What has the life insurance industry evolved to include beyond term and whole life policies?
These policies have unique distinguishing features designed to meet the needs of insureds.
What is the primary concern in underwriting life contracts?
Mortality
The approach to underwriting at the time of a new business application is usually well laid out.
What are the typical underwriting requirements driven largely by?
Age and amount
The underwriting of all policies is largely treated the same despite the evolution of the industry.
What is a key difference between post-issue policy changes and new business underwriting?
Less uniform approach and treatment
The practices and rules governing post-issue changes can vary considerably.
What are the universal key concepts to keep in mind for post-issue policy changes? List them.
These concepts provide an appropriate frame of reference when considering post-issue policy changes.
What does the life insurance policy represent?
A legal document describing the contractual agreement between the owner and the insurance company
It contains legally binding promises.
What are key contractual provisions for post-issue transactions? List them.
The wording of these provisions can differ from company to company.
True or false: The underwriting requirements for policy increases are the same as for reinstatements.
FALSE
Typical age-and-amount requirements may not be suitable for reinstatements or tobacco to non-tobacco changes.
What are the contractual rights of the policyowner regarding post-issue changes?
Ownership and beneficiary changes
These changes are scrutinized due to life settlements and stranger-owned life insurance transactions.
Underwriters should be familiar with the laws applicable to which jurisdictions?
United States and Canadian policies
Different countries may have different laws governing these provisions.
What are optional riders in life insurance policies?
Additional provisions that can be elected or purchased at application
These riders can permit post-issue changes without underwriting evidence.
What is a common example of a guaranteed insurability rider?
Allows defined increments of additional insurance to be purchased at set future intervals
This rider can typically be exercised without underwriting evidence.
What type of changes typically require underwriting evidence?
These changes are non-contractual and not legally obligated by the company.
What are the 2001 CSO mortality tables used for in the life insurance industry?
Adoption and pricing of new products
The IRS issued guidance and restrictions impacting policy changes based on these tables.
What does Notice 2006-95 provide guidance on?
Use of 1980 CSO or 2001 CSO in determining reasonable mortality charges
It impacts various rules and grandfathering of contracts issued based on previous tables.
By what date were all U.S. carriers expected to have CSO 2017 compliant products?
January 1, 2020
The impact on older policies regarding policy changes is expected to be similar to previous tables.
True or false: Post-issue changes are always a contractual right of the policyowner.
FALSE
Some changes are non-contractual and not legally obligated by the insurance company.
What is a key element for the underwriter to consider regarding policy changes?
Whether the resulting change will increase or decrease the amount at risk
Understanding the impact on the amount at risk is crucial for underwriting decisions.
If the amount at risk produced by a change is less, what does the underwriter generally require?
Less (if any) evidence of insurability
This indicates a lower risk associated with the policy change.
True or false: A change in face amount always results in an increase in the net amount at risk.
FALSE
A policy can have an increased face amount while the net amount at risk declines.
What happens to the net amount at risk when switching to a level death benefit from an increasing death benefit option?
It can decline
The increased face amount may be covered by cash value, reducing the insurer’s risk.
What is another key element in the consideration of policy changes besides the amount at risk?
Insurability
Changes in insurability can affect the evidence needed for underwriting.
What is the primary concern of the underwriter regarding insurability?
Adverse change in health
Positive changes in health may also be considered for rating reductions.
Name some tools used to determine insurability.
The choice of tools depends on the specific policy change requested.