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Dive into the complexities of life insurance, exploring key risk factors including lifestyle, occupation, and medical conditions that can affect coverage and premiums. Learn about different policy types such as term, whole, and universal insurance, alongside contract provisions and exclusions. Additionally, understand the implications of taxation on life insurance, including cash value withdrawals, death benefits, and handling of dividends. Equip yourself with the necessary knowledge to make informed decisions in your insurance journey.
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Topic 19: Life Insurance • Risk factors • Lifestyle • Occupation • Medical condition • Family history • High risk individuals • Denied coverage • Increased premiums • Exclusion of certain risks: skydivers
Topic 19: Life Insurance • Concepts • Mortality: death rates • Morbidity: rates of disability • Expenses: greatest in early years • Commissions • Insurable interest • Required at time of policy inception • Not at the time benefits are paid
Topic 19: Life Insurance • Term insurance: temporary • Renewable: to age 70 • Convertible: to whole life • Whole life: permanent/forced savings • Variable: separate account invested based on policy holder’s allocation • Whole life funds go into general account of company • Can increase death benefits/cash value based on investment performance • Universal: can change • Premiums: can skip payments • Death benefit • Cash value separated from death benefit • Variable universal: combine features • Survivorship: second to die policy
Topic 19: Life Insurance • Contract provisions • All language contained in contract • Backdating: can be done up to six months • Owner may not be insured • One month grace period for premium payments • Misstate age: adjust death benefit • Loans: amount borrowed subtracted from death benefits • Assignment: generally policies may be assigned • Common disaster: primary beneficiary must outlive insured by 60 – 90 days
Topic 19: Life Insurance • Contract provisions • Incontestable: insurer has two years to challenge validity of policy • Exclusions: suicide (one to two years) and war • Settlement options • Lump sum • Annuity • Single or joint life; term certain • Interest only
Topic 19: Life Insurance • Dividends • Cash • Accumulate • Reduce premiums • Buy additional coverage • Interest credits • Portfolio method: based on insurer’s earnings of overall portfolio • New money method: based on insurer’s earnings on money invested that year
Topic 19: Life Insurance • Riders • Accelerated death benefits: pay benefits if expected to die within year; in nursing home permanently • Long-term care: benefits rider can be added to life insurance policy • Waiver of premiums: if disabled • Guaranteed insurability: can buy more coverage without showing insurability • Double indemnity: twice policy amount if death accidental
Topic 19: Life Insurance • Nonforfeiture options • After policy has cash surrender value, • Can get cash within six months • Can get a paid-up policy with a reduced face amount • Can get a term policy with the same face amount
Topic 19: Life Insurance • Illustrations • Projection of financial results • Incorporate present value or just nominal values? • Optimistic assumptions? • Clearly label what is guaranteed? • NAIC model does not apply to variable life/annuities • Policy replacement • Regulated by many states • High commissions • May make sense due to reduced mortality charges and in higher interest rate periods
Topic 19: Life Insurance • Accelerated death benefits • Allow terminally ill insured to obtain funds prior to death tax-free • Pay for custodial care • Preferable to viatical due to discounts on viatical • Viatical settlements • Terminally ill insured transfers policy for lump sum payment • Benefits tax-free to insured if: • expected to die within two years • can’t perform two activities of daily living • Life settlement • Sell life insurance policy
Topic 20: Income Taxation of Life Insurance • Dividends: whole life policies • Not taxable unless total dividends > premiums paid on policy • Loans: whole life policies • Not taxable • Withdrawal of cash value • Not taxable unless withdrawals > basis • If taxable, ordinary income • Surrender • Not taxable unless proceeds > basis • If taxable, ordinary income
Topic 20: Income Taxation of Life Insurance • Death benefit: not taxable • MECs: premiums higher than necessary for insurance. • Often single premium policy • Then take cash value prior to death • Test during first seven years of policy • Is it paid up in seven years? • If policy is MEC, • Death benefit is still not taxable • Withdrawals and loans taxed as ordinary income with penalty if under 59 ½
Topic 20: Income Taxation of Life Insurance • Transfer for value • Sell policy to someone other than related party (business, co-owner, family member) • Seller not taxed if viatical settlement • Expected to die within two years • Buyer will be taxed on death benefits if greater than basis (ordinary income) • Including premiums paid and purchase price
Topic 20: Income Taxation of Life Insurance • Section 1035 exchange • Trade an existing policy for a new policy • Good idea??? • Mortality/interest rate assumptions • Trade a life insurance policy for an annuity • Makes IRS happy • Can also trade life insurance or annuity policy for long-term care policy • Can not trade an annuity for an insurance policy • Would make the IRS sad
Topic 21: Business Uses of Insurance • Buy-Sell Agreements • Provides for the sale of business interest on death of owner • Allows heirs to cash out of business • Keeps heirs from becoming co-owners • Keeps ownership with existing owners • Value generally based on formula • Valid for estate tax valuation
Topic21: Business Uses of Insurance • Buy-Sell Agreements • Cross purchase • Owners buy policies on each other • Number of policies? • Older owner • Premiums not deductible • Entity • Company buys policy on each owner • Premiums not deductible
Topic 21: Business Uses of Insurance • Key Person Life Insurance • Insures life of valued employee: • LeBron • Janitor • Business is beneficiary • Premiums not deductible • Benefits tax-free
Topic 21: Business Uses of Insurance • Split Dollar Life Insurance • Employer and employee share cost of premiums • Employer pays cash value portion • Employee pays pure life insurance cost • If employer pays entire premium, coverage above $50,000 taxable • Endorsement method • Employer owns policy • Receives reimbursement for premiums paid • Employee gets balance • Employer paid premiums income to employee • Collateral assignment method • Employee owns policy • Again must reimburse business for premiums paid • Premiums treated as loans: employee must pay interest
Topic 22:Insurance Needs Analysis • Life insurance • Anyone financially sad??? • Financial needs approach: determine cash needs, income needs, special needs and then subtract net worth • Income replacement • Debt elimination • College education • Less assets available to meet these needs
Topic 22:Insurance Needs Analysis • Life insurance • Human life value approach: • Present value of insured’s future income • Does not consider assets, liabilities, other sources of income • Capital retention approach: • Not only provide present value of future income but capital is maintained also
Topic 22:Insurance Needs Analysis • Life insurance • Income retention approach: • Based on income needs of survivor rather than income generated by insured • How soon until surviving spouse will accidentally fall in love? • Income multiplier approach: five to fifteen times annual income
Topic 23:Insurance Policy and Company Selection • Life insurance • Temporary needs: term • Permanent needs: whole life • Participating: pays dividends when premiums were “too large” • Cost analysis • Net cost method per $1,000 of coverage = (total premiums – cash value) / number of years policy held • Ignores time value of money
Topic 23:Insurance Policy and Company Selection • Life insurance • Cost analysis • Surrender cost index = • (future value of premiums – dividends – cash value)/fv factor for $1 for n years at i rate) • /$1,000 units of coverage • Net payment cost index = • Same as surrender cost index but cash value is not subtracted • Benchmarks: • Age 30: $2 cost per $1,000 • Age 60: $25 cost per $1,000 • Age 80: $125 cost per $1,000
Topic 23:Insurance Policy and Company Selection • Life insurance • Company selection: financial ratings • Companies rated based on financial strength • A.M. Best, S&P, Moody’s • Best: insurance companies only • “A+” rating has different meanings • Variable products provide security of subaccounts • Company selection: underwriting • Some companies only want certain types of risk
Topic 18: Annuities • Types • Immediate: payments begin now • Deferred: payments begin later • Single premium: one payment • Purchase annuity with 401(k) proceeds • Periodic premium • Single vs. joint and survivor • Period certain: benefits continue for a minimum number of years • Even if die before period ends
Topic 18: Annuities • Types • Fixed: periodic payment known • Turn defined contribution plan into defined benefit plan • Variable: periodic payments based on investment performance • Considered securities: must hold Series 6 and insurance license to sell • Oversold/undersold????
Topic 18: Annuities • Structured settlements • Receive periodic payments instead of lump sum • For auto accident, medical malpractice, etc. • Payments are tax-free if compensatory including pain/suffering/wrongful death/loss of goodwill • Effectively makes interest tax-free • Punitive, non-physical damages are taxable • Companies buying structured settlements
Topic 18: Annuities • Taxation of annuities • Noncontributory-qualified plan • All payments ordinary income • Contributory-qualified plan • Basis / total expected payments = percent of each payment not taxed • Remainder of payment ordinary income • Subject to 10% penalty if not age 59 1/2 • After recover entire basis, all taxable • If die before deferred annuity payments begin • Refund of premiums paid generally not taxable since payment equals basis • No step-up in basis for annuities
Topic 18: Annuities • Taxation of annuities • Commercial annuity • Ordinary income and return of capital based on expected payments • Corporate annuities • Must recognize income immediately on increase in value of annuity; no deferral
Topic 19: Group Term Life Insurance • Must be nondiscriminatory • Amount of coverage usually multiple of salary • Cost of coverage above $50,000 is taxable • No evidence of insurability required • Even if leave company and convert to individual cash value policy • Inexpensive form of life insurance
Topic 19: Group Permanent Insurance • Premiums • Deductible by employer • Taxable to employee • GULPs: employees pay for universal life coverage • Advantage • Group underwriting • Can continue as individual policy after leaving employment • No evidence of insurability required • Must convert to permanent insurance
Topic 19: Group Permanent Insurance • Carve Out Insurance • Cover top dogs only • Employer’s cost deductible • Top dogs taxed on premiums paid • Pay bonus to top dogs so they can pay taxes on premiums so they won’t be sad • Employer paid death benefit • Taxable • Not funded by life insurance policy