • Income is paid free of tax and is an instalment of the capital sum assured.

FIB’s are a cost effective means of providing assurance of an income from a person over a period of time upon their death.

18
Q

What are the main aspects of Income Protection Insurance?

A

Income Protection insurance, previously called permanent health insurance, is an insurance policy to cover the income of someone that is unable to work due to illness or disability.

  • There is a written agreed term of cover, usually the assured retirement age.
  • the benefit is paid as an income and is free of tax
  • the max amount is usually 50-60% of the pre-disability assured income, which is paid till recovery. The term usually pays out up to a couple of years.
19
Q

What types of policy are there to cover ill health?

A

Critical Illness Insurance

The policy pays out a lump sum in case of a critical illness. The assured can be alive and actually recover from the illness, without the need to pay back any amounts paid. Usually, for example, the sums allow for modification of a property to allow the assured to continue to live in their house.

Sometimes integrated with a life assurance plan, where the benefit is paid on the earlier of illness or death.

They are term based.

Whole of life or for part of an endowment.

The policy will cease once paid or end of term reached. All payments made by the policy are tax-free.

Some policies allow for the assured to return to work at a lower pay and still be able to claim some the policy benefits.

IPI cannot be cancelled by the insurer providing the premiums are being paid. The cover must remain, irrespective of number of claims made.

Policy payouts are usually after a specified period of time and those are then made monthly.

IPI can be made on an individual or even a group scheme which is made by the employer.

20
Q

What types of Income Protection Insurance (Critical Health Insurance) are there?

A

Reviewable premiums:

Tend to start off relatively low and are assessed at set intervals which may result in the premiums increasing.

Renewable premiums:

When it comes up for review the policy is reviewed and the amount paid to the insurer may change

Guaranteed premiums:

Tend to be more expensive that the other two, but the premiums are guaranteed for life of the policy which may be as long as 25 years.

21
Q

What are the key aspects of Accident, Sickness and unemployment insurance?

A

A form of general insurance, designed to cover the assured if they are unable to work due to illness or an accident.

The key features are as follows.
‹ The plan provides an income if the policyholder cannot work through accident,
sickness or redundancy (dismissal and voluntary redundancy are not covered).
‹ The underwriting process is less stringent than for income protection due to the
shorter‑term benefits and the insurer’s ability to cancel the plan at renewal.
‹ The benefit is usually limited to 60–65 per cent of income, with a reduction for an
element of state incapacity benefit.
‹ The plan can be cancelled by the insurer, as it is an annually renewable contract.
‹ A deferred period, typically 30 days, applies to benefit payment.
‹ Benefits cease after one or two years.
‹ There could be a lump sum payment on certain specified problems – death, loss of
limb, loss of sight, and so on.
‹ As with IPI, benefits are paid tax free.
‹ It is possible to arrange standalone redundancy cover with some companies.

22
Q

What are the main aspects of payment protection insurance and mortgage payment protection?

A

Designed to cover the payments of a debt, such as a mortgage, should the insured become sick and unable to work. PPI have had a bad press and at many times have been miss sold. Many changes have since been made to cover the mistakes and miss-selling practices.

23
Q

Private Medical Insurance - key aspects of cover?

A

PMI is a pure protection plan to cover the cost of private medical insurance, rather than using the NHS routes.

‹ avoidance of NHS waiting lists;
‹ choice of hospital where the treatment will take place;
‹ choice of timing of the treatment (to fit in with work demands, for example);
‹ high‑quality accommodation;
‹ choice of medical consultant.
The range of cover normally provided includes reimbursement of:
‹ inpatient charges including nursing fees, accommodation, operating fees, drugs and
the cost of a private ambulance;
‹ surgical and medical fees including surgeon’s fees, anaesthetist’s fees, pathology
and radiology;
‹ outpatient charges including consultations, pathology, radiology and home nursing
fees.

24
Q

How is PMI underwritten?

A

6.2.4.1 Underwriting of PMI
Certain events will be excluded from cover under the scheme. Cover will not be provided
for any pre‑existing medical conditions, and other general exclusions are the costs of:
‹ routine optical care (such as provision of spectacles or lenses);
‹ routine dental treatment;
‹ routine maternity care;
‹ chiropody;
‹ the treatment of ailments that are self‑inflicted, for example the consequences of
drug abuse and alcohol;
‹ cosmetic surgery;
‹ alternative medicine.

25
Q

What is long term care insurance?

A

An insurance policy designed to cover the cost of any long term nursing care for the sick or elderly. Should you become unable to maintain the existing standards of your own personal care within your own home.

26
Q

What forms of business protection insurance is there?

A

Death of a Key employee:

‹ a managing director with a strong or charismatic personality;
‹ a research scientist with specialised knowledge;
‹ a skilled engineer with detailed understanding of the company’s machinery;
‹ a salesperson with a wide range of personal contacts.

Death of a business partner:

When a business partner dies, the family of that business partner may wish to withdraw their part in that business. Therefore it becomes important to have an insurance policy to cover any aspect of this from happening.

‹ The automatic accrual method: all partners enter into an agreement under which, on the death of a partner, their share is divided among the remaining partners in
agreed proportions. The deceased partner’s family is compensated by the proceeds of a life policy written in trust for their benefit.

‹ The buy‑and‑sell method: all partners enter into an agreement under which, on the death of a partner, the deceased’s legal representatives are obliged to sell the
partner’s share to the other partners, who are obliged to buy it. To enable them to do so, each partner takes out a life policy on their own life in trust for the other
partners. One problem is that the person who inherits the share is deemed to receive cash rather than business assets, so no inheritance tax business relief is available.
‹
The cross‑option method: although similar in nature to the buy and sell agreement, the difference with the cross (or double) option method is that the surviving partners
and the deceased’s family have the option to buy/sell, but not the obligation; if either party wishes to proceed the transaction must go ahead. It is extremely rare
for the sale not to be agreed, but because it is not a contractual obligation, those who inherit are deemed to receive business assets and inheritance tax relief may be
available.

Death of small business shareholder:

Similar options are available as to those found above.

Sickness of an employee:

If the sickness of an employee may affect the business and its underlying profits, the company may need funds to find an alternative person to cover the sickness periond of that employee.

Sickness of a business partner:

A partner can still draw an income from the business without being actively part of that business. To stop that partner being a constant drain, without any contribution, there are options in place to allow for a replacement income or even the option to purchase the partners shares should their return to work be prolonged. A form of income protection for critical illness etc.

Sickness of self employed or sole trader:

A sick self employed person is at a huge dissadvantage as they will lose income quickly and possibly customers to their competition.