Life insurance with living benefits to offset out of pocket expenses over age 65

Medicare doesn’t solve all health care problems over age 65 especially in the last 5 years of life.   From ScienceDaily:

They measured total out-of-pocket healthcare expenditures in the last five years of life, and looked at these costs as a percentage of total household assets. More than three quarters of households spent at least $10,000, with spending for all participants averaging $38,688 in the last five years of life. Even more shocking was the fact that a quarter of participants made an average contribution of $101,791, and the same number spent more than their total household assets on healthcare.

Dementia was the most costly.

One solution is to buy life insurance with chronic illness benefits which allows the policy’s to be used long term care, if needed.

Long Term Care coverage: how long?

After reviewing life insurance/long term care hybrid coverage options, the question comes down how much LTC coverage is sufficient?  There are two separate questions:  how much you’ll need, and how long will you’ll need it.  The best reference source on cost is Genworth’s annual cost of care survey.

For length of time, here are national statistics complied by a Montana LTC guide:

36%   stay less than 1 year

32.5%  stay less 1 – 3 years

14%  stay from 3 to 5 years

17%  stay 5 years or longer

Continue reading “Long Term Care coverage: how long?”

Single Premium Life Insurance with long term care product review

There are several life insurance products on the market that focus on individuals or couples who have IRA, money market, CD’s, stocks, bonds or cash to roll over into a life policy whose primary purpose is to cover long term care, but also retain their investment principal. Notable are Lincoln National‘s “MoneyGuard” and Genworth‘s “Total Living Coverage”.  State Life has several asset based solution products to long term care.  I’ll focus in this post on their “Asset-Care I” product.  It’s a single premium whole life insurance providing a long term care (LTC) acceleration of benefits.  An optional continuation of benefits rider extends LTC benefits after the life insurance is reduced to zero.  It can be single coverage for an individual or combined joint coverage for a couple. In the quotes I’ve been reviewing, joint coverage for couples looks exceptionally good because the benefit applies to both insureds, and the cost for the single pay premium is relatively low.  There are surrender charges for the first 10 years starting at 11% and decreasing. This is a reimbursement LTC plan, meaning you are paid back for qualified long-term care expenses.

Essentially what happens is if you require long term care, after a 60 day waiting period the face amount of the life insurance begins to be accelerated out, and then when those funds are exhausted, the rider, if you choose it, begins paying benefits.  I’ve been studying this coverage for several days, and this product has very strong features, and could be the right choice for many individuals and couples if structured properly.

You want to set the monthly LTC benefit in the range of $6,000 a month based on Genworth’s 2011 Cost of Care Survey.   This assumes a worst case scenario of requiring nursing home care and having a private room.  The national median daily rate for this care is $213 a day, and that’s a 5.1% increase over 2010.

For this State Life product there are acceleration for the “base” or life insurance part of the coverage options of 2%, 3% or 4%.  For 4% it will accelerate out the life insurance benefit in 25 months. The 2% takes 50 months to accelerate. The 3% takes 33 months to accelerate.  In those months the benefit is a level pay out has inflation options of 3% simple, 3% compound, 5% simple and 5% compound.   How fast you accelerate out the base portion of the policy: 25, 33 or 50 months, and how much of an inflation option you add are crucial decisions.   Depending on one’s age, not choosing a strong base  inflation option can seriously under fund LTC coverage. 

After the base portion of the policy funds are drawn down, the optional rider has the option of either 3% compound or 5% compound inflation protection, and a lifetime benefit. Inflation protection of 5% compound is the gold standard for LTC coverage. Also a lifetime benefit is the holy grail of LTC benefits where many other plans over the last few years, traditional LTC insurance or hybrids plans like this one, the benefits have been capped.  The rider is it’s own separate entity which premium can be paid annually over the duration of the coverage, or you may choose a single pay. Premiums cannot be increased. Not so with traditional LTC plans. If you lapse your rider premium, there is a nonforfeiture benefit.  This provides a benefit for a shorter period of time.

This is a whole life policy with a guaranteed interest rate of 4%.  So it does build cash value, and if you waited out the surrender charges, the cash surrender numbers I reviewed were quite favorable, if you chose to surrender the policy.  Although surrendering a single pay runs into a tax issue since the policy is a MEC or Modified Endowment Contract.   The upside of this product, is that if you don’t need long term care, your beneficiaries get the life insurance.  For a joint policy holders, it’s a second-to-die policy.

So in all Asset-Care I from State Life is a well priced, benefit rich life insurance/LTC plan.  It would serve especially well for for lengthy long term care needs such as in Alzheimer’s.  Downside is the initial level benefit, and that’s it’s a reimbursement plan.  Upside are the options for 5% compound inflation and the lifetime benefit.  In comparison, many quoting scenarios Lincoln‘s MoneyGuard only allows, at best, a 3% compound inflation option.  It’s hard to find any LTC coverage that’s not reimbursement, but North American‘s chronic care rider offers a cash benefit.

Disclaimer:  In reviewing The State Life Insurance Company’s Asset Care I, all information is correct to the best of my knowledge.   For complete details on this product please contact The State Life Insurance Company, a One America Company, directly.

Life insurance bundled with long term care and critical illness

Life insurance can now fund long term care or critical care expenses. Turn your death benefit into a living benefit. American National now offers an impressive group of accelerated benefit riders at no extra charge.

There are three living benefits:

  • Chronic   –  Payment of an accelerated benefit if the insured cannot perform 2 of 6 activities of daily living or cognitively impaired. This is the criteria for long term care insurance benefits with traditional LTC plans.   Use your life insurance to augment your LTC insurance, cash comes in handier than expense reimbursement, or have your life policy serve as your contingent LTC insurance.
  • Critical   –  Payment of an accelerated benefit if the insured experiences a critical illness. American National says 16 different illness, but details and definitions must be referred to on the specific rider
  • Terminal  –  Payment of an accelerated benefit  if insured has less than 24 months to live. Most life insurance coverage has this terminal illness rider.   It’s 12 months in certain states.

Continue reading “Life insurance bundled with long term care and critical illness”

Guaranteed Issue Life Insurance

Those late night commercials or mailbox solicitations for life insurance that say, “You can’t be turned down”  are talking about graded benefit life insurance, also called guaranteed issue life insurance.   There are no medical questions, no medical exams.   The applicant must be mentally competent and be able to sign their own application.   There is graded benefit term and graded benefit whole life.   Eligible ages are generally from  40 to 80, with some variations depending on the carrier.  Benefit amounts generally run from $2,000 up to $50,000.

One can be on death’s door with cancer, heart disease or AIDS and get this kind of life insurance.  Alzheimer’s, however, you cannot. The catch is that you must wait 2 or 3 years to get the full benefit.   If one passes away before then, other than by accident, premiums are returned plus interest.   Criteria for judging competing carriers are the premium, the waiting period, and interest rate on return of premium.

Is it a good deal, or at least an okay deal?   Presidential Life Insurance Company, a longtime seller of guaranteed issue whole life,  made the news this week by showing a profit in the 1st quarter.   There are other carriers, but Presidential is usually come up on any short list, so I’ll use them to give a sample quote.

Age 65

Monthly Premium Face  Amount Waiting Period Return of Premium interest rate Carrier Graded Benefit Whole Life
$90.21 $10,000 2 years 5% Presidential After 2 year waiting period full benefit

 

So that comes to $1,082.50 annualized a year for coverage for a $10,000 benefit.    Remember that’s the monthly bank draft rate.  It’s $1,002.30 a year if you pay it annually.  As usual, paying annually is a better deal.   Not hard to do in your head math on this one, but let’s see how it figures out exactly: $10,000 benefit divided by $1,082.50 annualized premium equals 9.2 years  (10,000 ÷ 1,082.50 = 9.23)

So it’s value as a coverage depends on one’s situation and life expectancy.  Since there’s return of premium, you can’t lose on someone passing away in a short period of time, you get your money back plus interest.   However for someone who lives a relatively long time, despite poor health, may end up paying more premium than their policy is worth.