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Term Life Insurance
Life and Health Insurance FIN 3660
Chapter 5
Outline
Needs Met by Life Insurance
Personal Needs
Business Needs
Term Life Insurance
Characteristics of Term Life Insurance Products
Plans of Term Life Insurance Coverage
Features of Term Life Insurance Policies
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Needs Met by Life Insurance
Personal Needs
Most common personal needs that life insurance can meet are:
Dependents’ support
Estate planning
Paying debts and final expenses
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Dependents Support
Life insurance can provide funds to support the family members
of a deceased loved one until they obtain new methods of
support or until they adjust to living on a lower income.
The proceeds can also be used to supplement the family’s
income.
In many jurisdictions, the beneficiary of a lump sum of money
after the death of a loved one is usually not taxed on the money
they receive.
4
Estate Planning
Estate- the accumulated assets an individual owns when he/she
dies.
Will- a legal document that directs how the individual’s
property is to be distributed after his death.
The executor is the person who is a personal representative of
the person who has died with a valid will. (administrator if they
person died without a valid will)
Estate Plan- considers the amount of assets and debts that
he/she is likely to have when he/she dies and how best to
preserve those assets so that they can be distributed as she
desires.
Life insurance is an important part of the estate plan.
Can leave home to one child and life insurance policy to the
other.
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Debts and Final Expenses
A person’s death generally does not extinguish his/her debts.
In some cases the deceased estate isn’t large enough to pay
his/her debts and final expenses.
If a life insurance policy is included in the estate plan, the
proceeds can help pay those remaining debts.
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Business needs
Two reasons for a business to purchase life insurance:
To provide funds to ensure that the business continues in the
event of the death of an owner, partner, or other key person.
To provide benefits for its employees.
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Business Continuation Insurance
An insurance plan designed to enable a business owner(s) to
provide for the business’ continued operation if the owner or a
key person dies.
Key Person Life Insurance- individual life insurance that a
business purchases on the life of a key person.
The business owner is the beneficiary of the insurance policy if
the person dies.
Buy-Sell Agreement- an agreement in which one party agrees to
purchase the financial interest that a second party has in a
business following the second party’s death and the second
party agrees to direct his estate to sell his interest in the
business to the purchasing party.
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Characteristics of Term Life Insurance Products
Provides a death benefit only is the insured dies during the
period specified in the policy.
The length of the policy term varies considerably from one
policy to another.
Another common type of term life insurance cover the insured
until he/she reaches a specified age, usually 65 or 70.
Referred to as term to age___.
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Level Term Life Insurance
Most common plan of term insurance.
AKA Level face amount term life insurance or guaranteed level
premium term insurance.
Provides a policy benefit that remains the same over the term of
the policy.
Amount of initial premium and each renewal premium payable
for a level term policy remains the same throughout the stated
policy term.
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Decreasing Term Life Insurance
Provides a policy that decreases in amount over the term
coverage.
The amount of each renewal premium payable for a decreasing
term insurance policy usually remains level throughout the
policy term.
Three common plans of decreasing term insurance are mortgage
life insurance, credit life insurance, and family income
insurance.
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Mortgage Life Insurance
A plan of decreasing term insurance designed to provide a
benefit amount that corresponds to the decreasing amount owed
on a mortgage loan.
The beneficiary is often a family member of the insured.
Joint Mortgage Life Insurance- provides the same benefit as a
mortgage life insurance except the join policy insures the lives
of two people.
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Credit Life Insurance
A type of life insurance designed to pay the balance due on a
loan if the borrower dies before the loan is repaid.
Generally the loan must be a type of loan that can be repaid in
10 years or less
Premiums for credit life insurance may be level over the
duration of the loan or, in cases in which the amount of the loan
varies, may increase or decrease as the amount of the
outstanding loan balance increases or decreases
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Family Income Coverage
A plan of decreasing term life insurance that provides to the
beneficiary a stated monthly income benefit amount if the
insured dies during the term of coverage.
A form of decreasing term life insurance
Most commonly purchased as a policy rider to a cash value life
insurance policy.
Policy Rider is an amendment to an insurance policy that
becomes apart of the insurance contract and either expands or
limits the benefits payable under the contract.
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Increasing Term Life Insurance
Provides a death benefit that starts at one amount and increases
by some specified amount of percentage at stated intervals over
the policy term.
Often purchased as a rider to a life insurance policy and usually
is just for a limited time.
Premium generally increases as the amount of coverage
increases.
15
Renewable Term Insurance
A term life insurance policy that gives the policyowner the
option to continue the coverage at the end of the specified term
without presenting evidence of insurability (proof that the
insured person continues to be an insurable risk).
Renewal Provision- the provision in the policy that gives the
insured the right to continue coverage without presenting
evidence of insurability.
Most common limitations on renewals
The coverage may be renewed only until the insured attains a
stated age.
The coverage may be renewed only a stated maximum number
of times.
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Convertible Term Insurance
Gives the policyowner the right to convert the term policy to a
cash value life insurance policy.
Conversion Privilege- allows the policyowner to change the
term insurance policy to a cash value policy without providing
evidence that the insured is an insurable risk.
Premium rate is higher when a term policy is converted into a
cash policy.
Attained age conversion- premium is based on insured’s age
Original age conversion- premium rate is based on insured’s age
when original term policy was issued
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Return of Premium Term Insurance
A form of term life insurance that provides a death benefit if the
insured dies during the policy term and promises a return of
premiums if the insured does not die during the policy term.
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Cash Value Life Insurance and
Endowment Insurance
Life and Health Insurance FIN 3660
Chapter 6
Cash value life insurance vs. whole life insurance
Cash value life insurance – (permanent life insurance) provides
life insurance coverage throughout the insured’s lifetime and
provides a savings element, known as cash value.
Provides protection for the entire lifetime of the insured
Provides both insurance coverage and a savings element that a
policyowner can use to meet financial needs during the
insured’s lifetime.
Whole life insurance – a type of cash value life insurance that
provides lifetime insurance coverage usually at a level premium
rate that does not increase as the insured ages.
Whole life – refers to the broad classification of insurance
products that are considered to be cash value insurance.
Also used to refer to a specific type of cash value insurance
product.
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Whole Life Insurance
Policy loan – a loan a policyowner receives from an insurer
using the cash value of a life insurance policy as security.
Cash surrender value – the amount of the cash value that a
policyowner is entitled to receive upon surrender.
Premium Payment Periods
Continuous-premium whole life policy: premiums are payable
until the death of the insured.
Most whole life insurance policies sold today are continuous-
premium policies.
Also known as a straight life insurance policy or an ordinary
life insurance policy.
Limited-payment whole life policy: a whole life policy for
which premiums are payable only for a stated period of time or
until the insured’s death, whichever occurs first.
They are designed to meet a policyowner’s need for life
insurance coverage that continues throughout the insured’s
lifetime and that is funded over a limited time.
Paid-up policy – requires no further premium payments but
continues to provide coverage.
Single-premium whole life policy: a type of limited payment
policy that requires only one premium payment.
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Whole Life Insurance
Modified Whole Life Insurance
Modified-premium whole life policy: a whole life policy for
which the annual premium amount changes after a specified
initial period (typically 5 or 10 years).
The face amount of a modified-premium policy remains level
throughout the life of the policy.
Graded-premium policies - whole life policies for which
premium payments are modified even more frequently.
Modified coverage policy: a whole life policy under which the
amount of insurance provided decreases by specific percentages
or amounts either when the insured reaches certain stated ages
or at the end of stated time periods.
The annual premium for a modified coverage whole life policy
is lower than for a continuous-premium whole life policy having
the same initial face amount.
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Whole Life Insurance
Whole Life Insurance Covering More Than One Insured
Joint whole life insurance: same features and benefits as
individual whole life insurance, except that it insures two
people under the same policy.
Referred to as fist-to-die life insurance
Because coverage under a joint whole life policy ends once the
policy death benefit is paid, the surviving insured may be left
uninsured.
Last survivor life insurance: a variation of joint whole life
insurance under which the policy benefit is paid only after both
people insured by the policy have died.
Also known as second-to-die life insurance or survivorship life
insurance
Family Policies: a whole life insurance policy that includes term
life insurance coverage on the primary insured’s spouse and
children.
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Universal Life Insurance
Universal Life (UL) Insurance – a form of cash value life
insurance that is characterized by its flexible premiums, its
flexible face amount and death benefit amount, and its
separation of the three primary policy elements.
Separation of Policy Elements
Mortality Charges: the amount needed to cover the risk the
insurer has assumed in issuing the policy.
“Cost of insurance”
Periodically deducted from a universal life insurance policy’s
cash value.
Interest Rate
Universal life insurance policy guarantees that the insurer will
pay at least a stated minimum interest rate on the policy’s cash
value each year.
Insurer will pay a higher interest rate if economic and
competitive conditions warrant.
Usually the insurer determines the current interest rate for
universal life policies based on the return that its own
investments are earning.
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Universal Life Insurance
Separation of Policy Elements
Expenses
A flat charge during the first policy year to cover sales and
policy issue costs.
A percentage of each annual premium (such as 7 percent) to
cover expenses.
A monthly administration (management) fee, sometimes referred
to as a policy fee.
Surrender charges, which are specific charges imposed if the
owner surrenders the policy for its cash surrender value.
Specific charges for other services such as coverage changes or
policy withdrawals.
Operation of a Universal Life Insurance Policy
When an insurance company receives a universal life premium
payment, the insurer first deducts the amount of any applicable
expense charges. The insurer then credits the remainder of the
premium to the policy’s cash value.
The policyowner can increase the cash value of a universal life
policy by making additional or larger-than-required premium
payments.
If the cash value of any universal life policy is not sufficient to
pay the periodic mortality and expense charges, the policy will
lapse, unless the policyowner takes action to keep the policy in
force.
Lapse: the termination of a life insurance policy for nonpayment
of premium.
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Universal Life Insurance
Flexibility Features
A universal life insurance policy gives the policyowner a great
deal of flexibility, both when he purchases the policy and over
the life of the policy.
Face Amount and Death Benefit: when a person buys a universal
life policy, he specifies the policy’s face amount and decides
whether the amount of the death benefit payable will remain
equal to the face amount (as with most traditional whole life
policies or will vary with changes in the policy’s cash value.
Premiums: a universal life policy may be either a flexible
premium policy or a fixed premium policy.
Flexible premium universal life insurance policy – allows the
policyowner to alter the amount and frequency of premium
payments, within specified limits.
Fixed premium iniversal life insurance policy – requires a series
of scheduled premium payments of a specified amount for a
specified length of time (typically 8 to 10 years) or until the
insured’s death, whichever comes first.
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Universal Life Insurance
Periodic Reports
Generally include:
The amount of the death benefit payable
The amount of the policy’s cash value
The amount of the cash surrender value, if different from the
cash value
The amount of interest earned on the cash value
The amount of the mortality charges deducted
The amount of the expense charges deducted
The amount of premiums paid during the reporting period
The amount of policy loans outstanding
The amount of any cash value withdrawals
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Variable Life Insurance
Variable Life (VL) Insurance - a form of cash value life
insurance in which premiums are fixed, but the death benefit
and other values may vary, reflecting the performance of
investment subaccounts that the policyowner selects.
Subaccount: an undivided investment account in which an
insurer maintains funds that support its contractual obligations
to pay benefits under its guaranteed insurance products, such as
whole life insurance and other nonvariable products.
Separate account: (segregate account) an investment account the
insurer maintains separately from its general account to isolate
and help manage the funds placed in its variable products.
General account: an undivided investment account in which an
insurer maintains funds that support its contractual obligations
to pay benefits under its guaranteed insurance products, such as
whole life insurance and other nonvariable products.
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Variable Universal Life Insurance
Variable Universal Life (VUL) Insurance – (flexible-premium
variable life insurance) combines the premium and death benefit
flexibility of universal life insurance with the investment
flexibility and risk of variable life insurance.
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Endowment Insurance
Endowment Insurance – provides a policy benefit payable either
when the insured dies or on a stated date if the insured is still
alive on that date.
Maturity date: the date on which the insurer will pay the
policy’s face amount to the policyowner if the insured is still
living.
Reached either (1.) at the end of a stated term, such as 20 years,
or (2.) when the insured reaches a specified age.
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Life and Health Insurance FIN 3660
Chapter 7
Supplemental Benefits
Objectives
Identify and describe three types of supplemental disability
benefits that life insurance policies may provide.
Explain the coverage that an accidental death benefit rider
provides and give examples of common exclusions.
Identify three types of accelerated death benefit riders and
describe the differences among those riders.
Describe three types of insurance riders that expand a life
insurance policy’s coverage to insure more than one individual.
Identify two types of insurability benefit riders and explain how
they allow a life insurance policyowner to purchase additional
insurance coverage.
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The Basics
Supplemental benefits are benefits that can be added to
individual life insurance policies.
An additional premium amount is usually charged for each
benefit.
Sometimes supplemental benefits are provided by a policy
provision, but usually they are provided by adding riders to a
life insurance policy.
This helps when customizing a policy, because a new contract is
not needed to add coverage.
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Supplemental Disability Benefits
Disability benefits can be added to a life insurance policy.
One of the most common supplemental benefits is the waiver of
premium for disability (WP) benefit.
Under this, the insurance waives its right to collect premiums
that become due while the insured is totally disabled. The
insurer pays the premiums, so a policy that builds a cash value
will continue to increase.
In participating policy the insurance company continues to pay
policy dividends as if the policyowner were paying premiums.
34
WP Benefits
The policyowner must notify the insurance company in writing
of a claim and provide proof that the insured is totally disabled
as defined by the WP benefit.
Total disability is the insured’s inability to perform the
essential duties of their own occupation or any other occupation
for which they are reasonably suited by education, training, or
experience.
The insured must be totally disabled for three to six months
before the insurer will waive premium payments.
Disabilities resulting from self-inflicted injuries and injuries
suffered while committing a crime are typically excluded.
In cases with variable premiums (universal and variable life
insurance policies), charges that are waived vary depending on
the terms of the WP benefit rider.
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Waiver of Premium for Payor Benefit
Waiver of premium for payor benefit provides that the insurance
company will waive its right to collect a policy’s renewal
premiums if the policyowner dies or becomes totally disabled.
Usually this is included as a rider to a juvenile insurance policy,
one that is issued on the life of a child but owned and paid for
by an adult.
Premium payments are only waived until the insured reaches a
certain age.
A policyowner is totally disabled during the first two years of
disability if they are unable to perform the essential duties of
their own occupation. After that, they are considered totally
disabled if they cannot perform the essential duties of any
occupation for which they are reasonably suited by education,
training, or experience.
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Disability Income Benefit
The disability income benefit provides a monthly income
benefit to the policyowner-insured if they become totally
disabled while the policy is in force.
Definition for total disability is the same as WP, as is the wait
period.
Usually the income is a certain percentage of the policy’s face
amount.
Generally this goes hand in hand with WP.
37
Accidental Benefits
Accidental death benefit a supplemental life insurance policy
benefit that provides a death benefit in addition to the policy’s
basic death benefit if the insured dies as a result of an accident.
Double indemnity benefit when the amount of accidental death
benefit is equal to the face amount of the life insurance policy.
Determining the precise cause of an insured’s death can
sometimes be quite difficult.
Some exclusions: suicide, war related accidents, aviation-
related accidents if the insured was not a passenger, and
accidents resulting from the insured committing a crime.
Accidental death and dismemberment (AD&D) provides
accidental death benefits and provides a dismemberment benefit
payable if an accident causes the insured to lose any two limbs
or sight in both eyes.
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Accelerated Death Benefits
Also known as a living benefit, this provides that a policyowner
may elect to receive all or part of the policy’s death benefit
before the insured’s death under certain conditions.
Usually only offered on policies with larger face amounts.
Three commonly offered types of accelerated death benefits:
terminal illness benefit, dread disease benefit, and long-term
care benefit.
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Accelerated Death Benefits
Terminal illness (TI) benefit a benefit under which the insurer
pays a portion of the policy’s death benefit to a policyowner-
insured who suffers from a terminal illness and has a physician-
certified life expectancy of less than a stated time, generally 12
or 24 months.
Typically paid for by an administrative charge that the insurer
assesses when a policyowner-insured elects to exercise the TI
benefit.
40
Accelerated Death Benefits
Dread disease (DD) benefit an accelerated death benefit under
which the insurer agrees to pay a portion of the policy’s face
amount to the policyowner if the insured suffers from one of a
number of specified diseases.
Diseases included: life-threatening cancer, coronary artery
bypass surgery, heart attack, stroke, end-stage kidney failure,
AIDS
Some DD benefits include organ transplants and Alzheimer’s
disease.
41
Accelerated Death Benefits
Long-term care (LTC) insurance benefit ab accelerated death
benefit under which the insurer agrees to pay a monthly benefit
to a policyowner if the insured requires constant care for a
medical condition.
The care given and the medical condition required to qualify are
specified in the LTC policy rider or provision.
Premiums generally are waived on both the long-term care
benefit and the basic life insurance policy.
The amount paid is generally a percentage of the policy’s face
amount.
Typically there is a 90 day waiting period before benefits are
payable.
42
Benefits for Additional Insureds
Spouse insurance rider a supplemental life insurance policy
benefit that provides term life insurance coverage on the
insured’s spouse. Typically sold on the basis of coverage units.
Most insurance companies do not offer more than 5 or 10
coverage units.
Children’s insurance rider a supplemental life insurance policy
benefit that provides term life insurance coverage on the
insured’s children. Some insurers combine spouse and
children’s insurance coverage into one rider, a spouse and
children’s insurance rider.
Second insured rider a supplemental life insurance policy
benefit that provides term insurance coverage on the life of a
person other than the policy’s insured. Can be spouse, another
relative, or an unrelated person. Typically the coverage is
greater than the spouse’s insurance rider.
43
Insurability Benefits
Guaranteed insurability (GI) benefit a supplemental life
insurance policy benefit that gives the policyowner the right to
purchase additional insurance of the same type as the basic life
insurance policy. The premium for the additional coverage is
based on the insured’s attained age when the additional
insurance is purchased. If the policyowner does not exercise the
option to buy extra coverage on the specified dates, that option
is lost forever, though the policyowner is permitted to exercise
the next option when it comes due.
44
Insurability Benefits
Paid-up additions option benefit a supplemental life insurance
policy benefit that allows the owner of a whole life insurance
policy to purchase single-premium paid-up additions to the
policy on stated dates in the future without providing evidence
of the insured’s insurability.
Premiums for the paid-up additions are based on the insured’s
attained age at the time the paid-up additions are purchased.
Most riders state that if the policyowner does not exercise the
purchase option for a stated number of years, then the rider will
terminate. At that time, the paid-up additions already purchased
remain in force, but the policyowner can no longer exercise the
option to purchase new paid-up additions.
45
Life and Health Insurance FIN 3660
Chapter 8
Individual Life Insurance Policy Provisions
Objectives
Describe the free-look provision of an insurance policy.
Identify the documents that make up the entire contract between
the owner of a life insurance policy and the insurer.
Explain the purpose and operation of the incontestability
provision.
Apply the terms of the standard grace period provision in a
given situation to determine whether a life insurance policy has
lapsed for nonpayment of premium.
Identify situations in which a life insurance policy can be
reinstated and the conditions the policyowner must meet to
reinstate the policy.
Describe the rights provided by a policy loan provision and a
policy withdrawal provision, and explain the differences
between a policy loan and a commercial loan.
Identify and describe the nonforfeiture options typically
included in cash value life insurance policies.
Identify the exclusions that insurers sometimes include in
individual life insurance policies
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Standard Policy Provisions
Free-Look Provision (“free-examination provision” or “cooling-
off provision”) – gives the policyowner a stated period of time –
usually 10-30 days – after the policy is delivered in which to
examine the policy
The free-look period runs from the date the policy is delivered
to the policyowner, not from the date of issue
During the free-look period, the policy owner has the right to
cancel and receive a refund of the premium
48
Entire Contract Provision
Entire Contract Provision – defines the documents that
constitute the contract between the insurance company and the
policyowner
Closed Contract – a contract for which only those terms and
conditions that are printed in – or attached to – the contract are
considered to be part of the contract
Open Contract – a contract that identifies the documents that
constitute the contract between parties, but all the enumerated
documents are not necessarily attached to the contract
Declaration of Insurability – a form in which a proposed insured
answers specific questions about his medical history
49
Contact Provision (Cont.)
In addition to defining the documents that make up the contract,
the entire contract provision usually state that:
Only specified individuals – such as certain officers of the
insurer – can change the contract
No change is effective unless made in writing
No change will be made unless the policyowner agrees to it in
writing
50
Incontestability Provision
Insurance laws in many jurisdictions impose two important
limits on an insurer’s right to avoid an insurance contract on the
basis of misrepresentation:
Only certain misrepresentation – referred to as material
misrepresentations – give the insurer the right to avoid an
insurance contract
The insurer has only a limited amount of time in which to avoid
an insurance contract
Incontestability Provision – describes the time limit within
which the insurer has the right to avoid the contract on the
ground of material misrepresentation in the application
51
Material Misrepresentation
Misrepresentation – a false or misleading statement in an
application for insurance
Material Misrepresentation – a misrepresentation that is
relevant to the insurance company’s evaluation of the proposed
insured
A misrepresentation is considered material if, had the truth been
known, the insurer would not have issued the policy or would
have issued the policy on a different basis, such as with a
higher premium or a lower face amount
52
Operation of the Incontestability Provision
Fraudulent Misrepresentation – a misrepresentation that was
made with the intent to induce the other party to enter into a
contract and that did induce the innocent party to enter into the
contract
Obtaining sufficient evidence to prove that a misrepresentation
was fraudulent usually is quite difficult
“During the lifetime of the insured” is an important part of the
incontestability clause
This phrase makes the policy contestable forever if the insured
dies during the contestable period
If this phrase were not included and the insured died during the
contestable period, the beneficiary could possibly delay making
a death claim until after the contestable period expired
The incontestability provision is to assure policyowners and
beneficiaries that, after the contestable period has ended, the
insurer cannot avoid the policy on the basis of a material
misrepresentation in the application for insurance.
53
Grace Period Provision
Grace Period Provision- Specifies a length of time following
each renewal premium due date within which the premium may
be paid without loss of coverage.
Grace period- the specified time; typically 30 or 31 days.
Coverage remains in force throughout that period.
If a required renewal premium is not paid by the end of the
grace period, a life insurance policy typically lapses; however,
cash value life insurance policies contain a nonforfeiture
provision that typically allows a policyowner to continue
coverage under specific circumstances even if a renewal
premium is not paid by the end of the grace period.
The grace period provision contained in a universal life
insurance policy applies when the cash value is insufficient to
meet the policy’s monthly mortality and expense charges.
54
Reinstatement Provision
Reinstatement Provision- describes the conditions that the
policyowner must meet to reinstate a policy.
Reinstatement- the process by which a life insurance company
puts back into force a life insurance policy that either has been
terminated because of nonpayment of renewal premiums or has
been continued under the extended term or reduced paid-up
insurance nonforfeiture option.
The following conditions typically must be met to reinstate a
policy:
The policyowner must complete a reinstatement application
within the time frame stated in the reinstatement provision.
The policyowner must provide the insurance company with
satisfactory evidence of the insured’s continued insurability.
The policyowner must pay a specified amount of money; the
amount required depends on the type of policy being reinstated.
The policyowner may be required to either pay any outstanding
policy loan or have the policy loan, including any additional
accrued interest, reinstated with the policy.
55
Misstatement of Age or Sex Provision
A misstatement of the insured’s age or sex is a significant
error.
Most life insurance policies include a misstatement of age or
sex provision that describes the action the insurer will take to
adjust the amount of the policy benefit in the event that the age
or sex of the insured is incorrectly stated.
Insurers adjust the face amount of the policy when they
discover a misstatement of age or sex after the death of the
insured.
If the misstatement is discovered before the death of the
insured, the insurer may give the policyowner the option to pay-
or receive as a refund- any premium amount difference caused
by the misstatement instead of having the insurer adjust the
policy’s face amount.
56
Policy Loans and Policy Withdrawls
Cash value life insurance policies typically grant the
policyowner the right to borrow money from the insurer by
using the cash value of the policy as security for the loan.
Policy Loan Provision- specifies the terms on which the
policyowner of a cash value insurance policy can obtain a loan
against the policy’s cash value.
Some policy loan provisions allow the policyowner to take out a
loan in an amount that does not exceed the policy’s cash value
less one year’s interest on the loan.
Policy loan vs. commercial loan:
The policyowner is not legally obligated to repay a policy loan.
Policy loan can be repaid at any time.
The insurance company does not perform a credit check on the
policyowner for a policy loan.
Policy Withdrawal Provision-permits the policyowner to reduce
the amount of the policy’s cash value by withdrawing up to the
amount of the cash value in cash.
57
Nonforfeiture Provision
Nonforfeiture Provision- sets forth the options available to the
owner of a cash value policy if the policy lapses or if the
policyowner decides to surrender- or terminate- the policy.
Nonforfeiture options: cash payment nonforfeiture option, two
continued insurance coverage options, and the automatic
premium loan option.
Most policies include an automatic nonforfeiture benefit which
is a specific nonforfeiture benefit that becomes effective
automatically when a renewal premium for a cash value life
insurance policy is not paid by the end of the grace period and
the policyowner has not elected another nonforfeiture option.
58
Cash Payment Nonforfeiture Option
Cash Payment Nonforfeiture Option- states that a policyowner
who discontinues premium payments can elect to surrender the
policy and receive the policy’s cash surrender value in a lump-
sum payment.
Cash value policies include a chart that lists cash surrender
values at various times, and these policies describe the method
used to compute those values.
The amount of cash value actually available to the policyowner
upon surrender of the policy may not be the exact cash
surrender value amount described in the policy.
After additions and subtractions have been made, the amount
the policyowner receives is called the net cash surrender value.
59
Nonforfeiture (Cont.)
Reduced paid-up insurance nonforfeiture option- the policy’s
net cash surrender value is used as a net single premium to
purchase paid-up life insurance of the same plan as the original
policy.
The premium charged for the paid-up insurance is based on the
insured’s attained age when the option goes into effect.
Policies including this option typically contain a chart listing
the amount of reduced paid-up insurance that is available each
year for the first 20 years the policy is in force.
Any supplemental benefits that were available on the original
policy are not usually available when the policy is continued as
a reduced paid-up insurance.
60
Nonforfeiture (Cont.)
Extended Term Insurance Nonforfeiture Option- the insurance
company uses the policy’s net cash surrender value to purchase
term insurance for the full coverage amount provided under the
original policy, for as long a term as the net cash surrender
value can provide.
Life insurance policies that contain the extended term insurance
option typically contain a chart showing the length of time the
original face amount of the policy will be continued in force
under the extended term option for each of the first 20 policy
years.
Because of the way they usually operate, universal life
insurance policies typically do not include an extended term
insurance nonforfeiture option.
61
Automatic Premium Loan Option
Automatic Premium Loan (ALP) Option- the insurer will
automatically pay an overdue premium for the policyowner by
making a loan against the policy’s cash value as long as the
cash value equals or exceeds the amount of the premium due.
The use of the ALP option keeps the original policy in force for
the full amount of coverage, including all supplemental
benefits.
Universal life insurance policies usually do not include an ALP
provision because a similar benefit is already provided in these
policies as apart of their monthly cash value deduction
mechanism.
62
Life Insurance Policy Exclusions
Exclusions- provisions that describe circumstances under which
the insurer will not pay the policy proceeds following the death
of the insured.
Suicide Exclusion Provision- states that policy proceeds will
not be paid if the insured dies as the result of suicide as defined
by the policy within a specified period following the date of
policy issues.
Other exclusion can include:
War Exclusion Clause- the insurer will not pay the policy
proceeds if the insured’s death results from war or an act of
war.
Hazardous Activities Exclusion Provision- the insurer will not
pay the policy proceeds if the insured’s death results from
specified dangerous activities such as mountain climbing, sky
diving, or scuba diving.
Aviation Exclusion Provision- the insurer will not pay the
policy proceeds if the insured’s death results from aviation-
related activies.
63
Sample Whole Life Insurance Policy
Insured John Doe
Age 35
Face Amount $100,000
Policy Date August 1, 2015
Type Whole Life Paid Up at 90
Participating
Premium $1533/year for 55 years
Policy Terms
Owner John Doe
Beneficiary Jane Doe
Sample Table
of Guaranteed Values
End of $100,000
Policy August Cash Paid-Up Extended Term
Year 1 Value Insurance Insurance To
10 2015 11,411 37,400 Oct 13, 2043
15 2030 19,629 51,900 Jun 19, 2051
Life Insurance – Example 1
John Doe terminates the policy on August 1, 2025.
He selects the extended term option.
John dies on December 12, 2043.
How much does Jane receive?
A) 0
B) $11,411
C) $37,400
D) $100,000
E) None of the above
Life Insurance – Example 2
What if John Doe had selected the Paid-Up
insurance option instead? How much does Jane receive?
A 0
B $11,411
C $37,400
D $100,000
E None of the above
Statement of Policy Costs and Benefit Information
Dividend Choices
Reduce Premium
Paid-Up Additions
Section 1 - The Contract
Life Insurance Benefit
Entire Contract; Changes
Incontestability
Suicide
Misstatement of Age or Sex
Life Insurance – Example 3
John Doe commits suicide on August 2, 2015, the day after the
policy was issued? How much does Jane receive?
A 0
B $1533
C $50,000
D $100,000
E None of the above
Section 2 - Ownership
The Owner
Transfer of Ownership
Collateral Assignment
Section 3 - Premiums and Reinstatement
Premium Payment
Payment
Frequency (Assume annual)
Grace Period - 31 days
Premium Refund at Death (Ignore for assignment)
Reinstatement
Section 4 - Dividends
Annual dividends
Use of dividends
Paid-up additions
Dividend accumulations
Premium payments
Dividend at death
Cash Values, Extended Term and Paid-Up Insurance
Cash Value
Extended Term Insurance
Paid-Up Insurance
Cash Surrender
Table of Guaranteed Values
Life Insurance – Example 4
John keeps the policy in force for 15 years and then surrenders
it for the cash value. During that time he has paid a total of
$22,995 in premiums (15 x $1533) and received a total of
$7,995 in dividends. How much of the policy proceeds are
taxable income?
A) 0
B) $4,629
C) $36,900
D) $85,000
E) None of the above
Loans
Loans
Policy Loan
Premium Loan
Loan Value
Policy Debt
Loan Interest
Specified Rate (4%)
Variable Rate
Life Insurance Policy Ownership Rights
Life and Health Insurance FIN 3660
Chapter 9
Life Insurance Policy Ownership Rights
An insurance policy is a contract between the insurer and the
policyowner and is subject to the rules of contract law.
Property – a bundle of rights a person has with respect to
something.
Real Property – land and whatever is growing on or attached to
the land.
Personal Property – all property other than real property.
Tangible Property – property that has physical form, such as
automobiles, jewelry, or clothing.
Intangible Property – property that represents ownership of a
legal right, such as a contractual right.
Ownership of Property – the sum of all the legal rights that
exist in that property.
79
Naming the Beneficiary
Class designation – a beneficiary designation that identifies a
certain group of persons, rather than naming each person.
Primary and Contingent Beneficiaries
Primary (first) Beneficiary – the party designated to receive the
policy proceeds following the death of the insured.
Contingent (second or successor) Beneficiary – receives the
policy proceeds only if all designated primary beneficiaries
have predeceased the insured.
Insurers usually prefer that policyowners name at least a
primary and a contingent beneficiary.
80
Naming the Beneficiary
Changing the Beneficiary
Right of revocation – the right to change the beneficiary
designation.
Revocable beneficiary – a beneficiary designation is said to be
revocable if the policyowner has the unrestricted right to change
the designation during the life of the insured.
Vast majority of beneficiaries of life insurance policies are
revocable beneficiaries.
Can only be made during the insured’s lifetime.
Vested interest – a property right that has taken effect and
cannot be altered or changed without the consent of the person
who owns the right.
Irrevocable beneficiary – a beneficiary designation is said to be
irrevocable if the policyowner has the right to change the
beneficiary designation only after obtaining the beneficiary’s
consent.
Policyowner may at any time designate a beneficiary as an
irrevocable beneficiary.
Under certain circumstances, a policyowner may be able to
name a new beneficiary, even if the original beneficiary
designation is irrevocable.
81
Mode of Premium Payment
Most individual life insurance policyowners pay periodic
renewal premiums to keep their policies in force.
Premium payment mode – the frequency at which renewal
premiums are payable.
Renewal premiums for an individual life insurance policy
generally are stated as an annual premium amount due.
Insurers seek to keep their administrative costs down by
requiring scheduled renewal premium payments to be at least
equal to a stated minimum amount.
82
Policy Dividends
Participating policy: (par policy) is a type of policy under
which the policyowner shares in the insurance company’s
divisible surplus.
Nonparticipating policy: (nonpar policy) is a type of policy
under which the policyowner does not share in the insurer’s
surplus.
Divisible surplus: a portion of an insurance company’s surplus
set aside specifically for distribution to owners of participating
policies.
Policy dividend: a policyowner’s share of the divisible surplus.
Dividend options: specified methods by which the owner of a
participating life insurance policy or participating annuity may
receive policy dividends.
Automatic dividend option: a specified policy dividend option
that the insurer will apply if a policyowner does not choose an
option.
83
Policy Dividends
Cash Dividend Option – the insurance company sends the
policyowner a check in the amount of the policy dividend that
was declared.
Premium Reduction Dividend Option – the insurer applies
policy dividends toward the payment of renewal premiums.
Unless a policy has been in force for many years, the annual
policy dividend usually is not large enough to pay an entire
annual renewal premium.
Policy Loan Repayment Dividend Option – the insurer applies
policy dividends toward the repayment of an outstanding policy
loan. The amount of the policy dividend usually is applied first
to repay any outstanding interest on the loan and then to repay
the loan principal.
84
Policy Dividends
Accumulation at Interest Dividend Option – the policy
dividends are left on deposit with the insurer to accumulate at
interest.
Paid-up Additional Insurance Dividend Option – the insurer
uses any declared policy dividend to purchase paid-up
additional insurance on the insured’s life.
Additional Term Insurance Dividend Option – the insurer uses
each policy dividend to purchase one-year term insurance on the
insured’s life.
Insurers often limit to the amount of the policy’s cash value the
maximum amount of one-year term insurance that can be
purchased each year.
Before a policyowner is permitted to change from another
dividend option to the additional term insurance option, insurers
usually require evidence of the insured’s insurability.
85
Transfer of Policy Ownership
If the owner of a life insurance policy has contractual capacity,
then she has the right to transfer ownership of some or all of her
rights in the policy.
Transfer of Ownership by Assignment
Assignment: an agreement under which the policyowner
transfers some or all of his ownership rights in the policy to
another party.
To make a valid assignment of an insurance policy, the
policyowner must have contractual capacity.
May not infringe on the vested rights of an irrevocable
beneficiary.
An assignment that is made for illegal purposes, such as
speculating on a life, is invalid.
86
Transfer of Policy Ownership
Types of Assignment – an assignment may take one of two
forms:
Absolute Assignment: an assignment under which a policyowner
transfers all of his policy ownership rights to the assignee.
Collateral Assignment: a temporary assignment of the monetary
value of a life insurance policy as collateral—or security—for a
loan.
The collateral assignee’s rights are limited to those ownership
rights that directly concern the monetary value of the policy.
The collateral assignee has a vested right to the policy’s
monetary values, but that right is limited.
The collateral assignee’s rights to the policy values are
temporary.
Assignment Provision – describes the roles of the insurer and
the policyowner when the policy is assigned.
87
Transfer of Policy Ownership
Transfer of Ownership by Endorsement
Many life insurance policies issued today specify a simple,
direct method of transferring all the policy’s ownership rights.
Endorsement method – policy ownership is completely
transferred without requiring the policyowner to enter into a
separate assignment agreement.
The right to change the policy’s owner is generally specified in
the change of ownership provision in the policy.
88
Right to Receive Policy Proceeds
Upon an insured’s death, the beneficiary has a vested right to
receive the policy proceeds.
Identifying Who is Entitled to Policy Proceeds
No Surviving Beneficiary : if no beneficiary has been named or
none of the named beneficiaries is living when the insured dies,
then the policy proceeds typically are paid to the policyowner,
if the policyowner is living. If the policyowner is deceased,
then the proceeds are paid to the policyowner’s estate.
-- preference beneficiary clause (succession beneficiary clause):
states that if the policyowner does not name a beneficiary, then
the insurer will pay the policy proceeds in a stated order of
preference.
Insured and Beneficiary Die in a Common Disaster
-- common disaster: the insurer and the beneficiary die in the
same accident; the accident or disaster was common to more
than one person.
89
Right to Receive Policy Proceeds
Insured and Beneficiary Die in a Common Disaster
-- Simultaneous death act: governs how insurance companies are
to evaluate common-disaster situations.
-- Survivorship clause: states that the beneficiary must survive
the insured by a specified period, usually 30 or 60 days, to be
entitled to receive the policy proceeds.
Beneficiary Wrongfully Kills the Insured
-- Permitting someone to profit from the wrongful killing of
another person is not in the public interest.
-- Laws in many countries disqualify a beneficiary from
receiving the policy proceeds if the beneficiary wrongfully and
intentionally killed the insured.
90
Calculating the Amount of the Benefit Payable
The insurer first adds together the following items:
Basic death benefit payable – the policy’s face amount.
However, if the policy was in force under the reduced paid-up
insurance nonforfeiture option when the insured died, then the
amount of the basic death benefit payable is less than the face
amount.
The amount of any accidental death benefits payable
The amount of any declared but unpaid policy dividends
The amount of any accumulated policy dividends, including
interest, left on deposit with the insurer
The face amount of any paid-up additions
The amount of any unearned premiums paid in advance.
Policyowners sometimes pay premiums before those premiums
are due.
91
Calculating the Amount of the Benefit Payable
After totaling the amount of the foregoing items, the insurer
then subtracts the following items from that total:
The amount of any outstanding policy loans, including any
unpaid interest.
The amount of any premium due and unpaid at the time of the
insured’s death. This item appears when the insured dies during
the policy’s grace period before the premium due has been paid.
92
Paying Policy Benefits Under a Settlement Option
Settlement option (optional modes of settlement) – alternative
methods that the owner or beneficiary of a life insurance policy
can elect for receiving payment of the policy proceeds.
Settlement option provision – grants a policyowner or a
beneficiary several choices as to how the insurance company
will distribute the proceeds of a life insurance policy.
Payee – the person or party who is to receive the policy
proceeds under a settlement option.
Contingent payee (successor payee) – receives any proceeds
still payable at the time of the payee’s death.
93
Paying Policy Benefits Under a Settlement Option
Interest Option
A settlement option under which the insurance company invests
the policy proceeds and periodically pays interest on those
proceeds to the payee.
Fixed Period Option
A settlement option under which the insurance company agrees
to pay policy proceeds in equal installments to the payee for a
specified period of time.
Fixed Amount Option
A settlement option under which the insurance company pays
equal installments of a stated amount until the policy proceeds,
plus the interest earned, are exhausted.
Life Income Option
A settlement option under which the insurance company agrees
to pay the policy proceeds in periodic installments over the
payee’s lifetime.
Life annuity: an annuity that provides periodic income payments
for at least the lifetime of a named individual.
94
Interest Option
Interest Option
A settlement option under which the insurance company invests
the policy proceeds and periodically pays interest on those
proceeds to the payee
The payee generally has the right to withdraw all or part of the
policy proceeds at any time or to place all of the proceeds under
another settlement option.
95
Fixed Period Option
Fixed Period Option
A settlement option under which the insurance company agrees
to pay policy proceeds in equal installments to the payee for a
specified period of time.
The amount of each installment paid under the fixed period
option depends primarily on the amount of the policy proceeds,
the interest rate, and the length of the payment period that the
policyowner or beneficiary chooses.
96
Fixed Amount Option
Fixed Amount Option
A settlement option under which the insurance company pays
equal installments of a stated amount until the policy proceeds,
plus interest earned, are exhausted.
The number of installments that the insurer will pay depends on
the amount of the policy proceeds, the interest rate, and the
fixed amount selected.
97
Life Income Option
Life Income Option
A settlement option under which the insurance company agrees
to pay the policy proceeds in periodic installments over the
payee’s lifetime.
Life Annuity
An annuity that provides periodic income payments for at least
the lifetime of a named individual.
98
Question 1
Some life insurance policies include a clause which states that
the beneficiary must outlive the insured by a specified period to
be entitled to receive the policy proceeds. Under this type of
clause, if the beneficiary does not outlive the insured by the
specified period of time, then the policy proceeds are paid as if
the beneficiary predeceased the insured. As a result, the policy
proceeds are more likely to be distributed as the policyowner
had intended. By definition, this type of clause is known as a
Question 1 options:
1)
right of revocation clause
2)
succession beneficiary clause
3)
survivorship clause
4)
key person clause
Save
Question 2 (4 points)
Educational fund planning for dependent children can be based
on parents’ paying less
than 100% of college costs when incurred.
Question 2 options:
1) True
2) False
Save
Question 3 (4 points)
Some financial advisers suggest ignoring interest earnings and
inflation rates when
evaluating life insurance needs.
Question 3 options:
1) True
2) False
Save
Question 4 (4 points)
Lindsay Inthachak was the policyowner-insured of a whole life
insurance policy. Lindsay designated her husband, Stephen, as
the party to receive the policy proceeds following her death.
Lindsay designated their daughter, Lily, to receive the policy
proceeds if Stephen predeceases Lindsay. In this situation,
Stephen is the type of policy beneficiary known as a
Question 4 options:
1)
contingent beneficiary
2)
primary beneficiary
3)
secondary beneficiary
4)
successor beneficiary
Save
Question 5 (4 points)
The insurance company reserves the right to refuse additional
premium payments if
the policy is in danger of being overfunded.
Question 5 options:
1) True
2) False
Save
Question 6 (4 points)
Reliance on nationwide averages and general guidelines assures
financial advisers that
they will not overlook any important considerations for
their clients when evaluating life
insurance needs.
Question 6 options:
1) True
2) False
Save
Question 7 (4 points)
There may be court fees related to the appointment of an
executor or administrator of
the deceased’s estate.
Question 7 options:
1) True
2) False
Save
Question 8 (4 points)
Under the nonliquidating approach to funding income needs, the
capital fund will
eventually be totally dissipated.
Question 8 options:
1) True
2) False
Save
Question 9 (4 points)
Unrealized gains and losses have no effect on the value of
deferred variable annuity
contracts’ accumulation units.
Question 9 options:
1) True
2) False
Save
Question 10 (4 points)
Safety margins are introduced into annuity mortality tables by
increasing the morality
rates above those expected.
Question 10 options:
1) True
2) False
Save
Question 11 (4 points)
Scott Herbermann is the policyowner-insured of a $200,000
whole life insurance policy. The policy includes a supplemental
benefit rider that gives Mr. Herbermann the right to purchase
$25,000 of additional whole life insurance at age 34, age 37,
and age 40, without submitting evidence of insurability. This
information indicates that Mr. Herbermann’s policy includes the
type of supplemental benefit known as
Question 11 options:
1)
an additional insured rider
2)
a paid-up additions option benefit
3)
a guaranteed insurability (GI) benefit
4)
credit life insurance
Save
Question 12 (4 points)
In addition to lump-sum settlements of policy proceeds, insurers
also make available to the policyowner and to the beneficiary
alternative settlement options for receiving life insurance policy
proceeds. With regard to these settlement options, it is correct
to say
Question 12 options:
1)
that the life income option typically results in larger installment
payments than would be available under the fixed amount or
fixed period options
2)
that a policyowner who selects the interest option cannot place
restrictions on the payee’s right to withdraw the policy proceeds
3)
that, under the fixed period option, the payee usually has the
right to withdraw only a part of the policy proceeds during the
payment period
4)
that, under the fixed amount option, the insurer pays equal
installments of a stated amount to the payee until the policy
proceeds, plus the interest earned, are exhausted
Save
Question 13 (4 points)
Life insurance benefits payable directly to the beneficiary will
not be subject to delays
in settling the estate.
Question 13 options:
1) True
2) False
Save
Question 14 (4 points)
Variable universal life has universal life’s premium flexibility
and variable life’s
policyowner-directed investments.
Question 14 options:
1) True
2) False
Save
Question 15 (4 points)
The main difference between annuities and life insurance is
there is no pooling of the
funds from each annuity contract purchaser.
Question 15 options:
1) True
2) False
Save
Question 16 (4 points)
The cash value of a life insurance policy is not a source of
emergency funds for
preserving or repairing damaged property.
Question 16 options:
1) True
2) False
Save
Question 17 (4 points)
Policy loans under universal life policies do not affect the
growth rate of policy cash
values.
Question 17 options:
1) True
2) False
Save
Question 18 (4 points)
Annuity contracts can be used both to accumulate funds and to
liquidate the
accumulated funds over the annuitant’s remaining
lifetime.
Question 18 options:
1) True
2) False
Save
Question 19 (4 points)
One criticism of variable life insurance is that prospective
purchasers are unable to
determines the applicable expenses for commissions,
premium taxes, and insurance
company overhead.
Question 19 options:
1) True
2) False
Save
Question 20 (4 points)
The capital needs approach to funding income needs uses a
liquidating methodology.
Question 20 options:
1) True
2) False
Save
Question 21 (4 points)
Variable life insurance purchasers now have more fund options
to choose from than
in past decades.
Question 21 options:
1) True
2) False
Save
Question 22 (4 points)
The difference between an endowment insurance policy and a
cash value life insurance policy is that only the endowment
insurance policy
Question 22 options:
1)
pays a fixed benefit whether the insured survives to the policy’s
maturity date or dies before that maturity date
2)
has premiums that are level throughout the term of the policy
3)
steadily builds a cash value
4)
receives favorable federal income tax treatment in the United
States
Save
Question 23 (4 points)
An insurance policy is a contract between the insurer and the
policyowner and is subject to the rules of contract law. An
insurance policy also is a type of property and, thus, is subject
to the principles of property law. In legal terminology, property
is classified as either real property or personal property and as
tangible property or intangible property. With regard to these
classifications, an insurance policy is classified correctly as
Question 23 options:
1)
tangible real property
2)
tangible personal property
3)
intangible real property
4)
intangible personal property
Save
Question 24 (4 points)
Lump-sum needs for funds at death include outstanding debt
that becomes due and
payable at death.
Question 24 options:
1) True
2) False
Save
Question 25 (4 points)
Based on the 2001 CSO mortality table on pages 280-85 of the
text, the probability of
a male living at age 40 dying at age 45 is 0.00265 (that
is, the probability shown in the
column headed “Yearly Probability of Dying” for age
45).
Question 25 options:
1) True
2) False
Save

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  • 1. Term Life Insurance Life and Health Insurance FIN 3660 Chapter 5 Outline Needs Met by Life Insurance Personal Needs Business Needs Term Life Insurance Characteristics of Term Life Insurance Products Plans of Term Life Insurance Coverage Features of Term Life Insurance Policies 2 Needs Met by Life Insurance Personal Needs Most common personal needs that life insurance can meet are: Dependents’ support Estate planning Paying debts and final expenses 3 Dependents Support Life insurance can provide funds to support the family members of a deceased loved one until they obtain new methods of support or until they adjust to living on a lower income. The proceeds can also be used to supplement the family’s income. In many jurisdictions, the beneficiary of a lump sum of money
  • 2. after the death of a loved one is usually not taxed on the money they receive. 4 Estate Planning Estate- the accumulated assets an individual owns when he/she dies. Will- a legal document that directs how the individual’s property is to be distributed after his death. The executor is the person who is a personal representative of the person who has died with a valid will. (administrator if they person died without a valid will) Estate Plan- considers the amount of assets and debts that he/she is likely to have when he/she dies and how best to preserve those assets so that they can be distributed as she desires. Life insurance is an important part of the estate plan. Can leave home to one child and life insurance policy to the other. 5 Debts and Final Expenses A person’s death generally does not extinguish his/her debts. In some cases the deceased estate isn’t large enough to pay his/her debts and final expenses. If a life insurance policy is included in the estate plan, the proceeds can help pay those remaining debts. 6 Business needs Two reasons for a business to purchase life insurance: To provide funds to ensure that the business continues in the
  • 3. event of the death of an owner, partner, or other key person. To provide benefits for its employees. 7 Business Continuation Insurance An insurance plan designed to enable a business owner(s) to provide for the business’ continued operation if the owner or a key person dies. Key Person Life Insurance- individual life insurance that a business purchases on the life of a key person. The business owner is the beneficiary of the insurance policy if the person dies. Buy-Sell Agreement- an agreement in which one party agrees to purchase the financial interest that a second party has in a business following the second party’s death and the second party agrees to direct his estate to sell his interest in the business to the purchasing party. 8 Characteristics of Term Life Insurance Products Provides a death benefit only is the insured dies during the period specified in the policy. The length of the policy term varies considerably from one policy to another. Another common type of term life insurance cover the insured until he/she reaches a specified age, usually 65 or 70. Referred to as term to age___. 9 Level Term Life Insurance Most common plan of term insurance. AKA Level face amount term life insurance or guaranteed level
  • 4. premium term insurance. Provides a policy benefit that remains the same over the term of the policy. Amount of initial premium and each renewal premium payable for a level term policy remains the same throughout the stated policy term. 10 Decreasing Term Life Insurance Provides a policy that decreases in amount over the term coverage. The amount of each renewal premium payable for a decreasing term insurance policy usually remains level throughout the policy term. Three common plans of decreasing term insurance are mortgage life insurance, credit life insurance, and family income insurance. 11 Mortgage Life Insurance A plan of decreasing term insurance designed to provide a benefit amount that corresponds to the decreasing amount owed on a mortgage loan. The beneficiary is often a family member of the insured. Joint Mortgage Life Insurance- provides the same benefit as a mortgage life insurance except the join policy insures the lives of two people. 12 Credit Life Insurance A type of life insurance designed to pay the balance due on a loan if the borrower dies before the loan is repaid.
  • 5. Generally the loan must be a type of loan that can be repaid in 10 years or less Premiums for credit life insurance may be level over the duration of the loan or, in cases in which the amount of the loan varies, may increase or decrease as the amount of the outstanding loan balance increases or decreases 13 Family Income Coverage A plan of decreasing term life insurance that provides to the beneficiary a stated monthly income benefit amount if the insured dies during the term of coverage. A form of decreasing term life insurance Most commonly purchased as a policy rider to a cash value life insurance policy. Policy Rider is an amendment to an insurance policy that becomes apart of the insurance contract and either expands or limits the benefits payable under the contract. 14 Increasing Term Life Insurance Provides a death benefit that starts at one amount and increases by some specified amount of percentage at stated intervals over the policy term. Often purchased as a rider to a life insurance policy and usually is just for a limited time. Premium generally increases as the amount of coverage increases. 15 Renewable Term Insurance
  • 6. A term life insurance policy that gives the policyowner the option to continue the coverage at the end of the specified term without presenting evidence of insurability (proof that the insured person continues to be an insurable risk). Renewal Provision- the provision in the policy that gives the insured the right to continue coverage without presenting evidence of insurability. Most common limitations on renewals The coverage may be renewed only until the insured attains a stated age. The coverage may be renewed only a stated maximum number of times. 16 Convertible Term Insurance Gives the policyowner the right to convert the term policy to a cash value life insurance policy. Conversion Privilege- allows the policyowner to change the term insurance policy to a cash value policy without providing evidence that the insured is an insurable risk. Premium rate is higher when a term policy is converted into a cash policy. Attained age conversion- premium is based on insured’s age Original age conversion- premium rate is based on insured’s age when original term policy was issued 17 Return of Premium Term Insurance A form of term life insurance that provides a death benefit if the insured dies during the policy term and promises a return of premiums if the insured does not die during the policy term. 18
  • 7. Cash Value Life Insurance and Endowment Insurance Life and Health Insurance FIN 3660 Chapter 6 Cash value life insurance vs. whole life insurance Cash value life insurance – (permanent life insurance) provides life insurance coverage throughout the insured’s lifetime and provides a savings element, known as cash value. Provides protection for the entire lifetime of the insured Provides both insurance coverage and a savings element that a policyowner can use to meet financial needs during the insured’s lifetime. Whole life insurance – a type of cash value life insurance that provides lifetime insurance coverage usually at a level premium rate that does not increase as the insured ages. Whole life – refers to the broad classification of insurance products that are considered to be cash value insurance. Also used to refer to a specific type of cash value insurance product. 20 Whole Life Insurance Policy loan – a loan a policyowner receives from an insurer using the cash value of a life insurance policy as security. Cash surrender value – the amount of the cash value that a policyowner is entitled to receive upon surrender. Premium Payment Periods Continuous-premium whole life policy: premiums are payable until the death of the insured. Most whole life insurance policies sold today are continuous- premium policies.
  • 8. Also known as a straight life insurance policy or an ordinary life insurance policy. Limited-payment whole life policy: a whole life policy for which premiums are payable only for a stated period of time or until the insured’s death, whichever occurs first. They are designed to meet a policyowner’s need for life insurance coverage that continues throughout the insured’s lifetime and that is funded over a limited time. Paid-up policy – requires no further premium payments but continues to provide coverage. Single-premium whole life policy: a type of limited payment policy that requires only one premium payment. 21 Whole Life Insurance Modified Whole Life Insurance Modified-premium whole life policy: a whole life policy for which the annual premium amount changes after a specified initial period (typically 5 or 10 years). The face amount of a modified-premium policy remains level throughout the life of the policy. Graded-premium policies - whole life policies for which premium payments are modified even more frequently. Modified coverage policy: a whole life policy under which the amount of insurance provided decreases by specific percentages or amounts either when the insured reaches certain stated ages or at the end of stated time periods. The annual premium for a modified coverage whole life policy is lower than for a continuous-premium whole life policy having the same initial face amount. 22 Whole Life Insurance
  • 9. Whole Life Insurance Covering More Than One Insured Joint whole life insurance: same features and benefits as individual whole life insurance, except that it insures two people under the same policy. Referred to as fist-to-die life insurance Because coverage under a joint whole life policy ends once the policy death benefit is paid, the surviving insured may be left uninsured. Last survivor life insurance: a variation of joint whole life insurance under which the policy benefit is paid only after both people insured by the policy have died. Also known as second-to-die life insurance or survivorship life insurance Family Policies: a whole life insurance policy that includes term life insurance coverage on the primary insured’s spouse and children. 23 Universal Life Insurance Universal Life (UL) Insurance – a form of cash value life insurance that is characterized by its flexible premiums, its flexible face amount and death benefit amount, and its separation of the three primary policy elements. Separation of Policy Elements Mortality Charges: the amount needed to cover the risk the insurer has assumed in issuing the policy. “Cost of insurance” Periodically deducted from a universal life insurance policy’s cash value. Interest Rate Universal life insurance policy guarantees that the insurer will pay at least a stated minimum interest rate on the policy’s cash value each year. Insurer will pay a higher interest rate if economic and competitive conditions warrant.
  • 10. Usually the insurer determines the current interest rate for universal life policies based on the return that its own investments are earning. 24 Universal Life Insurance Separation of Policy Elements Expenses A flat charge during the first policy year to cover sales and policy issue costs. A percentage of each annual premium (such as 7 percent) to cover expenses. A monthly administration (management) fee, sometimes referred to as a policy fee. Surrender charges, which are specific charges imposed if the owner surrenders the policy for its cash surrender value. Specific charges for other services such as coverage changes or policy withdrawals. Operation of a Universal Life Insurance Policy When an insurance company receives a universal life premium payment, the insurer first deducts the amount of any applicable expense charges. The insurer then credits the remainder of the premium to the policy’s cash value. The policyowner can increase the cash value of a universal life policy by making additional or larger-than-required premium payments. If the cash value of any universal life policy is not sufficient to pay the periodic mortality and expense charges, the policy will lapse, unless the policyowner takes action to keep the policy in force. Lapse: the termination of a life insurance policy for nonpayment of premium. 25
  • 11. Universal Life Insurance Flexibility Features A universal life insurance policy gives the policyowner a great deal of flexibility, both when he purchases the policy and over the life of the policy. Face Amount and Death Benefit: when a person buys a universal life policy, he specifies the policy’s face amount and decides whether the amount of the death benefit payable will remain equal to the face amount (as with most traditional whole life policies or will vary with changes in the policy’s cash value. Premiums: a universal life policy may be either a flexible premium policy or a fixed premium policy. Flexible premium universal life insurance policy – allows the policyowner to alter the amount and frequency of premium payments, within specified limits. Fixed premium iniversal life insurance policy – requires a series of scheduled premium payments of a specified amount for a specified length of time (typically 8 to 10 years) or until the insured’s death, whichever comes first. 26 Universal Life Insurance Periodic Reports Generally include: The amount of the death benefit payable The amount of the policy’s cash value The amount of the cash surrender value, if different from the cash value The amount of interest earned on the cash value The amount of the mortality charges deducted The amount of the expense charges deducted The amount of premiums paid during the reporting period The amount of policy loans outstanding The amount of any cash value withdrawals
  • 12. 27 Variable Life Insurance Variable Life (VL) Insurance - a form of cash value life insurance in which premiums are fixed, but the death benefit and other values may vary, reflecting the performance of investment subaccounts that the policyowner selects. Subaccount: an undivided investment account in which an insurer maintains funds that support its contractual obligations to pay benefits under its guaranteed insurance products, such as whole life insurance and other nonvariable products. Separate account: (segregate account) an investment account the insurer maintains separately from its general account to isolate and help manage the funds placed in its variable products. General account: an undivided investment account in which an insurer maintains funds that support its contractual obligations to pay benefits under its guaranteed insurance products, such as whole life insurance and other nonvariable products. 28 Variable Universal Life Insurance Variable Universal Life (VUL) Insurance – (flexible-premium variable life insurance) combines the premium and death benefit flexibility of universal life insurance with the investment flexibility and risk of variable life insurance. 29 Endowment Insurance Endowment Insurance – provides a policy benefit payable either when the insured dies or on a stated date if the insured is still alive on that date. Maturity date: the date on which the insurer will pay the
  • 13. policy’s face amount to the policyowner if the insured is still living. Reached either (1.) at the end of a stated term, such as 20 years, or (2.) when the insured reaches a specified age. 30 Life and Health Insurance FIN 3660 Chapter 7 Supplemental Benefits Objectives Identify and describe three types of supplemental disability benefits that life insurance policies may provide. Explain the coverage that an accidental death benefit rider provides and give examples of common exclusions. Identify three types of accelerated death benefit riders and describe the differences among those riders. Describe three types of insurance riders that expand a life insurance policy’s coverage to insure more than one individual. Identify two types of insurability benefit riders and explain how they allow a life insurance policyowner to purchase additional insurance coverage. 32 The Basics Supplemental benefits are benefits that can be added to individual life insurance policies. An additional premium amount is usually charged for each benefit. Sometimes supplemental benefits are provided by a policy provision, but usually they are provided by adding riders to a life insurance policy. This helps when customizing a policy, because a new contract is
  • 14. not needed to add coverage. 33 Supplemental Disability Benefits Disability benefits can be added to a life insurance policy. One of the most common supplemental benefits is the waiver of premium for disability (WP) benefit. Under this, the insurance waives its right to collect premiums that become due while the insured is totally disabled. The insurer pays the premiums, so a policy that builds a cash value will continue to increase. In participating policy the insurance company continues to pay policy dividends as if the policyowner were paying premiums. 34 WP Benefits The policyowner must notify the insurance company in writing of a claim and provide proof that the insured is totally disabled as defined by the WP benefit. Total disability is the insured’s inability to perform the essential duties of their own occupation or any other occupation for which they are reasonably suited by education, training, or experience. The insured must be totally disabled for three to six months before the insurer will waive premium payments. Disabilities resulting from self-inflicted injuries and injuries suffered while committing a crime are typically excluded. In cases with variable premiums (universal and variable life insurance policies), charges that are waived vary depending on the terms of the WP benefit rider. 35 Waiver of Premium for Payor Benefit
  • 15. Waiver of premium for payor benefit provides that the insurance company will waive its right to collect a policy’s renewal premiums if the policyowner dies or becomes totally disabled. Usually this is included as a rider to a juvenile insurance policy, one that is issued on the life of a child but owned and paid for by an adult. Premium payments are only waived until the insured reaches a certain age. A policyowner is totally disabled during the first two years of disability if they are unable to perform the essential duties of their own occupation. After that, they are considered totally disabled if they cannot perform the essential duties of any occupation for which they are reasonably suited by education, training, or experience. 36 Disability Income Benefit The disability income benefit provides a monthly income benefit to the policyowner-insured if they become totally disabled while the policy is in force. Definition for total disability is the same as WP, as is the wait period. Usually the income is a certain percentage of the policy’s face amount. Generally this goes hand in hand with WP. 37 Accidental Benefits Accidental death benefit a supplemental life insurance policy benefit that provides a death benefit in addition to the policy’s basic death benefit if the insured dies as a result of an accident. Double indemnity benefit when the amount of accidental death benefit is equal to the face amount of the life insurance policy.
  • 16. Determining the precise cause of an insured’s death can sometimes be quite difficult. Some exclusions: suicide, war related accidents, aviation- related accidents if the insured was not a passenger, and accidents resulting from the insured committing a crime. Accidental death and dismemberment (AD&D) provides accidental death benefits and provides a dismemberment benefit payable if an accident causes the insured to lose any two limbs or sight in both eyes. 38 Accelerated Death Benefits Also known as a living benefit, this provides that a policyowner may elect to receive all or part of the policy’s death benefit before the insured’s death under certain conditions. Usually only offered on policies with larger face amounts. Three commonly offered types of accelerated death benefits: terminal illness benefit, dread disease benefit, and long-term care benefit. 39 Accelerated Death Benefits Terminal illness (TI) benefit a benefit under which the insurer pays a portion of the policy’s death benefit to a policyowner- insured who suffers from a terminal illness and has a physician- certified life expectancy of less than a stated time, generally 12 or 24 months. Typically paid for by an administrative charge that the insurer assesses when a policyowner-insured elects to exercise the TI benefit. 40 Accelerated Death Benefits
  • 17. Dread disease (DD) benefit an accelerated death benefit under which the insurer agrees to pay a portion of the policy’s face amount to the policyowner if the insured suffers from one of a number of specified diseases. Diseases included: life-threatening cancer, coronary artery bypass surgery, heart attack, stroke, end-stage kidney failure, AIDS Some DD benefits include organ transplants and Alzheimer’s disease. 41 Accelerated Death Benefits Long-term care (LTC) insurance benefit ab accelerated death benefit under which the insurer agrees to pay a monthly benefit to a policyowner if the insured requires constant care for a medical condition. The care given and the medical condition required to qualify are specified in the LTC policy rider or provision. Premiums generally are waived on both the long-term care benefit and the basic life insurance policy. The amount paid is generally a percentage of the policy’s face amount. Typically there is a 90 day waiting period before benefits are payable. 42 Benefits for Additional Insureds Spouse insurance rider a supplemental life insurance policy benefit that provides term life insurance coverage on the insured’s spouse. Typically sold on the basis of coverage units. Most insurance companies do not offer more than 5 or 10 coverage units. Children’s insurance rider a supplemental life insurance policy benefit that provides term life insurance coverage on the
  • 18. insured’s children. Some insurers combine spouse and children’s insurance coverage into one rider, a spouse and children’s insurance rider. Second insured rider a supplemental life insurance policy benefit that provides term insurance coverage on the life of a person other than the policy’s insured. Can be spouse, another relative, or an unrelated person. Typically the coverage is greater than the spouse’s insurance rider. 43 Insurability Benefits Guaranteed insurability (GI) benefit a supplemental life insurance policy benefit that gives the policyowner the right to purchase additional insurance of the same type as the basic life insurance policy. The premium for the additional coverage is based on the insured’s attained age when the additional insurance is purchased. If the policyowner does not exercise the option to buy extra coverage on the specified dates, that option is lost forever, though the policyowner is permitted to exercise the next option when it comes due. 44 Insurability Benefits Paid-up additions option benefit a supplemental life insurance policy benefit that allows the owner of a whole life insurance policy to purchase single-premium paid-up additions to the policy on stated dates in the future without providing evidence of the insured’s insurability. Premiums for the paid-up additions are based on the insured’s attained age at the time the paid-up additions are purchased. Most riders state that if the policyowner does not exercise the purchase option for a stated number of years, then the rider will terminate. At that time, the paid-up additions already purchased remain in force, but the policyowner can no longer exercise the
  • 19. option to purchase new paid-up additions. 45 Life and Health Insurance FIN 3660 Chapter 8 Individual Life Insurance Policy Provisions Objectives Describe the free-look provision of an insurance policy. Identify the documents that make up the entire contract between the owner of a life insurance policy and the insurer. Explain the purpose and operation of the incontestability provision. Apply the terms of the standard grace period provision in a given situation to determine whether a life insurance policy has lapsed for nonpayment of premium. Identify situations in which a life insurance policy can be reinstated and the conditions the policyowner must meet to reinstate the policy. Describe the rights provided by a policy loan provision and a policy withdrawal provision, and explain the differences between a policy loan and a commercial loan. Identify and describe the nonforfeiture options typically included in cash value life insurance policies. Identify the exclusions that insurers sometimes include in individual life insurance policies 47 Standard Policy Provisions Free-Look Provision (“free-examination provision” or “cooling-
  • 20. off provision”) – gives the policyowner a stated period of time – usually 10-30 days – after the policy is delivered in which to examine the policy The free-look period runs from the date the policy is delivered to the policyowner, not from the date of issue During the free-look period, the policy owner has the right to cancel and receive a refund of the premium 48 Entire Contract Provision Entire Contract Provision – defines the documents that constitute the contract between the insurance company and the policyowner Closed Contract – a contract for which only those terms and conditions that are printed in – or attached to – the contract are considered to be part of the contract Open Contract – a contract that identifies the documents that constitute the contract between parties, but all the enumerated documents are not necessarily attached to the contract Declaration of Insurability – a form in which a proposed insured answers specific questions about his medical history 49 Contact Provision (Cont.) In addition to defining the documents that make up the contract, the entire contract provision usually state that: Only specified individuals – such as certain officers of the insurer – can change the contract No change is effective unless made in writing No change will be made unless the policyowner agrees to it in writing 50
  • 21. Incontestability Provision Insurance laws in many jurisdictions impose two important limits on an insurer’s right to avoid an insurance contract on the basis of misrepresentation: Only certain misrepresentation – referred to as material misrepresentations – give the insurer the right to avoid an insurance contract The insurer has only a limited amount of time in which to avoid an insurance contract Incontestability Provision – describes the time limit within which the insurer has the right to avoid the contract on the ground of material misrepresentation in the application 51 Material Misrepresentation Misrepresentation – a false or misleading statement in an application for insurance Material Misrepresentation – a misrepresentation that is relevant to the insurance company’s evaluation of the proposed insured A misrepresentation is considered material if, had the truth been known, the insurer would not have issued the policy or would have issued the policy on a different basis, such as with a higher premium or a lower face amount 52 Operation of the Incontestability Provision Fraudulent Misrepresentation – a misrepresentation that was made with the intent to induce the other party to enter into a contract and that did induce the innocent party to enter into the contract Obtaining sufficient evidence to prove that a misrepresentation
  • 22. was fraudulent usually is quite difficult “During the lifetime of the insured” is an important part of the incontestability clause This phrase makes the policy contestable forever if the insured dies during the contestable period If this phrase were not included and the insured died during the contestable period, the beneficiary could possibly delay making a death claim until after the contestable period expired The incontestability provision is to assure policyowners and beneficiaries that, after the contestable period has ended, the insurer cannot avoid the policy on the basis of a material misrepresentation in the application for insurance. 53 Grace Period Provision Grace Period Provision- Specifies a length of time following each renewal premium due date within which the premium may be paid without loss of coverage. Grace period- the specified time; typically 30 or 31 days. Coverage remains in force throughout that period. If a required renewal premium is not paid by the end of the grace period, a life insurance policy typically lapses; however, cash value life insurance policies contain a nonforfeiture provision that typically allows a policyowner to continue coverage under specific circumstances even if a renewal premium is not paid by the end of the grace period. The grace period provision contained in a universal life insurance policy applies when the cash value is insufficient to meet the policy’s monthly mortality and expense charges. 54 Reinstatement Provision Reinstatement Provision- describes the conditions that the policyowner must meet to reinstate a policy.
  • 23. Reinstatement- the process by which a life insurance company puts back into force a life insurance policy that either has been terminated because of nonpayment of renewal premiums or has been continued under the extended term or reduced paid-up insurance nonforfeiture option. The following conditions typically must be met to reinstate a policy: The policyowner must complete a reinstatement application within the time frame stated in the reinstatement provision. The policyowner must provide the insurance company with satisfactory evidence of the insured’s continued insurability. The policyowner must pay a specified amount of money; the amount required depends on the type of policy being reinstated. The policyowner may be required to either pay any outstanding policy loan or have the policy loan, including any additional accrued interest, reinstated with the policy. 55 Misstatement of Age or Sex Provision A misstatement of the insured’s age or sex is a significant error. Most life insurance policies include a misstatement of age or sex provision that describes the action the insurer will take to adjust the amount of the policy benefit in the event that the age or sex of the insured is incorrectly stated. Insurers adjust the face amount of the policy when they discover a misstatement of age or sex after the death of the insured. If the misstatement is discovered before the death of the insured, the insurer may give the policyowner the option to pay- or receive as a refund- any premium amount difference caused by the misstatement instead of having the insurer adjust the policy’s face amount. 56
  • 24. Policy Loans and Policy Withdrawls Cash value life insurance policies typically grant the policyowner the right to borrow money from the insurer by using the cash value of the policy as security for the loan. Policy Loan Provision- specifies the terms on which the policyowner of a cash value insurance policy can obtain a loan against the policy’s cash value. Some policy loan provisions allow the policyowner to take out a loan in an amount that does not exceed the policy’s cash value less one year’s interest on the loan. Policy loan vs. commercial loan: The policyowner is not legally obligated to repay a policy loan. Policy loan can be repaid at any time. The insurance company does not perform a credit check on the policyowner for a policy loan. Policy Withdrawal Provision-permits the policyowner to reduce the amount of the policy’s cash value by withdrawing up to the amount of the cash value in cash. 57 Nonforfeiture Provision Nonforfeiture Provision- sets forth the options available to the owner of a cash value policy if the policy lapses or if the policyowner decides to surrender- or terminate- the policy. Nonforfeiture options: cash payment nonforfeiture option, two continued insurance coverage options, and the automatic premium loan option. Most policies include an automatic nonforfeiture benefit which is a specific nonforfeiture benefit that becomes effective automatically when a renewal premium for a cash value life insurance policy is not paid by the end of the grace period and the policyowner has not elected another nonforfeiture option.
  • 25. 58 Cash Payment Nonforfeiture Option Cash Payment Nonforfeiture Option- states that a policyowner who discontinues premium payments can elect to surrender the policy and receive the policy’s cash surrender value in a lump- sum payment. Cash value policies include a chart that lists cash surrender values at various times, and these policies describe the method used to compute those values. The amount of cash value actually available to the policyowner upon surrender of the policy may not be the exact cash surrender value amount described in the policy. After additions and subtractions have been made, the amount the policyowner receives is called the net cash surrender value. 59 Nonforfeiture (Cont.) Reduced paid-up insurance nonforfeiture option- the policy’s net cash surrender value is used as a net single premium to purchase paid-up life insurance of the same plan as the original policy. The premium charged for the paid-up insurance is based on the insured’s attained age when the option goes into effect. Policies including this option typically contain a chart listing the amount of reduced paid-up insurance that is available each year for the first 20 years the policy is in force. Any supplemental benefits that were available on the original policy are not usually available when the policy is continued as a reduced paid-up insurance. 60 Nonforfeiture (Cont.)
  • 26. Extended Term Insurance Nonforfeiture Option- the insurance company uses the policy’s net cash surrender value to purchase term insurance for the full coverage amount provided under the original policy, for as long a term as the net cash surrender value can provide. Life insurance policies that contain the extended term insurance option typically contain a chart showing the length of time the original face amount of the policy will be continued in force under the extended term option for each of the first 20 policy years. Because of the way they usually operate, universal life insurance policies typically do not include an extended term insurance nonforfeiture option. 61 Automatic Premium Loan Option Automatic Premium Loan (ALP) Option- the insurer will automatically pay an overdue premium for the policyowner by making a loan against the policy’s cash value as long as the cash value equals or exceeds the amount of the premium due. The use of the ALP option keeps the original policy in force for the full amount of coverage, including all supplemental benefits. Universal life insurance policies usually do not include an ALP provision because a similar benefit is already provided in these policies as apart of their monthly cash value deduction mechanism. 62 Life Insurance Policy Exclusions Exclusions- provisions that describe circumstances under which the insurer will not pay the policy proceeds following the death of the insured. Suicide Exclusion Provision- states that policy proceeds will
  • 27. not be paid if the insured dies as the result of suicide as defined by the policy within a specified period following the date of policy issues. Other exclusion can include: War Exclusion Clause- the insurer will not pay the policy proceeds if the insured’s death results from war or an act of war. Hazardous Activities Exclusion Provision- the insurer will not pay the policy proceeds if the insured’s death results from specified dangerous activities such as mountain climbing, sky diving, or scuba diving. Aviation Exclusion Provision- the insurer will not pay the policy proceeds if the insured’s death results from aviation- related activies. 63 Sample Whole Life Insurance Policy Insured John Doe Age 35 Face Amount $100,000 Policy Date August 1, 2015 Type Whole Life Paid Up at 90 Participating Premium $1533/year for 55 years Policy Terms Owner John Doe Beneficiary Jane Doe
  • 28. Sample Table of Guaranteed Values End of $100,000 Policy August Cash Paid-Up Extended Term Year 1 Value Insurance Insurance To 10 2015 11,411 37,400 Oct 13, 2043 15 2030 19,629 51,900 Jun 19, 2051 Life Insurance – Example 1 John Doe terminates the policy on August 1, 2025. He selects the extended term option. John dies on December 12, 2043. How much does Jane receive? A) 0 B) $11,411 C) $37,400 D) $100,000 E) None of the above Life Insurance – Example 2 What if John Doe had selected the Paid-Up insurance option instead? How much does Jane receive? A 0 B $11,411 C $37,400 D $100,000 E None of the above
  • 29. Statement of Policy Costs and Benefit Information Dividend Choices Reduce Premium Paid-Up Additions Section 1 - The Contract Life Insurance Benefit Entire Contract; Changes Incontestability Suicide Misstatement of Age or Sex Life Insurance – Example 3 John Doe commits suicide on August 2, 2015, the day after the policy was issued? How much does Jane receive? A 0 B $1533 C $50,000 D $100,000 E None of the above Section 2 - Ownership The Owner Transfer of Ownership Collateral Assignment
  • 30. Section 3 - Premiums and Reinstatement Premium Payment Payment Frequency (Assume annual) Grace Period - 31 days Premium Refund at Death (Ignore for assignment) Reinstatement Section 4 - Dividends Annual dividends Use of dividends Paid-up additions Dividend accumulations Premium payments Dividend at death Cash Values, Extended Term and Paid-Up Insurance Cash Value Extended Term Insurance Paid-Up Insurance Cash Surrender Table of Guaranteed Values Life Insurance – Example 4 John keeps the policy in force for 15 years and then surrenders it for the cash value. During that time he has paid a total of $22,995 in premiums (15 x $1533) and received a total of $7,995 in dividends. How much of the policy proceeds are
  • 31. taxable income? A) 0 B) $4,629 C) $36,900 D) $85,000 E) None of the above Loans Loans Policy Loan Premium Loan Loan Value Policy Debt Loan Interest Specified Rate (4%) Variable Rate Life Insurance Policy Ownership Rights Life and Health Insurance FIN 3660 Chapter 9 Life Insurance Policy Ownership Rights An insurance policy is a contract between the insurer and the policyowner and is subject to the rules of contract law. Property – a bundle of rights a person has with respect to something. Real Property – land and whatever is growing on or attached to the land. Personal Property – all property other than real property.
  • 32. Tangible Property – property that has physical form, such as automobiles, jewelry, or clothing. Intangible Property – property that represents ownership of a legal right, such as a contractual right. Ownership of Property – the sum of all the legal rights that exist in that property. 79 Naming the Beneficiary Class designation – a beneficiary designation that identifies a certain group of persons, rather than naming each person. Primary and Contingent Beneficiaries Primary (first) Beneficiary – the party designated to receive the policy proceeds following the death of the insured. Contingent (second or successor) Beneficiary – receives the policy proceeds only if all designated primary beneficiaries have predeceased the insured. Insurers usually prefer that policyowners name at least a primary and a contingent beneficiary. 80 Naming the Beneficiary Changing the Beneficiary Right of revocation – the right to change the beneficiary designation. Revocable beneficiary – a beneficiary designation is said to be revocable if the policyowner has the unrestricted right to change the designation during the life of the insured. Vast majority of beneficiaries of life insurance policies are revocable beneficiaries. Can only be made during the insured’s lifetime. Vested interest – a property right that has taken effect and cannot be altered or changed without the consent of the person who owns the right.
  • 33. Irrevocable beneficiary – a beneficiary designation is said to be irrevocable if the policyowner has the right to change the beneficiary designation only after obtaining the beneficiary’s consent. Policyowner may at any time designate a beneficiary as an irrevocable beneficiary. Under certain circumstances, a policyowner may be able to name a new beneficiary, even if the original beneficiary designation is irrevocable. 81 Mode of Premium Payment Most individual life insurance policyowners pay periodic renewal premiums to keep their policies in force. Premium payment mode – the frequency at which renewal premiums are payable. Renewal premiums for an individual life insurance policy generally are stated as an annual premium amount due. Insurers seek to keep their administrative costs down by requiring scheduled renewal premium payments to be at least equal to a stated minimum amount. 82 Policy Dividends Participating policy: (par policy) is a type of policy under which the policyowner shares in the insurance company’s divisible surplus. Nonparticipating policy: (nonpar policy) is a type of policy under which the policyowner does not share in the insurer’s surplus. Divisible surplus: a portion of an insurance company’s surplus set aside specifically for distribution to owners of participating policies.
  • 34. Policy dividend: a policyowner’s share of the divisible surplus. Dividend options: specified methods by which the owner of a participating life insurance policy or participating annuity may receive policy dividends. Automatic dividend option: a specified policy dividend option that the insurer will apply if a policyowner does not choose an option. 83 Policy Dividends Cash Dividend Option – the insurance company sends the policyowner a check in the amount of the policy dividend that was declared. Premium Reduction Dividend Option – the insurer applies policy dividends toward the payment of renewal premiums. Unless a policy has been in force for many years, the annual policy dividend usually is not large enough to pay an entire annual renewal premium. Policy Loan Repayment Dividend Option – the insurer applies policy dividends toward the repayment of an outstanding policy loan. The amount of the policy dividend usually is applied first to repay any outstanding interest on the loan and then to repay the loan principal. 84 Policy Dividends Accumulation at Interest Dividend Option – the policy dividends are left on deposit with the insurer to accumulate at interest. Paid-up Additional Insurance Dividend Option – the insurer uses any declared policy dividend to purchase paid-up additional insurance on the insured’s life. Additional Term Insurance Dividend Option – the insurer uses each policy dividend to purchase one-year term insurance on the
  • 35. insured’s life. Insurers often limit to the amount of the policy’s cash value the maximum amount of one-year term insurance that can be purchased each year. Before a policyowner is permitted to change from another dividend option to the additional term insurance option, insurers usually require evidence of the insured’s insurability. 85 Transfer of Policy Ownership If the owner of a life insurance policy has contractual capacity, then she has the right to transfer ownership of some or all of her rights in the policy. Transfer of Ownership by Assignment Assignment: an agreement under which the policyowner transfers some or all of his ownership rights in the policy to another party. To make a valid assignment of an insurance policy, the policyowner must have contractual capacity. May not infringe on the vested rights of an irrevocable beneficiary. An assignment that is made for illegal purposes, such as speculating on a life, is invalid. 86 Transfer of Policy Ownership Types of Assignment – an assignment may take one of two forms: Absolute Assignment: an assignment under which a policyowner transfers all of his policy ownership rights to the assignee. Collateral Assignment: a temporary assignment of the monetary value of a life insurance policy as collateral—or security—for a
  • 36. loan. The collateral assignee’s rights are limited to those ownership rights that directly concern the monetary value of the policy. The collateral assignee has a vested right to the policy’s monetary values, but that right is limited. The collateral assignee’s rights to the policy values are temporary. Assignment Provision – describes the roles of the insurer and the policyowner when the policy is assigned. 87 Transfer of Policy Ownership Transfer of Ownership by Endorsement Many life insurance policies issued today specify a simple, direct method of transferring all the policy’s ownership rights. Endorsement method – policy ownership is completely transferred without requiring the policyowner to enter into a separate assignment agreement. The right to change the policy’s owner is generally specified in the change of ownership provision in the policy. 88 Right to Receive Policy Proceeds Upon an insured’s death, the beneficiary has a vested right to receive the policy proceeds. Identifying Who is Entitled to Policy Proceeds No Surviving Beneficiary : if no beneficiary has been named or none of the named beneficiaries is living when the insured dies, then the policy proceeds typically are paid to the policyowner, if the policyowner is living. If the policyowner is deceased, then the proceeds are paid to the policyowner’s estate. -- preference beneficiary clause (succession beneficiary clause):
  • 37. states that if the policyowner does not name a beneficiary, then the insurer will pay the policy proceeds in a stated order of preference. Insured and Beneficiary Die in a Common Disaster -- common disaster: the insurer and the beneficiary die in the same accident; the accident or disaster was common to more than one person. 89 Right to Receive Policy Proceeds Insured and Beneficiary Die in a Common Disaster -- Simultaneous death act: governs how insurance companies are to evaluate common-disaster situations. -- Survivorship clause: states that the beneficiary must survive the insured by a specified period, usually 30 or 60 days, to be entitled to receive the policy proceeds. Beneficiary Wrongfully Kills the Insured -- Permitting someone to profit from the wrongful killing of another person is not in the public interest. -- Laws in many countries disqualify a beneficiary from receiving the policy proceeds if the beneficiary wrongfully and intentionally killed the insured. 90 Calculating the Amount of the Benefit Payable The insurer first adds together the following items: Basic death benefit payable – the policy’s face amount. However, if the policy was in force under the reduced paid-up insurance nonforfeiture option when the insured died, then the amount of the basic death benefit payable is less than the face amount. The amount of any accidental death benefits payable The amount of any declared but unpaid policy dividends The amount of any accumulated policy dividends, including
  • 38. interest, left on deposit with the insurer The face amount of any paid-up additions The amount of any unearned premiums paid in advance. Policyowners sometimes pay premiums before those premiums are due. 91 Calculating the Amount of the Benefit Payable After totaling the amount of the foregoing items, the insurer then subtracts the following items from that total: The amount of any outstanding policy loans, including any unpaid interest. The amount of any premium due and unpaid at the time of the insured’s death. This item appears when the insured dies during the policy’s grace period before the premium due has been paid. 92 Paying Policy Benefits Under a Settlement Option Settlement option (optional modes of settlement) – alternative methods that the owner or beneficiary of a life insurance policy can elect for receiving payment of the policy proceeds. Settlement option provision – grants a policyowner or a beneficiary several choices as to how the insurance company will distribute the proceeds of a life insurance policy. Payee – the person or party who is to receive the policy proceeds under a settlement option. Contingent payee (successor payee) – receives any proceeds still payable at the time of the payee’s death. 93 Paying Policy Benefits Under a Settlement Option
  • 39. Interest Option A settlement option under which the insurance company invests the policy proceeds and periodically pays interest on those proceeds to the payee. Fixed Period Option A settlement option under which the insurance company agrees to pay policy proceeds in equal installments to the payee for a specified period of time. Fixed Amount Option A settlement option under which the insurance company pays equal installments of a stated amount until the policy proceeds, plus the interest earned, are exhausted. Life Income Option A settlement option under which the insurance company agrees to pay the policy proceeds in periodic installments over the payee’s lifetime. Life annuity: an annuity that provides periodic income payments for at least the lifetime of a named individual. 94 Interest Option Interest Option A settlement option under which the insurance company invests the policy proceeds and periodically pays interest on those proceeds to the payee The payee generally has the right to withdraw all or part of the policy proceeds at any time or to place all of the proceeds under another settlement option. 95 Fixed Period Option Fixed Period Option A settlement option under which the insurance company agrees to pay policy proceeds in equal installments to the payee for a
  • 40. specified period of time. The amount of each installment paid under the fixed period option depends primarily on the amount of the policy proceeds, the interest rate, and the length of the payment period that the policyowner or beneficiary chooses. 96 Fixed Amount Option Fixed Amount Option A settlement option under which the insurance company pays equal installments of a stated amount until the policy proceeds, plus interest earned, are exhausted. The number of installments that the insurer will pay depends on the amount of the policy proceeds, the interest rate, and the fixed amount selected. 97 Life Income Option Life Income Option A settlement option under which the insurance company agrees to pay the policy proceeds in periodic installments over the payee’s lifetime. Life Annuity An annuity that provides periodic income payments for at least the lifetime of a named individual. 98 Question 1 Some life insurance policies include a clause which states that
  • 41. the beneficiary must outlive the insured by a specified period to be entitled to receive the policy proceeds. Under this type of clause, if the beneficiary does not outlive the insured by the specified period of time, then the policy proceeds are paid as if the beneficiary predeceased the insured. As a result, the policy proceeds are more likely to be distributed as the policyowner had intended. By definition, this type of clause is known as a Question 1 options: 1) right of revocation clause 2) succession beneficiary clause 3) survivorship clause 4) key person clause Save Question 2 (4 points) Educational fund planning for dependent children can be based on parents’ paying less than 100% of college costs when incurred. Question 2 options: 1) True 2) False Save
  • 42. Question 3 (4 points) Some financial advisers suggest ignoring interest earnings and inflation rates when evaluating life insurance needs. Question 3 options: 1) True 2) False Save Question 4 (4 points) Lindsay Inthachak was the policyowner-insured of a whole life insurance policy. Lindsay designated her husband, Stephen, as the party to receive the policy proceeds following her death. Lindsay designated their daughter, Lily, to receive the policy proceeds if Stephen predeceases Lindsay. In this situation, Stephen is the type of policy beneficiary known as a Question 4 options: 1) contingent beneficiary 2) primary beneficiary 3) secondary beneficiary 4) successor beneficiary
  • 43. Save Question 5 (4 points) The insurance company reserves the right to refuse additional premium payments if the policy is in danger of being overfunded. Question 5 options: 1) True 2) False Save Question 6 (4 points) Reliance on nationwide averages and general guidelines assures financial advisers that they will not overlook any important considerations for their clients when evaluating life insurance needs. Question 6 options: 1) True 2) False Save Question 7 (4 points) There may be court fees related to the appointment of an executor or administrator of the deceased’s estate. Question 7 options: 1) True 2) False Save
  • 44. Question 8 (4 points) Under the nonliquidating approach to funding income needs, the capital fund will eventually be totally dissipated. Question 8 options: 1) True 2) False Save Question 9 (4 points) Unrealized gains and losses have no effect on the value of deferred variable annuity contracts’ accumulation units. Question 9 options: 1) True 2) False Save Question 10 (4 points) Safety margins are introduced into annuity mortality tables by increasing the morality rates above those expected. Question 10 options: 1) True 2) False Save Question 11 (4 points) Scott Herbermann is the policyowner-insured of a $200,000
  • 45. whole life insurance policy. The policy includes a supplemental benefit rider that gives Mr. Herbermann the right to purchase $25,000 of additional whole life insurance at age 34, age 37, and age 40, without submitting evidence of insurability. This information indicates that Mr. Herbermann’s policy includes the type of supplemental benefit known as Question 11 options: 1) an additional insured rider 2) a paid-up additions option benefit 3) a guaranteed insurability (GI) benefit 4) credit life insurance Save Question 12 (4 points) In addition to lump-sum settlements of policy proceeds, insurers also make available to the policyowner and to the beneficiary alternative settlement options for receiving life insurance policy proceeds. With regard to these settlement options, it is correct to say Question 12 options: 1) that the life income option typically results in larger installment payments than would be available under the fixed amount or
  • 46. fixed period options 2) that a policyowner who selects the interest option cannot place restrictions on the payee’s right to withdraw the policy proceeds 3) that, under the fixed period option, the payee usually has the right to withdraw only a part of the policy proceeds during the payment period 4) that, under the fixed amount option, the insurer pays equal installments of a stated amount to the payee until the policy proceeds, plus the interest earned, are exhausted Save Question 13 (4 points) Life insurance benefits payable directly to the beneficiary will not be subject to delays in settling the estate. Question 13 options: 1) True 2) False Save Question 14 (4 points) Variable universal life has universal life’s premium flexibility and variable life’s policyowner-directed investments.
  • 47. Question 14 options: 1) True 2) False Save Question 15 (4 points) The main difference between annuities and life insurance is there is no pooling of the funds from each annuity contract purchaser. Question 15 options: 1) True 2) False Save Question 16 (4 points) The cash value of a life insurance policy is not a source of emergency funds for preserving or repairing damaged property. Question 16 options: 1) True 2) False Save Question 17 (4 points) Policy loans under universal life policies do not affect the growth rate of policy cash values. Question 17 options: 1) True
  • 48. 2) False Save Question 18 (4 points) Annuity contracts can be used both to accumulate funds and to liquidate the accumulated funds over the annuitant’s remaining lifetime. Question 18 options: 1) True 2) False Save Question 19 (4 points) One criticism of variable life insurance is that prospective purchasers are unable to determines the applicable expenses for commissions, premium taxes, and insurance company overhead. Question 19 options: 1) True 2) False Save Question 20 (4 points) The capital needs approach to funding income needs uses a liquidating methodology. Question 20 options: 1) True
  • 49. 2) False Save Question 21 (4 points) Variable life insurance purchasers now have more fund options to choose from than in past decades. Question 21 options: 1) True 2) False Save Question 22 (4 points) The difference between an endowment insurance policy and a cash value life insurance policy is that only the endowment insurance policy Question 22 options: 1) pays a fixed benefit whether the insured survives to the policy’s maturity date or dies before that maturity date 2) has premiums that are level throughout the term of the policy 3) steadily builds a cash value 4) receives favorable federal income tax treatment in the United States
  • 50. Save Question 23 (4 points) An insurance policy is a contract between the insurer and the policyowner and is subject to the rules of contract law. An insurance policy also is a type of property and, thus, is subject to the principles of property law. In legal terminology, property is classified as either real property or personal property and as tangible property or intangible property. With regard to these classifications, an insurance policy is classified correctly as Question 23 options: 1) tangible real property 2) tangible personal property 3) intangible real property 4) intangible personal property Save Question 24 (4 points) Lump-sum needs for funds at death include outstanding debt that becomes due and payable at death. Question 24 options:
  • 51. 1) True 2) False Save Question 25 (4 points) Based on the 2001 CSO mortality table on pages 280-85 of the text, the probability of a male living at age 40 dying at age 45 is 0.00265 (that is, the probability shown in the column headed “Yearly Probability of Dying” for age 45). Question 25 options: 1) True 2) False Save