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A D VA N C E D
M A R K E T S I N S I G H T
M Financial Group’s
Advanced Markets Insights
are designed to help clients
understand sophisticated
planning strategies and
their applications.
M Financial Group
continues to lead the
industry in insurance due
care and client advocacy,
providing valuable insight
and anlysis that delivers
significant value to clients.
The pricing of life insurance policies is complex and dynamic. There are four factors
that primarily drive pricing and policy performance: mortality, investment earnings,
expenses and taxes, and persistency. The impact of the varying pricing factors on
policy performance will vary in importance depending on the type of policy design.
Each pricing factor is based on current experience, usually from the insurer itself but
sometimes complemented by data from actuarial consulting firms, public sources, or
reinsurers.
Life Insurance Pricing Factors
Mortality Charge
A policy charge intended to cover the death claims paid by the insurance company.
Mortality charges are primarily based on insurance company recent historical
mortality experience. For Universal Life, the mortality charge is transparent (i.e.,
unbundled) and defined as the cost of insurance (COI) charge. For Whole Life, the
mortality charge is not explicitly revealed, but is included in the guaranteed values and
dividends (i.e., bundled). Specifically for Universal Life, the COI charge is a function
of a COI rate multiplied by the net amount at risk (NAR). The COI rate is equal to
the probability of death and loaded for deviation contingencies, profit, and potentially
to cover other insurer expenses. The NAR equals the total death benefit less the cash
value. Consequently, mortality charges will be higher for lower premium funding due
to the lower resulting account values (and higher NAR) and vice versa. See illustrated
NAR example below.
Life Insurance Basics: Life Insurance
Pricing and Policy Mechanics
Insurer Perspective
(Pricing Factors)
Policyholder Perspective
(Assumptions)
Mortality Experience + Mortality Margin = Mortality Charge
Investment Earnings - Interest Spread = Interest Credit
Expenses & Taxes + Expense Margin = Loading Charges
$0
$1,000,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
$6,000,000
1 11 21 31 41 51 61
Death Benefit
Net Amount
At Risk
Cash Value
Years
Interest Credit
Universal Life provides a crediting interest rate applied to the underlying cash value. Whole Life provides a
dividend interest rate not applied to the underlying cash value but bundled within the dividend. Both rates are
subject to guaranteed minimums and are typically backed by the issuing insurance company’s portfolio of high-
quality fixed income instruments such as bonds and mortgages. Variable contracts are different in that their
credited investment earnings are based on sub-account allocations, which may include investment options, such
as equities and fixed income, chosen by the policyholder and are not subject to a guaranteed minimum (i.e., 100%
of the investment risk is transferred to the policyholder). Index UL contracts credit interest based on the gain of
an underlying index (e.g., S&P 500) and subject to a participation rate (e.g., 100%), cap rate (e.g., 12%), and floor
(e.g., 0%).
Loading Charges
Policy charges intended to cover insurer expenses, taxes, and contingencies; for Universal Life these can come in
a variety of forms:
•	 A flat dollar amount assessed per month
•	 A percentage of premium charge
•	 A charge per $1,000 of face amount
•	 And sometimes an asset-based fee (percentage of account value)
For Whole Life, the loading charges are bundled in the guaranteed values and dividends and are usually not
transparent, but they are certainly being applied.
Surrender Charge
Some policies include an additional charge assessed against a policy’s cash value and only applied if the policy is
terminated early (i.e., surrendered).
Persistency
Persistency is another pricing factor that typically is not disclosed whether the product is bundled or not.
Persistency reflects the ratio of policies that stay in force (i.e., do not lapse or are not surrendered). Typically,
strong persistency helps policy pricing and performance as it supports ongoing insurer earnings from the policies
remaining on the books.
In both unbundled and bundled policies, the insurer uses the policyholder charges to cover death claims and
expenses, and credits interest to the policy based on investment earnings. The margins and spreads are incorporated
by the insurer to provide contingencies for deviations in experience and provide profit. The entire package of
loadings and credits determines insurer profitability and policy performance.
Life Insurance Policy Mechanics
Some products, such as Universal Life, are unbundled where the interest credits and charges are transparent and
represent current insurer experience. The underlying policy contract specifies the individual credits and charges
and most carrier illustration systems can provide specific details.
Other products, such as Whole Life, are bundled where the interest credits and charges are not transparent, but all
the pricing factors still apply. For Whole Life, the dividend represents a bundled credit for current experience that
is more favorable than other conservative guaranteed factors. The individual components impacting the dividend
are not reported.
For Universal Life, which has flexible premiums, policy coverage remains in force as long as the cash value remains
positive (the policy lapses when the cash value goes to zero). For Whole Life, the fixed premium schedule ensures
a positive cash value for life. For both policy types, the cash value is simply an accumulation of premium (policy
owner payment made to an insurance company to place and maintain an insurance contract in effect), interest
credits, and loading charges (refer to chart below). Some policies include a surrender charge that only applies if a
policy is fully surrendered.
For More
Information
M Financial Group
1125 NW Couch Street, Suite 900
Portland, OR 97209
800.656.6960
www.mfin.com
To learn more,
please contact:
M Sales Support
800.656.6960
msalessupport@mfin.com
Variable life insurance products
are long-term investments and may
not be suitable for all investors. An
investment in variable life insurance
is subject to fluctuating values of the
underlying investment options and it
entails risk, including the possible loss
of prncipal.
Variable Universal Life insurance
combines the protection and tax
advantages of life insurance with
the investment potential of a
comprehensive selection of variable
investment options. The insurance
component provides death benefit
coverage and the variable component
gives you the flexibility to potentially
increase the policy’s cash value.
Circular 230 Compliance: To ensure
compliance with requirements
imposed by the IRS, we inform you
that any U.S. federal tax advice
contained in this bulletin is not
intended or written to be used, and
cannot be used, for the purpose of (a)
avoiding penalties under the Internal
Revenue Code, or (b) promoting,
marketing, or recommending to
another party any transaction
or matter addressed herein. All
programs and techniques presented
are subject to applicable federal and
state laws.
This material is not intended to
provide tax, legal, or accounting
advice. This information should
not be used by any taxpayer for the
purpose of avoiding or circumventing
IRS rules and regulations. Clients
should seek the advice of their
professional advisors.
Summary
Life insurance pricing components can be, and are, mixed in different ways (i.e.,
product designs) by insurers to accomplish different marketing and profit objectives.
The precise mix will be driven by the competing interests of policy performance and
profitability, coupled with the insurer’s underlying mortality, investment, expense, and
persistency experience. Strong results in each category can lead to positive policy
performance and lower overall charges.
© Copyright 2015 M Financial Group.
All rights reserved.
Beginning Cash Value
Premium
Loading Charges
Mortality Charge
Interest Credit
Ending Cash Value
+
+
-
-
=
Surrender Charge
-
= Surrender Value

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Advanced Markets Insight: Life Insurance Basics—Life Insurance Pricing and Policy Mechanics

  • 1. A D VA N C E D M A R K E T S I N S I G H T M Financial Group’s Advanced Markets Insights are designed to help clients understand sophisticated planning strategies and their applications. M Financial Group continues to lead the industry in insurance due care and client advocacy, providing valuable insight and anlysis that delivers significant value to clients. The pricing of life insurance policies is complex and dynamic. There are four factors that primarily drive pricing and policy performance: mortality, investment earnings, expenses and taxes, and persistency. The impact of the varying pricing factors on policy performance will vary in importance depending on the type of policy design. Each pricing factor is based on current experience, usually from the insurer itself but sometimes complemented by data from actuarial consulting firms, public sources, or reinsurers. Life Insurance Pricing Factors Mortality Charge A policy charge intended to cover the death claims paid by the insurance company. Mortality charges are primarily based on insurance company recent historical mortality experience. For Universal Life, the mortality charge is transparent (i.e., unbundled) and defined as the cost of insurance (COI) charge. For Whole Life, the mortality charge is not explicitly revealed, but is included in the guaranteed values and dividends (i.e., bundled). Specifically for Universal Life, the COI charge is a function of a COI rate multiplied by the net amount at risk (NAR). The COI rate is equal to the probability of death and loaded for deviation contingencies, profit, and potentially to cover other insurer expenses. The NAR equals the total death benefit less the cash value. Consequently, mortality charges will be higher for lower premium funding due to the lower resulting account values (and higher NAR) and vice versa. See illustrated NAR example below. Life Insurance Basics: Life Insurance Pricing and Policy Mechanics Insurer Perspective (Pricing Factors) Policyholder Perspective (Assumptions) Mortality Experience + Mortality Margin = Mortality Charge Investment Earnings - Interest Spread = Interest Credit Expenses & Taxes + Expense Margin = Loading Charges $0 $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $6,000,000 1 11 21 31 41 51 61 Death Benefit Net Amount At Risk Cash Value Years
  • 2. Interest Credit Universal Life provides a crediting interest rate applied to the underlying cash value. Whole Life provides a dividend interest rate not applied to the underlying cash value but bundled within the dividend. Both rates are subject to guaranteed minimums and are typically backed by the issuing insurance company’s portfolio of high- quality fixed income instruments such as bonds and mortgages. Variable contracts are different in that their credited investment earnings are based on sub-account allocations, which may include investment options, such as equities and fixed income, chosen by the policyholder and are not subject to a guaranteed minimum (i.e., 100% of the investment risk is transferred to the policyholder). Index UL contracts credit interest based on the gain of an underlying index (e.g., S&P 500) and subject to a participation rate (e.g., 100%), cap rate (e.g., 12%), and floor (e.g., 0%). Loading Charges Policy charges intended to cover insurer expenses, taxes, and contingencies; for Universal Life these can come in a variety of forms: • A flat dollar amount assessed per month • A percentage of premium charge • A charge per $1,000 of face amount • And sometimes an asset-based fee (percentage of account value) For Whole Life, the loading charges are bundled in the guaranteed values and dividends and are usually not transparent, but they are certainly being applied. Surrender Charge Some policies include an additional charge assessed against a policy’s cash value and only applied if the policy is terminated early (i.e., surrendered). Persistency Persistency is another pricing factor that typically is not disclosed whether the product is bundled or not. Persistency reflects the ratio of policies that stay in force (i.e., do not lapse or are not surrendered). Typically, strong persistency helps policy pricing and performance as it supports ongoing insurer earnings from the policies remaining on the books. In both unbundled and bundled policies, the insurer uses the policyholder charges to cover death claims and expenses, and credits interest to the policy based on investment earnings. The margins and spreads are incorporated by the insurer to provide contingencies for deviations in experience and provide profit. The entire package of loadings and credits determines insurer profitability and policy performance. Life Insurance Policy Mechanics Some products, such as Universal Life, are unbundled where the interest credits and charges are transparent and represent current insurer experience. The underlying policy contract specifies the individual credits and charges and most carrier illustration systems can provide specific details. Other products, such as Whole Life, are bundled where the interest credits and charges are not transparent, but all the pricing factors still apply. For Whole Life, the dividend represents a bundled credit for current experience that is more favorable than other conservative guaranteed factors. The individual components impacting the dividend are not reported. For Universal Life, which has flexible premiums, policy coverage remains in force as long as the cash value remains positive (the policy lapses when the cash value goes to zero). For Whole Life, the fixed premium schedule ensures a positive cash value for life. For both policy types, the cash value is simply an accumulation of premium (policy owner payment made to an insurance company to place and maintain an insurance contract in effect), interest credits, and loading charges (refer to chart below). Some policies include a surrender charge that only applies if a policy is fully surrendered.
  • 3. For More Information M Financial Group 1125 NW Couch Street, Suite 900 Portland, OR 97209 800.656.6960 www.mfin.com To learn more, please contact: M Sales Support 800.656.6960 msalessupport@mfin.com Variable life insurance products are long-term investments and may not be suitable for all investors. An investment in variable life insurance is subject to fluctuating values of the underlying investment options and it entails risk, including the possible loss of prncipal. Variable Universal Life insurance combines the protection and tax advantages of life insurance with the investment potential of a comprehensive selection of variable investment options. The insurance component provides death benefit coverage and the variable component gives you the flexibility to potentially increase the policy’s cash value. Circular 230 Compliance: To ensure compliance with requirements imposed by the IRS, we inform you that any U.S. federal tax advice contained in this bulletin is not intended or written to be used, and cannot be used, for the purpose of (a) avoiding penalties under the Internal Revenue Code, or (b) promoting, marketing, or recommending to another party any transaction or matter addressed herein. All programs and techniques presented are subject to applicable federal and state laws. This material is not intended to provide tax, legal, or accounting advice. This information should not be used by any taxpayer for the purpose of avoiding or circumventing IRS rules and regulations. Clients should seek the advice of their professional advisors. Summary Life insurance pricing components can be, and are, mixed in different ways (i.e., product designs) by insurers to accomplish different marketing and profit objectives. The precise mix will be driven by the competing interests of policy performance and profitability, coupled with the insurer’s underlying mortality, investment, expense, and persistency experience. Strong results in each category can lead to positive policy performance and lower overall charges. © Copyright 2015 M Financial Group. All rights reserved. Beginning Cash Value Premium Loading Charges Mortality Charge Interest Credit Ending Cash Value + + - - = Surrender Charge - = Surrender Value