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A Fistful of Dollars: Financial Underwriting in the Real World. Anastasia Ammon, FLMI, ACS, AALU VP Underwriting & Chief CI Underwriter US & Canada Optimum Re Insurance Company September 10 th , 2007. As an Underwriter When the Premium is Large and it is a high-profile case

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A fistful of dollars financial underwriting in the real world l.jpg

A Fistful of Dollars: Financial Underwriting in the Real World

Anastasia Ammon, FLMI, ACS, AALU

VP Underwriting & Chief CI Underwriter US & Canada

Optimum Re Insurance Company

September 10th, 2007


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As an Underwriter World

When the Premium is Large

and it is a high-profile case

do you feel like you are “under the gun”?


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Financial Underwriting World

  • The purpose of Life Insurance is to protect against economic loss resulting from the death of the insured

  • If the amount applied for is in excess of the amount of the potential economic loss, then poor persistency or adverse selection may occur

  • The role of the Underwriter is to insure that the amount applied for is justified based on the potential economic loss

  • This process is called Financial Underwriting


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“Don’t let the perfume of the premium World

overpower the smell of the risk.”

--Slogan in Underwriter’s Office


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Insurable Interest World

  • There must be insurable interest at the inception of the contract; in the absence of insurable interest it becomes mere speculation and is prohibited by law

  • The continued life of the insured must have greater value than that provided by the death benefit resulting from the premature death of the insured


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“Sometimes the dead can be more useful than the living.” World

(Clint Eastwood in A Fistful of Dollars)

http://en.wikiquote.org/wiki/A_Fistful_of_Dollars


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Personal Insurance World

  • Personal Insurance replaces lost earnings caused by premature death

  • This includes special needs such as mortgage life insurance and college funds

  • Young professionals such as doctors or lawyers are usually allowed higher amounts than their current income would allow since their future income is very likely to increase significantly


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Personal Insurance World( Cont.)

  • Multiples of income are usually used to justify personal insurance amounts; most individuals do not have as much insurance as they could qualify for so amounts in excess of the tables should be analyzed carefully to be sure they are justified

  • Inspection reports, copies of tax returns, income statements by CPAs, copies of employment contracts etc can be used to verify earnings if the amount applied for appears unusually large


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“A man's life in these parts often depends on a mere scrap of information.”

(Clint Eastwood in A Fistful of Dollars)

http://en.wikiquote.org/wiki/A_Fistful_of_Dollars


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Age 18-40 of information.”

Age 41 - 50

Age 51 - 69

Over 69

20 x Income

15 x income

10 x Income

5 x Income

Typical Personal Income Tables

But what if the amount applied for

exceeds these multiples?


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Guidelines are intended to guide our decisions but of information.”

Are not the same as rules which must be obeyed

That’s why our Financial Guidelines are not carved

On Stone Tablets--


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Underwriting Judgment is needed to make reasonable exceptions

To the guidelines when it is appropriate to do so.


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  • Questions to ask: exceptions

  • Does it make sense? (Thank You, Charlie Will!)

  • How good are the sources of your information?

  • Will the person be worth more dead than alive to family or business?

  • --Ross Morton (RossMartin.com)


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Estate Conservation exceptions

  • Life Insurance can be used to prevent forced sale of Estate assets for estate taxes

  • Life Insurance can also serve to conserve the estate for heirs

  • Creation of an estate, however, by insurance in excess of estate conservation needs is speculative and uninsurable


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2004 exceptions

2005

2006

2007

2008

2009

$850,000 exempt

$950,000 exempt

$2,000,000 exempt

$2,000,000 exempt

$2,000,000 exempt

$3,500,000 exempt

An example of Estate Tax Tables

http://www.irs.gov/formspubs/article/0,,id=112782,00.html#estate_exclu_2003


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Older Age Risks exceptions


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Mature Market exceptions

  • Longer life expectancies and wealthier senior citizens have created a significant market for Life Insurance in the Mature Market

  • Mortality is volatile as older individuals are more vulnerable to impairments than younger individuals

  • Adverse selection is potentially greater as children who are aware of problems seek insurance for their parents


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Juveniles exceptions


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Juveniles exceptions

  • Juvenile policies are often purchased for savings, as gifts and to guarantee future insurability

  • Beneficiary should be parents; Grandparents may be owner and/or premium payor

  • All siblings should be similarly insured

  • Parents should have a significant amount of coverage as well; usually twice the insurance on the juvenile

  • Parent or guardian must sign app to show agreement for the insurance and to attest to correctness of application questions



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Persistency exceptions

  • Early lapses affect the profitability of the life insurance policy

  • Many companies underwrite for persistency as well as mortality aspects of the risk

  • Look carefully if short term need, unemployed, unstable finances, history of multiple replacements or lapses, premiums in excess of 25% of annual income



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Charitable Giving exceptions

  • Charitable Giving uses life insurance to insure against loss of contributions (cash or time or other services) due to the premature death of the contributor

  • Insurable interest is established by showing a regular pattern of support to the charity: financial contributions, other support or fund raising activities

  • The amount of Life Insurance should be limited to the present value of future contributions unless extraordinary circumstances can be documented


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Trusts exceptions


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Trusts exceptions

  • Trusts can protect assets from adverse taxation that would otherwise diminish the value of the assets

  • A Trust can be revocable (provisions can be altered or the Trust can be cancelled) or irrevocable (the agreement cannot be changed or cancelled without the agreement of the beneficiary)


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Trusts exceptions(Cont.)

  • A Life Insurance Trust gives the trustee the right to own and hold life insurance policies in order to exclude the insurance proceeds to be exempt from taxation

  • Trusts of this nature shield income from current taxation, protects wealth from diminished value at probate and estate settlement and enables the conservation of wealth

  • Death benefits should not exceed the potential tax liability and asset loss for the beneficiary


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Bankruptcy exceptions


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Bankruptcy exceptions

  • The Bankruptcy Code allows Chapter 13 or Chapter 7 for individuals and Chapter 11 or 7 for Businesses

  • Chapter 7 releases individuals from almost all debt after non-exempt assets have been liquidated and paid to creditors

  • Chapter 11 allows businesses to reorganize and restructure debt subject to court approval

  • Chapter 13 allows individuals to set up a repayment plan subject to court approval; often for less than the original debt


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Bankruptcy exceptions(Cont.)

  • Life Insurance for individuals still in the bankruptcy process involves persistency risk

  • Adverse selection may be present if there is significant personal stress suffered by the individuals or business owners

  • Medical history of alcohol or drug abuse, employment instability, adverse driving record, hazardous avocations are all indications of potential adverse selection

  • Recovery from the bankruptcy should be documented and stable income established in an amount to justify the amount applied for



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Evaluating Business Insurance exceptions

  • As with personal insurance there must be a greater value from the continued life of the insured than that provided by the death benefit resulting from the premature death of the insured

  • Over-insurance is speculation and can lead to suicide or homicide if the policy on the insured has greater value than the economic advantage provided by the continued life of the insured

  • The business must be in good financial health in order to justify any type of business insurance



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Venture Capital and Startups exceptions

  • More than half of all new businesses will fail within 5 years due to insufficient funding or planning

  • Look carefully at experience of management team, product or services to be offered and anticipated profitability projections

  • Look at source of funds to be sure from a reputable source and amount of funding to be sue the business can survive the initial years of losses to become profitable



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Key Person exceptions

  • The value of a key person to a business must be demonstrated based on skills, contacts or knowledge

  • Usually evaluated based on multiples of compensation for the number of years needed to replace the person and recover the losses (5-10x)

  • Compensation includes gross salary, regular bonuses, benefits, significant “perks,” stock option values and profit-sharing arrangements


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Key Person exceptions(Cont.)

  • Look for other key persons in the firm to be similarly insured

  • Avoid accepting risks where key person is significantly impaired as this usually represents adverse selection

  • Key Person insurance on individuals nearing retirement is not acceptable except for minimal amounts unless satisfactory justification is provided


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Buy and Sell exceptions


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Buy and Sell exceptions

  • A Buy and Sell Agreement prevents forced sale of business assets by heirs of the deceased at reduced values

  • The insurable value for Life Insurance is equal to their ownership percentage of the net worth of the business plus a modest growth factor

  • The business should be stable and viable and demonstrate no financial problems



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Creditor exceptions

  • There should be collateral for the loan so more than 75% of the amount of the loan should not be required

  • Loan terms should not be for less than 5 years

  • Loans should not be extensions of existing loans or refinancing

  • Loans should involve stable and viable business concerns only



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What To Look For In Financial Statements exceptions

  • Assets are anything owned by the individual or the business that has value

  • Liabilities are anything the individual or the business owes to others

  • Equity is the net worth of the business and is Assets less Liabilities


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Financial Statement Analysis exceptions

  • Three types of CPA Reports: Compiled, Reviews and Audited

  • Compiled reports are not investigated by the CPA but rely on numbers provided by the business or individual

  • Reviews are somewhat more in depth but the CPA does not investigate all source documents

  • Audited reports should reflect a thorough investigation of all source documents and an in-depth analysis of the financial records


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Financial Analysis exceptions(Cont.)

  • Compiled reports are more commonly seen and are the least reliable

  • Reviews and Audited Reports are more costly and are usually seen on larger businesses

  • Look carefully at the CPA’s notes for any variations from generally accepted accounting principles that may affect the viability of the business


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Income Statements exceptions

  • Income statements summarize the results for a specific period of time; also called “profit and loss” statements

  • Sales minus Cost of Sales equals Gross Profits

  • Gross Profits minus operating expenses equals net profit after taxes

  • Net profit after taxes is the profit (or loss)


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Balance Sheet exceptions

  • Snapshot of the company’s financial position at a single point in time (such as close of business at the end of the year)

  • Assets are listed on the left; liabilities and capital on the right; both sides should be equal or in balance

  • If current assets are less than current liabilities it may indicate a business that is in trouble as other assets may be difficult to liquidate quickly enough to satisfy the demand to pay current liabilities


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Ratio Analysis exceptions

  • Certain ratios give a quick picture of the viability of the business

  • Current Ratio is Total Current Assets divided by Total Current Liabilities; should be at least 2:1.

  • Debt/Worth Ration is Total Liabilities divided by the Tangible Net Worth; usually less than 1.0—if debt load too great the company may have trouble acquiring additional funds if needed


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Does It Make Sense? exceptions

  • Charles A. Will’s 1973 text “Does It Make Sense?” can be summarized by the title

  • With all the guidelines, Financial Underwriting can be summarized by just these few words applied to the case at hand:

  • “Does It Make Sense?”


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Stranger Owned Life Insurance (SOLI) exceptions

  • Premium Financed Life Insurance, the great debate!!

  • Will be addressed in greater details at our next seminar


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Before the Case Studies: exceptions

Are There Any

Questions Now?


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Case Study # 1 exceptions

Located in your packet


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Case Study # 1 exceptions

  • Financial Case Study # 1:

  • Male 35

  • 6.2.180

  • Occupation CPA

  • $1 million applied for March 2007

  • No Insurance in force

  • Medically Preferred

  • Inspection Report:

  • Earned Income $425,000

  • Assets:

  • Business Net Worth $500,000

  • Home Market Value $1,200,000

  • Personal Property $1,000,000

  • Savings/Checking $75,000

  • Total Assets $2,775,000

  • Liabilities:

  • Home Mortgage $590,000

  • Other Loans $35,000

  • Total Liabilities $625,000

  • Net Worth $2,150,000

  • Credit Information:

  • 38 lines of credit

  • 27 paid as agreed

  • 11 show delinquent

  • High credit amount $285,000

  • Amount owed all accounts $147,655


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Case Study # 1 exceptions

For Case # 1: What is your underwriting decision and why?


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Case Study # 2 exceptions

Located in your packet


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Case Study #2 exceptions

Male 35

5.3.175

Occupation “Real Estate Developer” in Las Vegas, Nevada

$3 million applied for March 2007

Beneficiary Business Partner ;

Purchasing commercial property

No Insurance in force

Medically Standard

Inspection Report:

Earned Income $112,000 per year

Net Worth $83,000

($80,000 cash and investments

plus vehicle worth $19,000 less

$16,000 owed)

No home mortgage as he rents;

No credit card balances owed

“Numerous collections listed as well

as two trades currently in poor standing”—

two placed for collection 2006;

nine placed for collection in 2004

Civil judgment dated April 2005 for $988 and

A Release of Tax lien from April 1999 for $713”

Misdemeanor 4 years ago for insufficient funds to cover

Checks written. Paid fine and 3 years probation; off

Probation now.

Unable to verify income through accountant.

For Case # 2: What is your underwriting decision and why?


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Case Study # 3 exceptions

Located in your packet


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Case Study # 3 exceptions

Joint Last Survivor Life for $50,000,000

Male 35

Female 27

His in force $55,000,000

Her in force $2,000,000

No replacement for either

Joint net worth $25 million

He owns commercial real estate firm with $200,000 annual income

She is not employed.

Beneficiary is an Irrevocable Trust for their descendents.

He is one of two primary heirs to his parents estate, which is

currently valued in excess of $200 million and estimated by the agent

to grow at 8% to exceed $600 million in 15 years.

Therefore the agent feels the

total line is justified due to his long term need to defray potential estate tax liabilities

of his existing and future children.

For Case # 3: What is your underwriting decision and why?


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The End exceptions


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