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Now is the Time For Critical Illness Insurance sm PowerPoint PPT Presentation


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Now is the Time For Critical Illness Insurance sm. Presented by Dana Davis and Mary Grahovac June 29, 2006. PLAG.2789.02.06. “Not because you are going to die, but because you are going to survive!” Dr. Marius Barnard. Protective CRITICAL answer sm. Health chassis product

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Now is the Time For Critical Illness Insurance sm

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Now is the time for critical illness insurance sm

Now is the Time

For Critical

Illness Insurancesm

Presented by

Dana Davis and Mary Grahovac

June 29, 2006

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.

PLAG.2789.02.06


Now is the time for critical illness insurance sm

“Not because you are going to die, but because you are going to survive!”

Dr. Marius Barnard

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Protective critical answer sm

Protective CRITICALanswersm

  • Health chassis product

  • Issue amounts of 25,000 – 500,000

  • Issue ages 18-65

  • 14 covered illnesses

Policy form CI-03 is a limited benefit health coverage policy providing limited or supplemental coverage, paying benefits ONLY upon first occurrence and diagnosis of a covered condition. Advanced payments reduce base policy's benefit; any lump sum payments may be taxable. Consult your tax advisor for tax details. If 100% of maximum allowable benefit is advanced, policy will terminate. Consult policy for benefits, riders, limitations, exclusions, reductions, and terms under which policy may be continued in force or discontinued. Policy form and definitions may vary by state. Subject to underwriting. Not available in all states.

Policy Form CI-03

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Critical answer sm covered critical illnesses

CRITICALanswerSM Covered Critical Illnesses

  • * May vary by state

  • ** See “No Waiting Period on Most Covered Conditions” for further information

Policy Form CI-03

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Protective critical answer sm1

Protective CRITICALanswersm

  • Multiple Payment Benefit allows payment from three categories, not to exceed three times initial face amount, based on policy specification

Policy Form CI-03

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Critical answer sm multiple payment benefit feature

CRITICALanswerSM Multiple Payment Benefit Feature

Exceptions and Limitations: 1. The Payment of all benefits under the policy shall not exceed three times the initial benefit amount stated in the policy; 2. The payment of benefits ender each category shall not exceed 100% of the initial benefit amount for each category; 3. There shall be only benefit payment for each covered condition; 4. There shall be only one benefit payment per 180-day period across the three categories. However, the 180-day period does not apply to benefit payments within the same category; 5. If a first-ever diagnosis occurs within the 180-day period after a benefit payment, it is not effectively considered a “first-ever diagnosis” under the policy. Therefore, a benefit payment may be paid for a subsequent occurrence and diagnosis of that covered condition; and 6. If more than one covered condition is diagnosed at the same time, the benefit payment shall be based on the larger benefit amount of those diagnosed. If there benefits amounts are the same, there shall be only one benefit payment per 180-day period. See Outline of Coverage for “How this Benefit is Calculated”.

Policy Form CI-03

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Protective critical answer sm2

Protective CRITICALanswersm

  • Return of Premium upon death, less any benefits paid, as long as policy remains in force

  • No waiting period on most covered conditions

    • Reduced Benefit Period – If the insured is diagnosed with a covered condition of Invasive or In Situ Cancer, the reduced benefit period shall be 90 days, beginning on the policy effective date

  • Renewable for life - benefit reduced 50% in each category at age 65 or five years, whichever is greater.

Policy Form CI-03

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Protective critical answer sm3

Protective CRITICALanswerSM

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Underwriting critical illness insurance

Underwriting Critical Illness Insurance

  • Remember … incidence occurs before mortality

  • If the applicant has a history of any of the covered conditions they will not qualify for the insurance

  • Morbidity based underwriting versus mortality based underwriting

    • For example, in assessing coronary risk, there is a higher occurrence for the event of either a heart attack or coronary bypass surgery than the probability of dying from either one of these.

Source: OptimumRe

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Underwriting critical illness insurance1

Underwriting Critical Illness Insurance

  • Family history typically has a greater impact on CI underwriting than life underwriting. Variables associated with family (natural parents and siblings) history include:

    • The number of affected first degree relatives (FDR)

    • The FDR’s age at diagnosis – not death

    • The current age of the applicant

    • The sex of the applicant (in some cases)

Source: OptimumRe

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Potential impact of family history on cii

Potential Impact of Family History on CII

Less Impact

Greater Impact

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Underwriting critical illness insurance2

Underwriting Critical Illness Insurance

  • Build is an important factor in critical illness underwriting

  • Generally, an APS will be ordered more frequently on CI applications

  • Typically the best candidates for standard CI underwriting would be the those individuals eligible to qualify for Select Preferred or Preferred life underwriting

Source: OptimumRe

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


Now is the time for critical illness insurance sm

Protective Life

Insurance Company

For Agent/Broker Dealer Information Only. Do Not Use with Consumers.


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