Posts filed under 'long term care'
You know the rates I’m talking about. You see them advertised everywhere and it makes it seem as though life insurance is almost free, simply there for the picking. In the industry those rates are called things like preferred plus, preferred elite, select preferred, or jokingly, Superman rates.
The question really revolves around whether you do, in fact, have to be superman or woman to get those rates? Is perfect health required? Do companies go out of their way once you have applied to find a way to disqualify you? If the truth was really known, would they actually bump Superman out because of his genetic weakness to kryptonite or because he is a private pilot (of sorts)?
OK! Let’s cut to the core of this question. All people do not qualify for those “best rate class” rates. Those who call up with diabetes, a history of depression, or heart disease and get all indignant because they don’t qualify are, well, living in la la land. Life insurance underwriting is to the best of its’ ability a measure of mortality risk. People with health issues and especially health issues with obvious mortality assumptions will be asked to pay a higher rate than those with no health issues.
There are a few health issues that balance in between. High blood pressure is one of those. Most companies will not allow their best rate class if you are treated for high blood pressure. High blood pressure of course has links to heart attacks and stroke. There are a few companies, two that I know of, that will allow their best rate with blood pressure treatment as long as the treatment is working and the blood pressure is well controlled.
Cholesterol is probably a better example as companies seem to be split about 50/50 on cholesterol treatment. About half seem to think it is OK to be treated with good control and the other half think you should pay more because of the cholesterol link to heart disease and heart attacks.
So, the question is “do you have to be in perfect health”? The answer is not cut and dried, but I would say no. We’ve placed a lot of best rate class life insurance on people with less than perfect health. Can you stretch that very far? NO!
Bottom line. Once again the edge for you goes to the independent agent. If you are locked into one company the chances of catching a break is slim to none. Be forthcoming and straightforward about any medications you take and past or present health issues you have and tell your agent that your goal is the best possible rates that you qualify for. Be realistic and you won’t be disappointed.
October 14th, 2008
There is a common misconception that has floated around for the past 100 years or so of my life that if a person has cardiac problems, a heart attack, or coronary artery disease (CAD) requiring heart bypass surgery or an angioplasty, they are irreparably damaged in their ability to get life insurance, especially affordable life insurance.
This isn’t a simple thumbs up or down issue, but generally speaking in the absence of severe damage caused by a heart attack or chronic CAD requiring multiple procedures, insurability is not an issue. It will absolutely be at higher rates than someone who hasn’t had any cardiac issues, but affordable in most cases.
Some of the things that underwriters look for in heart attack cases would be:
1. Age of occurrence (better after age 50 than before)
2. Risk factors (obesity, high cholesterol levels, family history, high blood pressure, etc)
3. The amount of damage (usually measured on a stress test by the left ventricular ejection fraction (LVEF). Over 50% is insurable. Under 50% generally not, but would be weighed against offsetting factors.
In the case of CAD in the absence of a heart attack underwriters look at:
1. Age of onset (again, better after 50, not so good before 50, very challenging before 40)
2. Number of vessels effected (blocked). A single vessel blockage is better than what would be considered a more aggressive or pervasive multiple vessel blockage.
3. Again, risk factors. What underwriters are looking for here is whether your risk factors will tend to push you toward chronic CAD. If you have a good build and get plenty of exercise and do what it takes to control cholesterol and blood pressure, that’s a good thing. If you are overweight, don’t exercise and don’t get your cholesterol and blood pressure under control, the risk you pose to an insurance underwriter is much greater.
4. Underwriters will want to see a stress test usually at least 6 months to a year post procedure to determine the extent of any damage and how well the repair job went.
In spite of the myth, heart issues are insurable and usually at affordable rates. If you are applying for insurance, be prepared to answer the questions posed above. Know your cholesterol. Know your blood pressure. Know what meds you are taking. Know the date of your last stress test and get a copy of it. It is much easier for an independent agent to successfully shop for you armed with facts than being armed with generalities (the doctor says I’m doing fine). It would be a rare person who would know and a rare doctor who would discuss your LVEF. Underwriters have to know it in order to assess your application correctly.
Bottom line. If you’ve had a cardiac event, don’t throw in the life insurance towel. First and foremost, don’t go to your local State Farm or Farmers agent with your desire for life insurance unless you have a fondness for rejection. An independent agent will have access to companies that understand the underwriting of heart issues and provide your best possibility of success.
June 6th, 2008
After reading a New York Times article about long term care insurance today I was both disgusted and encouraged with the information I found. The Charles Duhigg article talks about all the senior citizens who pay in enormous amounts of money to insure their long term care only to finally get to the point of filing a claim and being denied for absurd and really obscene reasons.
It talks about a company called Conseco that denied a long term care claim because the client”was not sufficiently infirm, despite her early-stage dementia and the 37 pills she takes each day.”
“In 2003, a subsidiary of Conseco, Bankers Life and Casualty, sent an 85-year-old woman suffering from dementia the wrong form to fill out, according to a lawsuit, then denied her claim because of improper paperwork. Last year, according to another pending suit, the insurer Penn Treaty American decided that a 92-year-old man had so improved that he should leave his nursing home despite his forgetfulness, anxiety and doctor’s orders to seek continued care. Another suit contended that a company owned by the John Hancock Insurance Company had tried to rescind the coverage of a 72-year-old man when he was diagnosed with Alzheimer’s disease four years after buying the policy.”
It’s no wonder that the health insurance industry has a reputation today, and not a good one. It’s time for the National Assocation of Insurance Commissioners to reign in this type of abhorrant business practice. It is criminal for an insurance company to mistreat any customer, but to prey on the elderly in their zeal to sell long term care products, and then try to slither out from under their responsibility is just too much.
I assume you have been waiting for what I found encouraging in that article. I found encouragement in my own end of the insurance industry, life insurance. I find it encouraging that with all the claims that have been filed through our office, not one has gone unpaid. I found it encouraging that one of the largest providers of term life insurance was also cited in this article, but in a positive way. “By comparison, Genworth Financial, the largest long-term-care insurer, received only one complaint for every 12,434 policies.”
As an independent agent I would encourage those who are looking at long term care insurance to go the extra mile in your research. Complaints about insurance companies don’t come from nowhere. Lawsuits, while we are a litigious society, generally indicate an iceberg under the tip that you see. Buyer beware!
March 28th, 2007
