Chapter 6 - Life insurance products Flashcards

1
Q

What are the key features of LI contracts?

A

Usually long term

Normally only one claim event

Claim amount may be known with certainty

Used for protection against death and ill-health, as well as savings

May be sold to individuals or on a grouped basis, usually through employers

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2
Q

What are the main things which make up the profits/losses of insurance companies? (8)

A
Net premiums (reinsurance)
Investment income
Claims
Expenses and commission
Net increase in provisions (positive on P/L if decrease)
Increase in cost of capital
Tax
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3
Q

What is underwriting and how is it used by the life insurer?

A

Process used to decide the level of risk posed by a potential policyholder.

After underwriting the insurer may decide to charge the policyholder a higher premium, offer a lower benefit, or refuse to insure the individual.

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4
Q

What is new business strain?

How do business recover this NBS?

A

When the initial outgo from selling policies is higher than the income earned.

Life insurer will typically require some free assets to cover for the new business strain. The loss is then recouped over time since premiums are greater than the expenses and increase in provisions, and solvency capital released may be greater than the claim itself (due to prudence).

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5
Q

What are the main constraints on the investment strategy of a life insurer?

A

Regulation
Size of free assets and therefore ability to mismatch
Tax laws

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6
Q

What are the key risks under life insurance contracts?

A
Mortality, morbidity and longevity
Investment risks
Expense risk
Early withdrawals (before initial expenses have been recouped)
New business strain (more than expected)
Conversely, too little new business to spread overhead costs
Credit risk
Operational risk
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7
Q

What is analysis of surplus?

A

Break down any profits/losses into its components to help understand the underlying causes.

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8
Q

Discuss pure endowments.

A

Definition of benefit:

  • Lump sum benefit on survival
  • On a known date

Use to meet customer needs:

  • Savings vehicle
  • Lump sum on retirement
  • Means of repaying a loan

Existence of a group version:
- Could allow employer to provide benefits at retirement

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9
Q

Discuss endowment assurance.

A

Definition of benefit:

  • Lump sum benefit
  • Either on survival to specified date, or death before that date
  • May be allowed to surrender early and receive (reduced) lump sum
  • May offer a paid-up-value: Keep policy in force without paying further premiums for a reduced sum assured.
  • Could be without-profit, with profit or unit-linked.

Use to meet customer needs:

  • Vehicle for providing protection for dependants
  • Transfer of wealth through inheritance
  • Repaying capital on a loan
  • Vehicle for saving money for retirement

Existence of a group version:

  • Employer can provide retirement or death benefit to employees
  • Could be sold to affinity groups, e.g. clubs or societies
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10
Q

Discuss Whole Life assurance.

A

Definition of benefit:

  • Lump sum benefit on death of insured
  • No fixed term (time of death is unknown)
  • May be allowed to withdraw early (payment may be at discretion of insurer)
  • May be paid-up policy option
  • Can be with-out profit, with profit or unit-linked

Use to meet customer needs:

  • Funeral expenses
  • Liability to tax
  • Provides long-term protection to dependants

Existence of a group version:
- No apparent need

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11
Q

Discuss term assurance.

A

Definition of benefit:

  • Benefit on death
  • If death occurs within the term specified at the outset.
  • Considerably cheaper than whole life since payment is not guaranteed
  • Do not normally offer any benefit on early termination (since benefit is not guaranteed)

Use to meet customer needs:

  • Protection against financial loss for dependant’s
  • Uses of a decreasing term assurance:
    1) Repay balance outstanding on a loan
    2) Provide income for family with children following death
  • May have the option to convert, and/or renew the contract without further underwriting

Existence of group version:

  • Provide benefit to employee’s dependants on death
  • Could be used by credit card company to recoup unpaid debt on death.
  • Any supplier of goods which takes payments in instalments from an individual could use grouped term assurance.
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12
Q

Discuss immediate annuities.

A

Definition of benefit:

  • Regular stream of income
  • Purchased with lump sum and payments commence immediately
  • Predominantly without profit or index-linked, but with profit and unit-linked are available
  • New innovation is impaired-life annuities - those in poor health receive higher payments

Use to meet customer needs:

  • Income for remainder of the insured’s life
  • Income for a limited period (temporary annuities), e.g. pay school fees.

Existence of a group version:
- Can be used by employer to provide pensions for employees

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13
Q

Discuss deferred annuities.

A

Definition of benefit:

  • There is a period after purchase before annuity payments commence.
  • Can be purchased with lump sum or regular premiums.
  • May include a cash option - can take part of/entire fund as lump sum instead
  • Rate at which policy can be converted into an annuity during deferment phase may be guaranteed or based on market rates

Use to meet customer needs:

  • Build up a pension fund that becomes payable on retirement
  • Cash option allows policyholder to possibly pay off outstanding loans or purchase different savings product.

Existence of a group version:
- Can be used by employer to provide pensions for employees

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14
Q

Discuss income drawdown.

A

Definition of benefits:

  • Member transfers fund from defined contribution arrangement to income drawdown product.
  • Instead of purchasing an annuity, policyholder leaves the funds invested and can withdraw an amount from the fund annually
  • This may be just income earned on the fund, or include some of the fund’s capital.
  • Normally only for large funds, since management charges are normally significant
  • Legislation may restrict how much can be withdrawn each year, and age at which drawdown must stop and annuity must be purchased.

Use to meet customer needs:

  • Usually heirs would inherit remainder of the fund on death - wealth transfer
  • Several risks the customer takes on:
    1) Income could be volatile, if only based on fund returns
    2) Capital could be reduced to nothing before death if withdrawal rate is too high or return is too low.
    3) Could involve high management and admin charges
    4) Remaining fund on death may be insufficient to provide adequate benefits to dependants
    5) May be a tax charge on residual fund on death.

Existence of a group version:
- None - sold to individuals

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15
Q

Discuss investment bonds.

A

Definition of benefits:

  • Single premium contracts
  • Normally whole life
  • Enable medium-long term investment for policyholders
  • Can make withdrawals from bond, but may incur a penalty during early stages
  • May be restrictions on frequency of withdrawals
  • Pay lump sum on death
  • May be a minimum guaranteed benefit, or may depend solely on investment returns earned.
  • Typically unit-linked or investment-linked
  • May have fixed term, so lump sum paid on death before term.

Use to meet customer needs:
- Used in similar way to income drawdown products (Usually heirs would inherit remainder of the fund on death - wealth transfer)

Existence of group version
- None - sold to individuals

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16
Q

Discuss income protection insurance.

A

Definition of benefits:

  • Provide an income to policyholder on occurrence of risk event which prohibits them from earning an income
  • Most common insured events include long-term sickness and incapacity due to accident or illness
  • Normally terminate at retirement age
  • Normally benefit is deferred to prevent regular, small claims (high admin costs

Use to meet customer needs:
- Financial security for policyholder and dependants in the event that they can not earn an income

Existence of grouped version:

  • Could be used by employer to provide financial security to employees
  • Example is a sick pay scheme
17
Q

Discuss critical illness insurance.

A

Definition of benefits:

  • Provides cash sum on diagnosis of one of several specified critical illnesses.
  • NB NOT INDEMNITY COVER
  • Policy wording is critical as it defines what is covered and what is not - large effect on claims experience
  • May be legislative standards on what is a critical illness
  • May be in stand-alone form (no death benefit) or come with a rider benefit
    1) Acceleration of death benefit on critical illness claim
    2) Separate death benefit which comes with CI insurance (I.e. potential for 2 claims)
  • Normally without profit or unit-linked

Use to meet customer needs:

  • Need for financial security during difficult times of poor health
  • Used for nursing and other care, or lifestyle adjustments
  • Rider provides same use as traditional death benefit assurances

Existence of a group version:
- Provide financial support to employees in the event of them contracting a critical illness

18
Q

Discuss Key person cover.

A

Definition of benefit:

  • Life and/or critical illness policy taken out to cover the life of a key person within a business
  • Amount may be linked to the loss of profits the business experiences, or related to the key person’s salary (depending on the purpose of the insurance)

Use to meet customer needs:

  • Small businesses may have key individuals without whom the business could not function well
  • Buy out the ill/deceased partner
  • Cover loss of profits
  • Meet costs of finding a replacement

Existence of a group version:
- Protects the company and not individuals, so no group version is necessary.

19
Q

Discuss Long-term care insurance.

A

Definition of benefit:

  • Could be indemnity, lump sum or annuity
  • Claim is paid when individual is deemed to have reached a specific level of disability (Activities of daily living or ADLs)
  • Could pay for (from least to most expensive) care in own home, residential home or nursing home.
  • Can be paid for with regular or single premium, which cease before or on the claim event

Use to meet customer needs:
- Protect against risk of needing home/nursing home care as an elderly person

Existence of a group version:
- Provide long term care cover to employees and the spouses and/or parents

20
Q

Discuss without-profit contracts.

A

Insurer has no discretion over the benefit payable, it is guaranteed from the outset of the contract.

Premiums are also known from the outset.

Surrender value may be at the discretion of the insurer

Most appropriate when the primary customer need is protection - i.e. risk averse

21
Q

Discuss with-profit contracts.

A

Policyholder is entitled to receive part of the surplus, at the discretion of the insurer.

Insurer and policyholder share the risk that surplus is less than expected, and so the benefit at the claim date may be insufficient.

Wide range of contract types

Most applicable when the main customer need is saving - want to earn a return on their premiums (“investment”)

Will typically have a riskier investment strategy than for without-profit policies.

May involve a minimum guaranteed benefit (at extra cost to policyholder) as well as the discretionary bonuses.

Factors which determine bonus rates include:

1) Desire to have smooth benefits from year to year
2) Policyholder reasonable expectations (past experience, market comparison and original statements by company)
3) Looking at competition
4) Regulatory limits

22
Q

Discuss unit-linked contracts.

A

Unitised contracts (pay out in units)

Unit value is directly attributable to underlying value of invested assets.

Policyholder premiums are polled into investment funds, and policyholder’s share is represented in units.

Mainly for savings, however a minimum benefit may provide protection needs also.

Policies are very versatile.

Regular charges are levied on the premiums to cover expenses.

1) Bid-offer spread (on cash premium)
2) management charge (on unit fund)
3) admin share (on unit fund)
4) mortality share (on unit fund if there is minimum benefit)

The rest of the premium goes into the unit fund.

The non-unit fund is used by the insurer to cover expenses and excess of a guaranteed death benefit.

Know the diagram on p. 30.

Higher expected benefit for same price compared to non-unitised contracts, due to high level of risk that policyholder takes on.

Flexibility of premiums may also be attractive.

23
Q

Discuss index-linked contracts.

A

Benefit is guaranteed to move in line with the performance of some investment or economic index.

Premiums may also move in line with the index, or be fixed in monetary terms.