Insurance Concepts

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Insurance Concepts To Know

Assignment

Life insurance is a contract. It is also personal property. Because of these two factors, it can be transferred to another person. Keep in mind, assignment is sometimes prohibited in the insurance contract. However, assuming that it is assignable, there are two types of assignment. The first is absolute assignment. Absolute assignment means that all ownership rights have been transferred to another person. The second type of assignment is collateral assignment. Collateral assignment means that only certain rights are transferred. Generally, this is used in situations where the life insurance policy will serve as security for a loan or some other type of debt.

Grace Period

To protect the insured against an inadvertent lapse in the policy, there is an extended period of time in which the policy remains in full force despite the fact that the premium hasn't been paid. The amount of time is usually 31 days. However, this may vary. Always check and know what the grace period is.

Incontestable

This is a provision in the life insurance contract which prohibits the insurance company from denying a claim after a certain period of time (usually 2 or 3 years). After the stated period of time, the insurer can not contest a claim based on error, concealment, or misstatement. There is no statute of limitations on fraud. Fraud can be contestable. For instance, if you had your brother take your physical, that would be fraud. And the insurance company could then contest paying the policy claims. Otherwise, after death, it may be very difficult for the beneficiary to contest the insurance company's denial of the claim.

Delay

By law, the insurance company must include this provision in the insurance contract. It states that the insurance company can delay by up to 6 months, payment of the cash surrender or loan value of a policy. Otherwise, in times of severe economic distress, there could be a run on the cash reserves of the insurance company.

Suicide

Usually, during the first 2 years of a life insurance contract, if the insured commits suicide, the insurance company only has to return the premiums plus interest paid by the insured. After this two year period, suicide becomes a covered risk.

Reinstatement

This clause permits an insured who failed to pay his premiums on time, and whose life insurance contract expired, to reinstate the life insurance contract within a period of time (usually 3 years). However, you must provide evidence of insurability. This is an important clause. At some point in the future, when the insured wants to reinstate the old policy or take out a new one, the new contract may not have terms as favorable as the old one. Therefore, one would want to reinstate the old contract. On the other hand, the new contract might have more favorable terms than the old one. In this case, the insured would take out a new policy. These two alternatives should be examined carefully should this ever occur. Remember, with the old contract, the suicide clause and the incontestable clause might have passed with time. Taking out a new policy would require the insured to go through these periods again.

Policy Loan

This clause states that the insured may take a loan (this loan does not have to be repaid) against the policy in an amount which does not exceed the cash value portion of the policy as of the next policy anniversary. The rate of interest is stated in the contract. If the loan is not repaid, the death benefit is reduced to the beneficiary in the amount of the loan plus the interest. With Whole Life the only way to get money out is through a loan. With Universal and Variable Life, you can either take out a loan or take a withdrawal. On a loan, the clock starts ticking right away. With a withdrawal, there is a $25 administrative fee. That's all. And the money never has to be repaid. On all loans, the interest is deducted from the amount of the loan.

Automatic Premium Loan

Always have this provision included in your permanent life insurance policies!! If an insured fails to pay his premium on time, and the policy will lapse beyond the 31 day grace period, the automatic loan provision kicks in and the premium is paid. The only requirement is that there be enough cash in the cash value portion of the policy to cover the loan. This must be elected at time of application. This is only good with Whole Life Insurance. With Universal and Variable there is a similar provision. But it is not an APL. You just tell the company to use accumulated proceeds to pay the premium.

Beneficiary Designation

This is the person or people who receive the proceeds of the life insurance contract. However, there are two different beneficiary designations. The first is a revocable designation. This means that the insured can change the beneficiary of the life insurance policy. Most people use this type of beneficiary designation. The second is an irrevocable designation. This means that the gives up the right to change the person or people named as beneficiaries. In effect, this means that the beneficiary is a joint owner of the policy. In order to take out a loan against the policy or assign the policy, the irrevocable beneficiary must also sign.

Aviation Clause

In most of the newer life insurance policies death as a result of an airline accident is now a covered risk. If you have an older policy, you may want to contact the insurance company to see if they will eliminate the clause or if they are currently ignoring the old exclusion.

War

Generally, death due to war is an excluded risk.

Nonforfeiture Clauses

Non forfeiture options protect the insured in case he wants to stop paying premiums or wishes to surrender the contract. The first is the cash surrender value. After a couple of years in force, the life insurance contract will have a cash value. If the insured elects the cash value option of his policy, the policy is no longer in force, and the insurer has no further obligations. The insured will receive the cash value of his life insurance policy. At age 65, the insured may have a paid up life insurance policy of $100,000 with a cash value of $65,000. If the insured chooses cash value he will receive $65,000. However, if he does nothing, his heirs will receive the $100,000 upon his death. The second non-forfeiture option is Reduced Paid Up Insurance. The insured can elect to take the cash value portion of his policy as paid up insurance of the same type as the original policy for a reduced face amount. This option would be elected if a smaller amount of insurance is sufficient. The third non-forfeiture option is extended term insurance. The extended term insurance option allows the insured to exchange the cash value for the full face amount of the original life insurance contract. The length of the new term insurance would be the amount the net cash value applied as a single premium will permit him to buy at his present age. The insured might choose this option where the need for the full amount of the coverage is still necessary; however, the insured cannot or will not continue to pay premiums.

Dividend Options

Participating life insurance contracts may provide dividends. The policyholder has several options available to him with respect to dividends. The first is to take the dividends in cash. This is generally done when the policy is fully paid. The second is to apply the dividends toward future premiums. This is an easy and simple way to pay the premiums. The third option is to leave the dividends with the insurance company to accumulate as interest. This is sort of like a savings account. You should periodically check the interest rate being applied. Be advised, these particular dividends count toward gross income and are taxable. The fourth option is to use the dividends to purchase additional whole life insurance. This is called paid up additions. You may have to provide proof of insurability. The fifth and last option is to use the dividends to purchase one year term insurance. Not every company offers this. The amount of term insurance the insured may purchase is usually limited to the net cash value of the policy. This is also called a Split Dividend Option. The insured buys one year term insurance to cover the existing cash value with the balance of any dividend to be used either to reduce premium, accumulated interest, or buy paid up additions. Some insurance carriers do not offer this provision, as it would in essence indemnify the insured who has taken policy loans. Under this scenario the carrier would be obligated to pay the face amount of the policy, plus the cash value minus the amount of the existing loan indebtedness. This amount would at least equal the original face amount of the contract even though loan transactions had taken place.

Settlement Options

When the life insurance policy becomes payable, the insured or the beneficiaries may elect to take payment in one lump sum. There are then no other options available. However, the insured or the beneficiary, may elect not to take a lump sum payment. In this case, there are several options. The first settlement option is known as the Interest Option. With the interest option, the entire proceeds are left with the insurance company. The insurance company pays a guaranteed interest rate. Additionally, the insurance company will pay excess interest should their investments do well. It is similar to leaving the money in a savings account. At any time in the future, the beneficiary can withdraw the funds. The second settlement option is known as the Fixed Amount Option. The fixed amount option provides the beneficiary with a fixed amount of money each month until the proceeds are exhausted. The insurer pays a guaranteed minimum amount of interest which consists partly of interest and partly of principal. For example, the beneficiary might elect to receive $2,000 per month until the death benefit is used up. The third settlement option is known as the Fixed Period Option. The fixed period option will pay to the beneficiary equal payments over a fixed period of time. The time might be 10 years or 20 years or as short as 5 years. Excess interest earned will increase the amount of these payments. The fourth settlement option is known as the Life Income Option. The life income option provides the beneficiary with the proceeds paid over the rest of their life. Pure Life Income provides the beneficiary with income for the rest of their life. However, when the beneficiary dies, the balance of the policy are considered used up. Most people shy away from this choice. Life Income With Period Certain the proceeds are paid out to the beneficiary for the rest of their life. However, if the beneficiary dies before a specified period of time (usually 10 or 20 years) the payments continue for the rest of that period to a second payee. Refund Life Income Options provides the beneficiary with income for the rest of their life. Further, if the beneficiary dies before the proceeds are used up, the payments continue to a second payee until the difference between what was paid and what remains is used up. With Joint and Last Survivor Life Income Options the proceeds will be paid to two or more recipients. A husband and wife might choose to have income while they both live and then continue upon the death of one of them. The less the amount which is paid to the survivor is, the greater will be the proceeds while they are both alive.

 

 

 

 

 
   
   
   
   
   

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