Senior Insurance News

Health Care Reform- Now and The Future

Braxton Tulin - Thursday, March 17, 2011

Current and upcoming health benefit changes in 2011

Benefits and Laws Currently in Effect

Insurance for People With Pre-existing Conditions: Adults whom private insurers consider"high-risk" and un-insurable due to existing health complications and who have been uninsured for at least six months are eligible to buy insurance through the federal Pre-Existing Condition Insurance Plan (PCIP) in their state.

Coverage for Preventive Care and Screenings: People who have Medicare Part B as well as those covered by many individual and employer-sponsored health plans are eligible for free — i.e., no deductibles or copayments — preventive and wellness benefits, such as immunizations and screenings for diseases including cancer and diabetes. 

Medicare Part D "Doughnut Hole" Discounts: People with Medicare Part D who fall into the prescription drug coverage gap will receive a 50 percent discount on most brand-name prescriptions and biologic drugs, and a 7 percent discount on generic drugs. For 2011, the gap starts once the insured and the insurer have spent a combined total of $2,840 on prescriptions. Once a Part D customer's total drug costs reach $4,550 his or her prescription costs drop to a lower copay for the remainder of the year. 

Protections Against Insurance Cancellations: A common practice among insurers seeking to deny payments for costly medical care has been to re-examine customers' initial applications and cancel or "rescind" policies. The health care law prohibits insurers from rescinding a customer's health coverage because of unintentional mistakes or minor omissions on an application.

No More Lifetime Limits on Care: Insurers can no longer limit how much they will pay out in essential medical benefits over a person's lifetime.

Higher Threshold for Annual Limits on Care: Most insurance plans that start between now and September 2011 must cover medical expenses up to at least $750,000 per year.

Coverage for Adult Children Age 26 and Under: Young adults who don't have access to an employer health plan now can stay on a parent's health insurance policy until they turn 26, even if they are married or don't live at home. Previously, most insurance plans kicked young adults off family policies when they turned 18 or, if the young adult was in college, soon after graduation.

Arizona Pitches New Plan to Gain Back Medicaid Dollars

Braxton Tulin - Wednesday, March 16, 2011

Arizona hospitals are making a final attempt to save government-subsidized care for about two thirds of the 250,000 childless adults Gov. Jan Brewer proposes to kick out of the state’s Medicaid program. A plan unveiled Friday March 11, 2011 would raise $645 million a year, $540 million of that through a new tax on hospitals based on patient days (4.2 percent of total bill charges).

There also would be an additional $100 million tax on the health care plans that have contracts with the state to provide care for those enrolled in the Arizona Health Care Cost Containment System.

Laurie Liles, president of the Arizona Hospital and Healthcare Association, said the tax is structured in a way so that it won’t actually result in higher bills.“That is because it is used to draw down federal funds that are paid back to the hospitals,’’ Liles said.

Hospitals are alarmed because many of their patients are AHCCCS recipients. Eliminating AHCCCS coverage for that many could have a double-whammy effect, not only cutting off the flow of reimbursement dollars but also resulting in some newly uninsured seeking care in hospital emergency rooms — care for which they cannot afford to pay.

The association claims the net result would be the immediate loss of more than 13,000 health care jobs and another 17,000 through the rest of the state’s economy.

Life Insurance Companies And Stock Hit By Crisis in Japan

Braxton Tulin - Tuesday, March 15, 2011

Concerns about claims costs and possible disruptions to sales continued to weigh on life-insurance shares on Tuesday, even as analysts said they didn't expect a material financial impact for this year.

Aflac Inc. ended the Tuesday trading day down 5.6%, Prudential Financial Inc. fell 1.9%, rebounding from a decline of nearly 8%, and MetLife Inc. dropped 3%, also regaining some ground lost earlier in the day on Tuesday March 15, 2011. 

Each company has large Japanese operations.  In January, Prudential closed on a $4.8 billion deal to significantly expand its presence, acquiring two Japanese life insurers from American International Group Inc.

Japan accounts for roughly 42% of Prudential's total earnings and about a fifth of MetLife's. Stock and bond analysts are starting to try and predict possible claims in a rapidly changing situation. "We believe that death claims [from the earthquake and tsunami] will be very manageable for the major players there," said Scott Robinson, a senior vice president at Moody's Investors Service. "The big wild card is what happens on the nuclear front."

Aflac derives 70% to 75% of its earnings from Japan, mostly from specialized cancer and other supplemental medical policies. Aflac Chief Executive Daniel Amos said that if the company got hit with thousands of sudden claims, those would be a small slice of the company's 20 million outstanding life and supplemental-medical policies.

"We may see a spike in claims for the short-term due to the tsunami and the earthquake. However, it will not make a significant difference to our overall claims cost," Mr. Amos said.

"In regards to the nuclear issues, it is too early to tell. But based on our actuarial assumptions with the worst-case scenario being a Chernobyl, we still don't believe it will create a significant change in our claims costs."

Life Insurance Buyers Guide

Braxton Tulin - Wednesday, February 23, 2011

This guide can help you when you shop for life insurance. It discusses how to:

  • Find a Policy That Meets Your Needs and Fits Your Budget
  • Decide How Much Insurance You Need
  • Make Informed Decisions When You Buy a Policy

Prepared by the National Association of Insurance Commissioners

The National Association of Insurance Commissioners is an association of state insurance regulatory officials. This association helps the various insurance departments to coordinate insurance laws for the benefit of all consumers.

This guide does not endorse any company or policy.

Important Things to Consider

  1. Review your own insurance needs and circumstances. Choose the kind of policy that has benefits that most closely fit your needs. Ask an agent or company to help you.
  2. Be sure that you can handle premium payments. Can you afford the initial premium? If the premium increases later and you still need insurance, can you still afford it?
  3. Don’t sign an insurance application until you review it carefully to be sure all the answers are complete and accurate.
  4. Don’t buy life insurance unless you intend to stick with your plan. It may be very costly if you quit during the early years of the policy.
  5. Don’t drop one policy and buy another without a thorough study of the new policy and the one you have now. Replacing your insurance may be costly.
  6. Read your policy carefully. Ask your agent or company about anything that is not clear to you.
  7. Review your life insurance program with your agent or company every few years to keep up with changes in your income and your needs.

Buying Life Insurance

When you buy life insurance, you want coverage that fits your needs.

First, decide how much you need—and for how long—and what you can afford to pay. Keep in mind the major reason you buy life insurance is to cover the financial effects of unexpected or untimely death. Life insurance can also be one of many ways you plan for the future.

Next, learn what kinds of policies will meet your needs and pick the one that best suits you.

Then, choose the combination of policy premium and benefits that emphasizes protection in case of early death, or benefits in case of long life, or a combination of both.

It makes good sense to ask a life insurance agent or company to help you. An agent can help you review your insurance needs and give you information about the available policies. If one kind of policy doesn’t seem to fit your needs, ask about others.

This guide provides only basic information. You can get more facts from a life insurance agent or company or from your public library.

What About the Policy You Have Now?

If you are thinking about dropping a life insurance policy, here are some things you should consider:

  • If you decide to replace your policy, don’t cancel your old policy until you have received the new one. You then have a minimum period to review your new policy and decide if it is what you wanted.
  • It may be costly to replace a policy. Much of what you paid in the early years of the policy you have now, paid for the company’s cost of selling and issuing the policy. You may pay this type of cost again if you buy a new policy.
  • Ask your tax advisor if dropping your policy could affect your income taxes.
  • If you are older or your health has changed, premiums for the new policy will often be higher. You will not be able to buy a new policy if you are not insurable.
  • You may have valuable rights and benefits in the policy you now have that are not in the new one.
  • If the policy you have now no longer meets your needs, you may not have to replace it. You might be able to change your policy or add to it to get the coverage or benefits you now want.
  • At least in the beginning, a policy may pay no benefits for some causes of death covered in the policy you have now.

In all cases, if you are thinking of buying a new policy, check with the agent or company that issued you the one you have now. When you bought your old policy, you may have seen an illustration of the benefits of your policy. Before replacing your policy, ask your agent or company for an updated illustration. Check to see how the policy has performed and what you might expect in the future, based on the amounts the company is paying now.

How Much Do You Need?

Here are some questions to ask yourself:

  • How much of the family income do I provide? If I were to die early, how would my survivors, especially my children, get by? Does anyone else depend on me financially, such as a parent, grandparent, brother or sister?
  • Do I have children for whom I’d like to set aside money to finish their education in the event of my death?
  • How will my family pay final expenses and repay debts after my death?
  • Do I have family members or organizations to whom I would like to leave money?
  • Will there be estate taxes to pay after my death?
  • How will inflation affect future needs?

As you figure out what you have to meet these needs, count the life insurance you have now, including any group insurance where you work or veteran’s insurance. Don’t forget Social Security and pension plan survivor’s benefits. Add other assets you have: savings, investments, real estate and personal property. Which assets would your family sell or cash in to pay expenses after your death?

What Is the Right Kind of Life Insurance?

All policies are not the same. Some give coverage for your lifetime and others cover you for a specific number of years. Some build up cash values and others do not. Some policies combine different kinds of insurance, and others let you change from one kind of insurance to another. Some policies may offer other benefits while you are still living. Your choice should be based on your needs and what you can afford.

There are two basic types of life insurance: term insurance and cash value insurance. Term insurance generally has lower premiums in the early years, but does not build up cash values that you can use in the future. You may combine cash value life insurance with term insurance for the period of your greatest need for life insurance to replace income.

Term Insurance covers you for a term of one or more years. It pays a death benefit only if you die in that term. Term insurance generally offers the largest insurance protection for your premium dollar. It generally does not build up cash value.

You can renew most term insurance policies for one or more terms even if your health has changed. Each time you renew the policy for a new term, premiums may be higher. Ask what the premiums will be if you continue to renew the policy. Also ask if you will lose the right to renew the policy at some age. For a higher premium, some companies will give you the right to keep the policy in force for a guaranteed period at the same price each year. At the end of that time you may need to pass a physical examination to continue coverage, and premiums may increase.

You may be able trade many term insurance policies for a cash value policy during a conversion period—even if you are not in good health. Premiums for the new policy will be higher than you have been paying for the term insurance.

Cash Value Life Insurance is a type of insurance where the premiums charged are higher at the beginning than they would be for the same amount of term insurance. The part of the premium that is not used for the cost of insurance is invested by the company and builds up a cash value that may be used in a variety of ways. You may borrow against a policy’s cash value by taking a policy loan. If you don’t pay back the loan and the interest on it, the amount you owe will be subtracted from the benefits when you die, or from the cash value if you stop paying premiums and take out the remaining cash value. You can also use your cash value to keep insurance protection for a limited time or to buy a reduced amount without having to pay more premiums. You also can use the cash value to increase your income in retirement or to help pay for needs such as a child’s tuition without canceling the policy. However, to build up this cash value, you must pay higher premiums in the earlier years of the policy. Cash value life insurance may be one of several types; whole life, universal life and variable life are all types of cash value insurance.

Whole Life Insurance covers you for as long as you live if your premiums are paid. You generally pay the same amount in premiums for as long as you live. When you first take out the policy, premiums can be several times higher than you would pay initially for the same amount of term insurance. But they are smaller than the premiums you would eventually pay if you were to keep renewing a term policy until your later years.

Some whole life policies let you pay premiums for a shorter period such as 20 years, or until age 65. Premiums for these policies are higher since the premium payments are made during a shorter period.

Universal Life Insurance is a kind of flexible policy that lets you vary your premium payments. You can also adjust the face amount of your coverage. Increases may require proof that you qualify for the new death benefit. The premiums you pay (less expense charges) go into a policy account that earns interest. Charges are deducted from the account. If your yearly premium payment plus the interest your account earns is less than the charges, your account value will become lower. If it keeps dropping, eventually your coverage will end. To prevent that, you may need to start making premium payments, or increase your premium payments, or lower your death benefits. Even if there is enough in your account to pay the premiums, continuing to pay premiums yourself means that you build up more cash value.

Variable Life Insurance is a kind of insurance where the death benefits and cash values depend on the investment performance of one or more separate accounts, which may be invested in mutual funds or other investments allowed under the policy. Be sure to get the prospectus from the company when buying this kind of policy and study it carefully. You will have higher death benefits and cash value if the underlying investments do well. Your benefits and cash value will be lower or may disappear if the investments you chose didn’t do as well as you expected. You may pay an extra premium for a guaranteed death benefit.

Life Insurance Illustrations

You may be thinking of buying a policy where cash values, death benefits, dividends or premiums may vary based on events or situations the company does not guarantee (such as interest rates). If so, you may get an illustration from the agent or company that helps explain how the policy works. The illustration will show how the benefits that are not guaranteed will change as interest rates and other factors change. The illustration will show you what the company guarantees. It will also show you what could happen in the future. Remember that nobody knows what will happen in the future. You should be ready to adjust your financial plans if the cash value doesn’t increase as quickly as shown in the illustration. You will be asked to sign a statement that says you understand that some of the numbers in the illustration are not guaranteed.

Finding a Good Value in Life Insurance

After you have decided which kind of life insurance is best for you, compare similar policies from different companies to find which one is likely to give you the best value for your money. A simple comparison of the premiums is not enough. There are other things to consider. For example:

  • Do premiums or benefits vary from year to year?
  • How much do the benefits build up in the policy?
  • What part of the premiums or benefits is not guaranteed?
  • What is the effect of interest on money paid and received at different times on the policy?

Once you have decided which type of policy to buy, you can use a cost comparison index to help you compare similar policies. Life insurance agents or companies can give you information about several different kinds of indexes that each work a little differently. One type helps you compare the costs between two policies if you give up the policy and take out the cash value. Another helps you compare your costs if you don’t give up your policy before its coverage ends. Some help you decide what kind of questions to ask the agent about the numbers used in an illustration. Each index is useful in some ways, but they all have shortcomings. Ask your agent which will be most helpful to you. Regardless of which index you use, compare index numbers only for similar policies—those that offer basically the same benefits, with premiums payable for the same length of time.

Remember that no one company offers the lowest cost at all ages for all kinds and amounts of insurance. You should also consider other factors:

  • How quickly does the cash value grow? Some policies have low cash values in the early years that build quickly later on. Other policies have a more level cash value build-up. A year-by-year display of values and benefits can be very helpful. (The agent or company will give you a policy summary or an illustration that will show benefits and premiums for selected years.)
  • Are there special policy features that particularly suit your needs?
  • How are nonguaranteed values calculated? For example, interest rates are important in determining policy returns. In some companies increases reflect the average interest earnings on all of that company’s policies regardless of when issued. In others, the return for policies issued in a recent year, or a group of years, reflects the interest earnings on that group of policies; in this case, amounts paid are likely to change more rapidly when interest rates change.

© NAIC

Health Reform Consumer Protections

Braxton Tulin - Tuesday, April 27, 2010


  • No Discrimination for Pre-Existing Conditions
  • Insurance companies will be prohibited from refusing you coverage because of your medical history.
  • No Exorbitant Out-of-Pocket Expenses, Deductibles or Co-Pays
  • Insurance companies will have to abide by yearly caps on how much they can charge for out-of-pocket expenses.
  • No Cost-Sharing for Preventive Care
  • Insurance companies must fully cover, without charge, regular checkups and tests that help you prevent illness, such as mammograms or eye and foot exams for diabetics.
  • No Dropping of Coverage for Seriously Ill
  • Insurance companies will be prohibited from dropping or watering down insurance coverage for those who become seriously ill.
  • No Gender Discrimination
  • Insurance companies will be prohibited from charging you more because of your gender.
  • No Annual or Lifetime Caps on Coverage
  • Insurance companies will be prevented from placing annual or lifetime caps on the coverage you receive.
  • Extended Coverage for Young Adults
  • Children would continue to be eligible for family coverage through the age of 26.
  • Guaranteed Insurance Renewal
  • Insurance companies will be required to renew any policy as long as the policyholder pays their premium in full. Insurance companies won't be allowed to refuse renewal because someone became sick.


Some Philosophical questions

Braxton Tulin - Tuesday, April 27, 2010

Securitization of Senior Life Settlements

Braxton Tulin - Thursday, February 25, 2010

InJanuary 2004, the first securitization ofsenior life insurance policies was issued in the market. It was a securitization consisting of $63 million of class A senior life settlements hacked hy $195 million inface value of life insurance policies, issued hy Tarrytown Second, LLC. The second such securitization, for an amount of $70 million, was issued in April 2004 Legacy Benefits as a private placement. The securitization of life insurance policies is not new. In the early '1990s those with terminal diseases and a life expectancy of no more than 2-3 years could sell their life insurance policies at a discount from face value to different companies, which in turn would securitize them (viaticals). Viaticals lost their popularity when the lives of viators, particularly those affected with AIDS, were extended hy the development of new drugs. Companies had to convertfrom huying life policiesfrom terminally ill viators to huying life poli- ciesfrom senior life settlers. The valuation of this latter type of securitization remains tricky hecause ofthe underlying asset, which can generate negative cash fiows early on, and its unusualform of risk: life exten- sion risk. We develop a model that incorporates life extension risk, develop a new security (the targeted termination class) to protect investors from this risk, and propose an innovative approach to measuring the sensitivity ofthe value ofsenior life settlement-hacked securities to changes in the numher of years lived heyond settlers' life expectancy, the le-duration. The le-duration will he a necessary measurement for investors in senior life settlement-hacked securities.


--

The idea of securitizing life insurance policies is not new in itself. Viatical settlements started in the late 1980s, when companies such as Legacy Benefits and Dignity Partners pur- chased life insurance policies from people with terminal diseases (e.g., AIDS) when no treatment was available. People with terminal diseases have a hard

time paying premia on their life insurance policies and often have high expenses in the form of medical bills and the costs of addi- tional medical assistance. When approached by companies such as Dignity Partners, those with terminal diseases had the opportunity to sell their life insurance pohcies at a discount on the face value to be received by the ben- eficiaries and were at the same time able to shift the responsibility of paying the life insur- ance premia to the companies buying their policies by making them the new beneficia- ries ofthe policy. The companies contacted only those with a life expectancy of perhaps two to three years. To continue reading please click the link below for the PDF document.

Securitization of Senior Life Settlements