AIG Accident & Health Product Solutions

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Presentation transcript:

AIG Accident & Health Product Solutions Presenter Name Presenter Title, Company or Organization Name Presenter Contact Information Month Day, 2017 Policies issued by American General Life Insurance Company and The United States Life Insurance Company in the City of New York, members of American International Group, Inc. (AIG)

Accidents aren’t planned, but happen all the time Accidents aren’t planned, but happen all the time. Financial impact can be devastating About 60% of bankruptcies are medically related (Medical Bankruptcy in the US, 2007. Results of a National Study, the American Journal of Medicine, August 2009) About 1 in 9 Americans seek medical attention for an injury each year. (National Safety Council, Injury Facts – 2011 Edition. Not all injuries will result in a benefit payment) The economic impact of unintentional injuries in 2009 amounted to about $2,300 per person. (National Safety Council, Injury Facts – 2011 Edition. Not all injuries would result in a benefit payment) Over 26 million people were treated in hospital emergency rooms for injuries. (National Safety Council, Injury Facts – 2011 Edition. Not all injuries would result in benefit payments.) Approximately 49.2 million visits to physician offices were due to unintentional injuries. (National Safety Council, Injury Facts – 2010 Edition. Not all injuries would result in benefit payments.)

“No one can predict when or where an accident will happen — or what the related costs will be.” There were 133 million emergency room visits in 20131 Injuries that occur every2… • 7 seconds at work • 2 seconds for workers off the job • 2 seconds at home • 3 seconds via non-motor vehicle 57.1% of US bankruptcies are due to medical expenses 2 EmergencyCare Plus note 1 2013 Fast Facts on US Hospitals, Health Forum, an affiliate of the American Hospital Association 2 National Safety Council, Injury Facts, 2015 Edition

What is an Accidental Injury? Activity Non accidental injury Accidental injury Shoveling snow Straining back or herniating disk from weight of snow Slipping on ice breaking arm Playing baseball Tearing rotator cuff from wear and tear of repetitive pitching Getting hit on the wrist by a ball, resulting in a fracture Jogging Straining or tearing ligament from regular running routine Misstepping, having a fall and fracturing an ankle

Accidents may happen but Now you have Several Solutions at your Fingertips! AG Accident Choice Plus® – Why is this an Opportunity? Stay tuned to learn more! Accident Expense Plus® – Customized coverage for individuals and families EmergencyCare Plus® - Innovative Solution for Accidental Injuries Our focus for today will be…read slide

Before we Begin, What is Available for You to Sell? Before we begin let’s talk about which product is available to sell and where? If you take a look at the map you will see the states which have approved AG Accident Choice Plus, Accident Expense Plus and EmergencyCare Plus.

AG Accident Choice Plus® Supplemental Accidental Injury Insurance AG Accident Choice Plus, Accidental injury insurance is often overlooked as part of a family’s financial plan but now you can help your clients plan for the unexpected with their healthcare coverage.

AG Accident Choice Plus Key Features of AG Accident Choice Plus Three riders available: Critical Illness: Accidental Death & Dismemberment: Accidental Disability Income: Individual or family coverage available (children covered through age 25) 3 deductible options: $100, $300, $500 Issue age 0 – 64, Guaranteed renewable to age 65 AG Accident Choice Plus Accidental benefit amounts of $5,000, $10,000, $15,000, $20,000, $25,000 Unisex rates with 5 age bands

Benefits for both You and Your Clients Benefits to the You Guaranteed issue – no underwriting, no medical exam required Customizable policy – critical illness and other riders available (varies by state) Multiple payment options - including recurring credit card and EFT Benefits to your Clients Dollar-for-dollar reimbursement - up to the calendar year maximum No coordination with major medical – pays benefits related to accidents regardless of other health coverage No network restrictions – access any hospital, physician or medical facility Pays money directly to clients – not medical providers No waiting period to use benefits – submit claims immediately No lifetime limit – no matter how many accidents client has

AG Accident Choice Plus Benefit Payment Information Calendar year deductible, not per claim Must seek care within 72 hours of accident Covered accident expenses up to 45 days after accident include but are not limited to: Emergency Room Hospital Urgent Care Center Surgery Major Diagnostic Exams X-Rays Physical Therapy Physician Charges Benefits do not coordinate with client’s major medical coverage No occupational exclusions except professional athletes 24 hour coverage Coverage is available for spouse and/or children under same policy if primary insured is covered. Spouse and children may have different benefit amounts for critical illness rider provided coverage for each does not exceed coverage of primary insured.

AG Accident Choice Plus Riders Critical Illness None. If you are diagnosed with a critical illness, you receive a lump sum benefit. Heart attack, invasive cancer, stroke Spouse and children may be included if they are covered under the base policy AND if primary insured has opted for this rider One time lump sum payout of $5,000 - $50,000 in $5,000 increments 6 simple questions on the application No coordination with other insurance coverage. Benefits are paid in addition to those received from other health insurance policies Accidental Death & Dismemberment Accidental Disability Income None. None. N/A Accident as defined/covered in base policy which causes insured to become totally disabled and unable to work. Doesn’t cover disabilities due to sickness. Spouse and children may be included if they are covered under the base policy AND if primary insured has opted for this rider Primary insured only – must be 18+ years or older and work ≥ 30 hours a week One time lump sum payout of up to $50,000 (per unit) for primary $25,000 (per unit) for spouse, and $12,500 (per unit) for children. Units or spouse and/or children must be same as primary’s units (max of 5 units) Benefit amount is based on income. Minimum monthly benefit available is $500. Part of the flexibility of AG Accident Choice Plus is the ability to customize the riders. The key things to understand are Deductibles Covered illness or accidents Benefit amounts Family Coverage Options Qualifying for coverage, and Coordination of Benefits for each of the riders, Critical Illness, Accidental Death & Dismemberment and Accidental Disability Income Automatic - no questions, no underwriting Simple – two questions to qualify on the application No coordination with other insurance coverage. Benefits are paid in addition to those received from other health insurance policies No coordination with other disability insurance coverage such as workers compensation or social security. Benefits are paid in addition to those received from other disability insurance policies.

AG Accident Choice Plus Price Comparison Male, age 30, no nicotine, a price comparison of an all base policy versus adding on the Critical Illness Rider benefit. State of Illinois. Benefit Deductible Annual Premium Critical Illness $10,000 $500 $342 $0 $393 $418 $15,000 Male, age 30, no nicotine, earning $35,000 annually, comparing an all base approach versus adding on the Accident Only Disability Rider benefit. State of Illinois. Benefit Deductible Annual Premium Accident Only DI $10,000 $500 $342 $0 $519 $1,000/monthly $608 $1,500/monthly

Case Study Client Profile: Lisa Problem How it works: 33 years old, self employed web developer Problem Expensive medical insurance for self employed individuals Lisa purchased health insurance policy with a low premium and $10,000 deductible Lisa supplemented major medical with AG Accident Choice Plus for $10,000 per calendar year accident benefit with a $500 deductible. Her premium is less then $33 a month for the base contract. How it works: Lisa’s fall = head injury + broken leg in 2 places Injury services = ambulance, ER visit, x-rays, medication, CT Scan, physician charges, surgery, cast, & PT Injury bills = $9,500 Total out- of- pocket expense = $500 Let’s take a look a sample case…Lisa is 33 and is a self employed web developer. The problem occurs when Lisa takes a fall and ends up with a head injury + broken leg in two places 30 days after policy purchase. Injury expenses within 45 days of accident included ambulance, emergency room visit, x-rays, medication, CT Scan (within 14 days of fall), physician charges, surgery, cast, & PT Medical bills totaled more than $9,500 However, Lisa’s total out- of- pocket expense was only $500 Not an actual case, and is a hypothetical representation for illustrative purposes only.

AG Accident Choice Plus – A Solution to the Realities of Today Dollar-for-dollar reimbursement No coordination with major medical No network restrictions Customizable riders Pays money directly to clients No waiting period to use benefits No lifetime limit Guaranteed issue

Accident Expense Plus® Supplemental Accidental Injury Insurance

Imagine an economical and intelligent way to protect against health care costs related to accidents That’s Accident Expense Plus Rapid reimbursement for a wide variety of costs related to covered accidents Can help cover deductibles, co-pays and other expenses not covered by primary major medical plan Pays benefits regardless of other coverage in place Can also provide a one time lump sum payout if diagnosed with any of three major critical illnesses1,2 Accident Expense Plus can provide benefits for a wide range of accident-related costs, from emergency room visits to physical therapy to diagnostic exams — even surgery. The “plus” is an optional Critical Illness Rider that can pay a lump sum benefit if you’re diagnosed with invasive cancer, heart attack or stroke. There will be a charge for each rider selected. See the rider for details regarding the benefit descriptions, limitations and exclusions. The Critical Illness Rider is not available in all states. Please consult your agent or review the policy and outline of coverage for your state.

Accident Expense Plus Policy Highlights Accident Expense Plus - A customizable and flexible policy with… Accident benefit amounts from $1,000 to $15,000 4 deductible options: $0, $100, $250, $500 Critical illness rider benefits from $5,000 to $25,000* Individual or family coverage available Issue ages 0 to 64 and Guaranteed renewable to age 65 Benefits do not coordinate with major medical coverage Accident Expense Plus is already a great solution – a perfect supplement to high-deductible health plans, or for anyone who wants to reduce or eliminate out-of-pocket medical expenses. And now with the ability to submit new business entirely online, you can close the sale for Accident Expense Plus at the same time you enroll clients for major medical plans. As a reminder, here are a few highlights of the policy: (read text) * The Critical Illness Rider is not available in all states. The minimum benefit is $25,000 in the following states: DE, IA, KS, OK, SC, TX, VT and WV.

How Easy is it to Qualify? Easier than you Think! Accident coverage is guarantee issue There are no medical qualifications for accident coverage Individuals up to age 64 are eligible for this plan Critical Illness Rider is simplified issue Accept/reject based on 4 application questions Children are eligible for critical illness benefits* Critical illness benefit amount is not tied to the accident benefit amount in the base policy (read text) * Dependent child coverage not available in UT.

Critical Illness Rider None - If you’re diagnosed with a covered critical illness, you receive a lump sum benefit. It’s that simple. Heart attack, stroke, invasive cancer One time lump sum payout of $5,000, $10,000, $15,000, $20,000 or $25,000 Spouse and children may be included in the rider Four simple questions on the application The rider does not coordinate with other insurance coverage. Benefits are paid in addition to those received from other health insurance policies.

Two Powerful Benefits, One Low-cost Solution Accidental Injury Insurance Critical Illness Insurance Accident Expense Plus Dollar-for-dollar reimbursement : Emergency Room Hospital Urgent Care Center Surgery Diagnostic Exams X-rays Physical Therapy Lump sum benefit paid after initial diagnosis for these major critical illnesses: Invasive Cancer Heart Attack Stroke An affordable supplement to major medical insurance Pays benefits regardless of other coverage Makes payments directly to your client An ideal supplement for high-deductible major medical plans + = To sum up today’s presentation, Accident Expense Plus offers two powerful benefits – accident insurance with optional critical illness coverage – in one low-cost solution. And now with our simple-to-use online application process, it’s even easier to get your clients the coverage they want.

Accident Expense Plus Price Comparison Male age 30, no nicotine, a price comparison of an all base approach versus adding on the Critical Illness Rider benefit. State of Arizona. Benefit Deductible Annual Premium Critical Illness $10,000 $500 $255 $0 $315 $404 $25,000 $15,000 $264 $324 $413 Something to Consider - Adding $5,000 (a 50% increase) of base benefit results in an increase of only 2.5% - 3.5% to the annual premium.

Accident Expense Plus – A Case Study The Problem Jack, 16, rising basketball star who needed an out-of-network specialist of their major medical plan John and Samantha are proud parents — their son Jack is an outstanding student who is also becoming a highly recruited basketball star. When he fractured his wrist taking a hard foul in the playoffs last year, the family’s doctor referred him to a specialist outside their major medical carrier’s network. The Solution Thanks to the family’s Accident Expense Plus policy, John and Samantha were promptly reimbursed for their out-of-network expenses and received additional benefits for the treatment and physical therapy. Jack made a full recovery and is back on the court this season. His bank shot — and his parents’ bank accounts — are as strong as ever. Not an actual case, and is a hypothetical representation for illustrative purposes only.

Supplemental Emergency Injury Expense Insurance EmergencyCare Plus® Supplemental Emergency Injury Expense Insurance

EmergencyCare Plus – A Cost Effective Alternative Even with all the precautions we take to keep ourselves and our families safe, accidents sometimes happen. And, in addition to physical challenges, accidents can lead to financial difficulties as well. EmergencyCare Plus is designed to provide benefits for a wide range of accident-related costs — from emergency room visits to physical therapy to family lodging. EmergencyCare Plus helps protect your family against many of the unexpected financial burdens that an accidental injury can bring about, allowing you to better manage the costs and focus on getting your life back to normal.

Benefits of EmergencyCare Plus Delivers benefits for the injuries clients are most likely to need coverage for injuries caused by accidents while playing sports Provides a death benefit if death occurs within 90 days of a covered accidental injury Pays all benefits directly to you (unless payment is assigned to a healthcare provider), regardless of what is covered by major medical health plans Issue ages 18 to 64 and Renewable to age 75 No APS, parameds, or exams Spouse and child(ren) coverage available

Why EmergencyCare Plus? EmergencyCare Plus pays benefits for the injuries you’re likely to need coverage for, including children’s sports injuries Supplements existing coverage – benefits paid directly to the insured – regardless of what’s covered by other sources Hospital Cash Rider

EmergencyCare Plus Base Benefits Accidental Death: $25,000 Primary; $5,000 Spouse; $1,000 Children Dismemberment: up to $15,000 Primary; $7,500 Spouse; $2,500 Children Emergency Treatment: $50 Accident Follow-up: $15 per treatment 3 treatments per accident Burns: up to $2,500 for burns to 30% of the body, or more Ambulance: $75 Ground; $500 Air Dislocation: up to $1,700 for open reduction; $450 for closed Family Lodging: $50 per day 30 days maximum Fracture: up to $2,000 for open/compound fracture; $1,000 closed Lacerations: $50 Diagnostic Exams: $75 Paralysis: $2,500 Quadriplegia, $1,500 Hemiplegia; $1,000 Paraplegia Physical Therapy: $10/Treatment maximum of 10 treatments Prosthesis: $250 Surgery: up to $400 Transportation: $150 Round Trip

EmergencyCare Plus Basics Coverage Options EmergencyCare Plus Family EmergencyCare Plus Individual EmergencyCare Plus Individual/Spouse EmergencyCare Plus Individual/Children EmergencyCare Plus Rider Hospital Cash Benefit Rider Pays insured funds towards hospital admission, confinement, intensive care, and rehabilitation.

EmergencyCare Plus Plan Package Options* All three plans include: *Packages different in the state of Florida, see ECP Florida Client Guide for more details

Anticipating the unexpected with EmergencyCare Plus EmergencyCare Plus Package Rates Includes Base Policy & Hospital Cash Rider Anticipating the unexpected with EmergencyCare Plus

As a Reminder, As we end our discussion about AG Accident Choice Plus, Accident Plus and EmergencyCare Plus it’s important to understand which product is available to sell and where?

Questions? Thank You!

Disclosure Information IMPORTANT NOTE: All benefits payable are subject to the terms and conditions of the policy, including benefit durations, limitations and exclusions. Not all benefits and exclusions apply in every state. Please consult the policy form and outline of coverage for details. There will be a charge for each rider selected. See the rider for details regarding the benefit descriptions, limitations and exclusions. Guarantees are backed by the claims-paying ability of the issuing insurance company. Comprehensive medical coverage may be required in some states in order to apply for or maintain this coverage. Policies issued by: American General Life Insurance Company (AGL), Policy Form Number 04120, 11125, Rider Form Number 04025, 11125, 11126, 11127 except in New York, where issued by The United States Life Insurance Company in the City of New York (US Life), Policy Form Number 07120N. Issuing companies AGL and US Life are responsible for financial obligations of insurance products and are members of American International Group, Inc. (AIG). Products may not be available in all states and product features may vary by state. Prior to soliciting business, be certain that you are appropriately licensed and appointed with the insurer and that the product has been approved for sale by the insurer in that state. If uncertain, contact your American General Life Insurance Company representative for assistance. AGLC10935214 ©2017 AIG. American International Group, Inc. All rights reserved.