September, 2010
Set for Life Insurance President, Jamie Fleischner, will be the front page feature article in the September issue of Agent Sales Journal. For more information, check out the ASJ article online.
August 28th, 2010
September, 2010
Set for Life Insurance President, Jamie Fleischner, will be the front page feature article in the September issue of Agent Sales Journal. For more information, check out the ASJ article online.
August 24th, 2010
The 2010 Council for Disability Awareness
Long-Term Disability Claims Review
Since 2005, the Council for Disability Awareness (CDA) has conducted a proprietary annual review of long-term disability claims among the U.S. working population. The purpose is to identify continuing or emerging trends, and to share them with interested audiences. The 2010 CDA Long-Term Disability Claims Review summarizes quantitative and qualitative long-term disability insurance claims data from the annual CDA member long-term disability claims survey. Also included is selected worker disability data from the Social Security Disability Insurance (SSDI) program. Sixteen CDA Member Companies, representing roughly 75% of the commercial disability insurance marketplace, participated in the 2010 survey.
CDA Survey Findings: Summary of Key Findings from Proprietary CDA Member Company Data
Other CDA Survey Findings
CDA Survey Findings: Observations from CDA Member Company Responses to Qualitative Questions
As part of the 2010 CDA claim survey, Member Company claim experts were asked a series of qualitative questions about past years’ disability insurance claim trends, and were asked for observations and predictions for the future. Here is how they responded:
Social Security Disability Insurance (SSDI) 2009 Data and Trend Highlights
SSDI disability rate increases: The overall rate of disability is increasing among both men and women workers; in 1999, 3.6% of covered workers were receiving SSDI payments, while in 2009, 5.1% were receiving SSDI payments. Factors behind this dramatic rise include the aging of the U.S. workforce and the recent poor economic conditions.
2008 Social Security “Quick Facts”
References:
*Survey participants included:
Assurant Employee Benefits
Berkshire Life
Guardian Life
The Hartford
Illinois Mutual Life
Lincoln Financial Group
MassMutual Financial Group
MetLife
Mutual of Omaha
OneAmerica
Prudential Life
The Standard
Sun Life Financial
Union Central Life
UnitedHealthcare Specialty Benefits
Unum
CDA companies represent over 75% of the commercial disability insurance marketplace and provide long-term disability insurance coverage to 30.8 million workers, 28.9 million who are covered through over 200,000 employer-sponsored benefit plans and 1.9 million who are insured through individually purchased disability policies.
Please note: The actual participating companies vary from year to year. Some companies may adjust prior year’s data. Year-over-year comparisons within each year’s claim review are valid; however, comparing some data within the 2010 report to data in prior years’ reports may not be valid. Please contact CDA for questions or clarifications.
CDA thanks the Member Companies named above for their contributions of proprietary data, which have made this survey possible.
About the Council for Disability Awareness (CDA)
The Council for Disability Awareness (CDA) is a non-profit organization dedicated to helping the American workforce become aware of the growing likelihood of disability and its financial consequences. The CDA engages in communications, research and educational activities that provide information and helpful resources to wage earners, their families, the media, employers and others who are concerned about disability and the impact it can have on wage earners and their families.
Visit the CDA website for more information: www.disabilitycanhappen.org
July 22nd, 2010
The article below emerged in this week’s New York Times. It discusses how banks are becoming more weary of providing mortgages to potential clients where there may be a potential loss of income due to pregnancy. However, in my opinion, they are somewhat missing the mark. Pregnant people are not the only people who will potentially lose their income. Statistically speaking, people between ages 30 and 60 have a 1 in 3 chance of losing their income due to a sickness or injury. These same people who are between ages 30 and 60 are also most likely the ones who hold mortgages on their homes. Read the rest of this entry »
July 18th, 2010
When you apply for life and disability insurance, you are required to go through medical underwriting. This typically involves a paramedical exam (blood and urine test) and questions about your medical history. It is up to the applicant to answer the questions to the best of their knowledge and to fully disclose any medical conditions.
If a life or disability insurance claim occurs in the first 2 years from the initial policy date, the insurance company has the right to contest the claim if they deem there was missing or non disclosed information provided on the application. This is to protect the insurance company from people committing fraud.
For example, if a person applied for a disability policy and didn’t fully disclose they were seeing an oncologist for a lump they found on their body. Since the company didn’t have this knowledge during the underwriting process, they issue the policy. In the first 2 years, the insured files a claim for cancer. The company then re-underwrites the application and finds out that the insured didn’t disclose this pertinent fact. Had the company known there was this pre-existing condition, they would not have issued the policy. Therefore, the claim would be denied. If the insured filed a claim after 2 years, the claim would have been paid.
In the same example, assume the same person did not have any knowledge of any lumps. They apply for a policy and get approved. Within the first 2 years, the lump becomes larger and a claim ensues. The insurance company would pay this claim as the client didn’t have any knowledge at the time of application and therefore fully disclosed their medical history.
In the case of life insurance, the company may reduce the benefits at the time of claim during the incontestability period if they find out pre existing conditions were not disclosed. For instance, if the insured didn’t disclose family history of heart disease on the application and receives the best possible rates. The insured dies of a heart attack within the first 2 years of the policy date. The insurance company may go back and re underwrite the case. At this time, they may say that had they known about the family history, they would have issued the policy at standard rates. Therefore, they may pay benefits based on the amount paid assuming standard rates which would reduce the death benefit.
When applying for life and disability insurance, it is important to answer the questions on the application to the best of your knowledge. If you fully disclose your medical history and answer the questions accordingly, the 2 year period of incontestability should not be an issue for you.
For more information, please contact the Set for Life Insurance office today!
July 14th, 2010
The most important part of an individual disability insurance contract is the definition of disability. This is the determining factor for the company to decide whether or not to pay a claim. Without a strong definition, you may not qualify for benefits when you need them the most.
Contract language can be very confusing and each company has slightly different names. For instance, some companies call the definition “own occupation” whereas another company calls it “regular occupation” and both have identical definitions.
Instead of only looking at the name of the definition, read the fine print. The most liberal definition will cover you if you can’t work in your occupation. This includes physicians working in a medical specialty. Some companies have specific language to address medical and dental specialties and some don’t. However, if the clause states it will cover you in your occupation, it would deem your medical specialty you were practicing at the time of claim to be your occupation. For instance, if you are an anesthesiologist and hurt your hands and can’t work, you would be able to file a claim because you couldn’t work in your occupation. Even if you were to then go on and do medical research, the policy would continue to pay your benefits as long as you couldn’t do the work you were doing (in this example anesthesiology) at the time of claim.
If you are a physician and changes specialties or do a fellowship in a sub-specialty, you do not need to change your contract. The company would cover you in the medical specialty you were working in at the time of claim.
For more information about policy definitions, contact the Set for Life Insurance office today.