Life insurance guidance

How Does Life Insurance Work – And Why You Need An Independent Agent

How does life insurance work? It's complicated, but Policy Architects can help. This is why it's essential to do your homework.

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If you’re googling how life insurance works, you’re likely looking to purchase a policy and want Cole’s Notes on how it all works. Sometimes, agents forget that not everyone lives and breathes this industry.

Whatever your questions, I will do my best to provide the answers you seek.

So, let’s examine life insurance basics right now!

Traditional life insurance often requires a medical exam

This is one of those things that some of my clients loathe. I’m not sure why because it’s a straightforward process. I wrote an article about how most people are healthier than they think. So, the fear is, for the most part, baseless.

Also, depending on your health, age, and the coverage you apply for, you may not be required to do a blood or urine test. Some carriers, like Empire Life, issue you a policy after you’ve successfully answered the questions on their e-application. Some applicants are required only to do a phone interview with a nurse practitioner. Depending on how the health interview goes, you may or may not need to undergo additional tests. The life insurance company always reserves the right to require you to have blood and vitals drawn.

Please take note of the following information:

Your independent life insurance agent will schedule a convenient time for a medical test to be conducted in your home. A nurse arrives at the agreed-upon time to collect a urine and blood sample, measure your height and weight, check your blood pressure, and ask you some health-related questions. It’s important to note that the insurance company covers the cost of the test, regardless of whether you end up purchasing the insurance. To maximize the results of your physical, there are a couple of things you can do:

1. Schedule the exam first thing in the morning

2. Don’t eat anything before the exam

3. Drink plenty of water on the day of the exam

4. Get a good night’s rest

5. Clean up your diet a couple of weeks before the exam

6. Avoid caffeine 24 hours before the nurse arrives

7. Avoid working out the night before your medical

After this, your information is sent to labs for analysis, and underwriters receive the results. An underwriter is a professional trained to assess the risk of insuring applicants.

“The exams “really provide a source of data that has a significant protective value for life insurance writers,” Boylan says. The exams can confirm the information provided on the application, or reveal health issues that applicants aren’t aware they have or might not have disclosed. The full medical underwriting process can help group applicants into health classes, which determines what their rates will be. Those who are healthier pay lower rates for coverage.”How No-Exam Life Insurance Works, Forbes

Underwriting & Your Premiums

As I mentioned in most of my articles, not all life insurance companies are created equal. To compete, they develop niches. For example, one company may be lenient regarding type 2 diabetes, while another may be very strict.

This is where the advice of a GREAT independent life insurance agent comes in.

We know which companies work best for specific medical conditions, and those choices change all the time.

If I doubt a client’s circumstances, I shop their profile to different underwriters to see how they would handle the application. This saves time, money, and the risk of denial.

One of life insurance’s most important decisions is picking the right insurer. This can mean saving thousands of dollars over the term.

How Does Life Insurance Work: Simplified Issue & Guaranteed Issue Coverage

So what if you have a phobia of needles – or maybe you have more serious medical issues and fear being rejected?

Well, I have some good news for you.

You can get coverage without a medical exam. There are two different approaches.

Simplified Issue

The first is simplified-issue life insurance. While you don’t need to complete a medical exam, you must answer particular health and lifestyle questions. These questions help underwriters classify your eligibility and assess your premiums.

Simplified issue policies are marginally more expensive than traditionally underwritten policies, but this is changing and becoming increasingly affordable. We will be moving toward issuing more simplified policy issues in the future, especially after the coronavirus.

Guaranteed Issue

If you don’t qualify for Simplified, guaranteed issue may be your only option because everyone qualifies. This Tier of coverage is for people with serious health issues like life-threatening cancer or dementia. As you can imagine, this is more expensive coverage as the insurer takes on much more risk. You are added to a pool of higher-risk applicants with moderate to serious health conditions. This is a way for the insurance companies to cover their butts.

All guaranteed-issue life insurance typically comes with a two-year waiting period. If you die of natural causes within the first two policy years, the insurance company will refund your beneficiaries all the money you paid into the plan. After the policy has been in force for two years, you’re covered for the full death benefit regardless of the cause of death.

Both of these types of coverage have their place. Simplified issue is available as term or whole life insurance. It works well for those with mild to moderate health issues or clients who want coverage immediately and don’t have time to wait for underwriting.

Guaranteed insurance is a fantastic option for those with serious medical conditions that would otherwise make them uninsurable. Both simplified and guaranteed insurance are wonderful tools for final expense planning.

Read more here if you are looking for burial coverage.

How Does Life Insurance Work: Permanent Life Insurance

….and that’s not all! There are even more choices.

If you want coverage for life and cash value accumulation, check out permanent life insurance. As I mentioned above, term insurance works as a safety net to cover lost income during periods of vulnerability. Permanent life insurance provides your beneficiary with some cash, no matter what.

This is a highly complex product and costs a lot more because there is a guaranteed payout. Does this permanent insurance work for most people? Nope…but there are exceptions.

Whole Life Insurance

If you are thinking about whole life coverage, I don’t suggest it unless you:

  • Have an estate you want to protect from burdensome taxes
  • Are you a business owner with excess cash
  • Own a property you would like to pass down to a family member
  • Have exhausted all your tax shelter options
  • Need to create a trust for a child or dependent with special needs
  • Would like to set up a charitable gift
  • Would like to start a policy for a child and gift it to them as an adult
  • Are you looking at final expense coverage

You get the picture. If you want to buy a whole life policy, you should have some cash.

But there are exceptions, and this is one of the most important! If you are looking to cover the costs emanating from your death, final expense plans are very affordable and help many of my clients protect their families.

Universal Life Insurance

Universal life insurance is another form of permanent insurance similar to whole life insurance because it has a cash value feature.

…but that’s where the similarities end.

It’s a complicated product with different products. If you think this is the route you want to take, it’s best to consult an independent agent. Click here for my article about universal life insurance to find out more now.

Term 100 Life Insurance

I bet you wonder why I write about term coverage in the permanent insurance section. Well, that’s because Term 100 is permanent insurance. It covers you until the day you die.

A term 100 policy has no cash value. You pay the pure cost of the insurance, and your monthly premiums are guaranteed never to increase.

While it does adhere to the term insurance template, your beneficiaries will receive death benefits.

What Happens When You Die?

Well, this is a great question. If you have a term policy and die during your term, your beneficiaries receive a tax-free cheque from the insurance company. This is one of the most significant benefits of life insurance.

The payment is made in one lump sum, but there are ways to distribute the money over time.

If you pass away AFTER your term has expired or BEFORE your two-year waiting period is over (this may be part of your policy, but it’s not always the case, so be sure to read the fine print)…

….your beneficiaries won’t receive a payout because you are not covered.

If you have a permanent policy, your family receives a payout, provided you’ve kept up with all your payments.

Are Payouts Ever Denied?

Not usually. That said, there are rare exceptions for the following:

  • Fraud: If you lied on your application or left something out, the insurer may investigate the claim and deny a payout if they find something awry
  • Suicide: If you commit suicide in the first two years, your claim will be denied
  • Lapse of Payment

Rest assured, life insurance is a regulated industry, so this doesn’t happen often. For the most part, claims go off without serious issues.

If You Are Wondering How Life Insurance Works

You Need to Speak to an Independent Agent

Now that you know some of the basics, it’s time to call an independent life insurance agent (hint, hint, Policy Architects is good at this).

Why? We can save you thousands! It’s essential to pick the correct type of insurance, choose adequate coverage, and select the right company for your needs.

Remember, not all life insurance companies are created equal. They all offer different products and specialize in different areas. That’s why you must consult someone knowledgeable before signing the dotted line.

This is especially true when things are uncertain. Call us today with questions about your insurability or how the coronavirus impacts the insurance industry. We can help!

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