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The ABC’s of DI
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Provides Accurate and Authoritative Information Content Accuracy is not Guaranteed Does not Render Legal, Accounting, Tax or other Professional Services Provides Accurate and Authoritative Information Content Accuracy is not Guaranteed Does not Render Legal, Accounting, Tax or other Professional Services THIS PRESENTATION If legal advice or other expert assistance is required, the services of a competent professional should be sought.
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Why Disability Income Protection? Your Clients Need the Protection Effect on the Family Effect on the Client Effect on Society According To The U.S. Housing Authority Mortgage Foreclosures - 48% Due To Disabilities Potential Effect On Small Business And Employment Your Clients Need the Protection Effect on the Family Effect on the Client Effect on Society According To The U.S. Housing Authority Mortgage Foreclosures - 48% Due To Disabilities Potential Effect On Small Business And Employment
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Are You Protecting the Right Assets? Potential Earnings to Age 65 With 5% Annual Salary Increase Potential Earnings to Age 65 With 5% Annual Salary Increase Age 30 35 40 45 Age 30 35 40 45 $50,000 $4,516,000 $3,322,000 $2,386,000 $1,653,000 $50,000 $4,516,000 $3,322,000 $2,386,000 $1,653,000 $100,000 $9,032,000 $6,644,000 $4,773,000 $3,307,000 $100,000 $9,032,000 $6,644,000 $4,773,000 $3,307,000 $150,000 $13,548,000 $9,966,000 $7,159,000 $4,960,000 $150,000 $13,548,000 $9,966,000 $7,159,000 $4,960,000 ANNUAL SALARY
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Chances of a Disability Chances of Having at least one Long-Term Disability, lasting 3 Months or longer, before reaching Age 65 Age 25 35 45 55 Age 25 35 45 55 Probability 44% 41% 36% 27% Probability 44% 41% 36% 27% Source: 1985 CIDB Disability Tables, 1980 CSO
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Chances of a Disability Chances of being Disabled for life if the Disability lasts for more than 3 Months Age 25 35 45 55 Age 25 35 45 55 Lifetime Disability 25% 28% 33% 40% Lifetime Disability 25% 28% 33% 40% Source: 1985 CIDB Disability Tables, 1980 CSO
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Types of Disability Income Insurance Noncancelable Guaranteed Renewable Noncancelable and Guaranteed Renewable Conditionally Renewable Noncancelable Guaranteed Renewable Noncancelable and Guaranteed Renewable Conditionally Renewable
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Understanding the Basics Benefit Period How Long Benefits Will Be Paid Elimination Period How Long the Insured Waits Benefit Amount The Monthly Benefit Payable Under a Total Disability Occupation Class Risk Class Affecting Benefits & Premium Benefit Period How Long Benefits Will Be Paid Elimination Period How Long the Insured Waits Benefit Amount The Monthly Benefit Payable Under a Total Disability Occupation Class Risk Class Affecting Benefits & Premium
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COMMON DEFINITIONS OF TOTAL DISABILITY Pure or True Own Occupation Cannot perform the Substantial & Material duties of Occupation 2 years, 5 years to age 65/67 Your Occupation Cannot perform the Substantial & Material duties of Occupation; and Not Working in Another Occupation Pure or True Own Occupation Cannot perform the Substantial & Material duties of Occupation 2 years, 5 years to age 65/67 Your Occupation Cannot perform the Substantial & Material duties of Occupation; and Not Working in Another Occupation The Cornerstone of the DI Policy
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Any Reasonable OR Gainful Occupation 24 or 36 Month Own Occupation Period Insured is Reasonably Fitted Education Training Experience Income Qualifier 50%-60% of Pre-disability Earnings 24 or 36 Month Own Occupation Period Insured is Reasonably Fitted Education Training Experience Income Qualifier 50%-60% of Pre-disability Earnings
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COMMON DEFINITION OF RESIDUAL DISABILITY Loss of Income Loss of Time or Duties % Income Lost=% Income Paid Partial Disability 50% Benefit 6 or 12 Months Loss of Income Loss of Time or Duties % Income Lost=% Income Paid Partial Disability 50% Benefit 6 or 12 Months
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PREDISABILITY EARNINGS Gross Income Less Expenses Cash or Accrual Basis Calculated As Average 12 Months Last 24 Months Highest 2 of Previous 5 Years Simple or Compounded Basis Gross Income Less Expenses Cash or Accrual Basis Calculated As Average 12 Months Last 24 Months Highest 2 of Previous 5 Years Simple or Compounded Basis
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INDEXING EXAMPLE Assuming 50% Loss of Income and $5,000/Month Benefit $100,000 Indexed over 10 Years 5% Compounded = $162,889 $50,000 Income = $81,444 = 50% $2,500 Monthly Benefit $100,000 Indexed over 10 Years 5% Compounded = $162,889 $50,000 Income = $81,444 = 50% $2,500 Monthly Benefit $100,000 Indexed over 10 Years 5% Simple = $150,000 $50,000 Income = $81,444 = 54% $2,300 Monthly Benefit $100,000 Indexed over 10 Years 5% Simple = $150,000 $50,000 Income = $81,444 = 54% $2,300 Monthly Benefit
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COMMON DEFINITION OF ACCIDENT OR ILLNESS Accident Directly & Independently of All Other Causes Accidental Event Bodily Injury Illness Commences after Effective Date Manifests itself after Effective Date Accident Directly & Independently of All Other Causes Accidental Event Bodily Injury Illness Commences after Effective Date Manifests itself after Effective Date
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GROUP LONG TERM DISABILITY Myth: It’s Cheaper Because it’s Group More Conservative Benefits Pre-Existing Condition Limitations Shorter Duration Less Adverse Selection Premiums/Benefits can be Modified Plans can be Cancelled Myth: It’s Cheaper Because it’s Group More Conservative Benefits Pre-Existing Condition Limitations Shorter Duration Less Adverse Selection Premiums/Benefits can be Modified Plans can be Cancelled
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WHY SUPPLEMENTAL GROUP LTD WITH INDIVIDUAL POLICIES Benefits too Low May Discriminate Rates Not Guaranteed Not Portable Conservative Definitions Bonus/Pension not Covered Group Plans are offsetting Individual Policies Your Client Needs It You are in Business for Yourself Benefits too Low May Discriminate Rates Not Guaranteed Not Portable Conservative Definitions Bonus/Pension not Covered Group Plans are offsetting Individual Policies Your Client Needs It You are in Business for Yourself
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PAYROLL DEDUCTION The Employees Need It Benefits of Group LTD Guaranteed Issue Minimum Participation Inexpensive Higher Participation Benefits to Individual Supplements the LTD Portable with Discounts Direct Billed The Employees Need It Benefits of Group LTD Guaranteed Issue Minimum Participation Inexpensive Higher Participation Benefits to Individual Supplements the LTD Portable with Discounts Direct Billed
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COMMON OPTIONAL RIDERS Cost of Living Benefits Future Insurability Benefits Automatic Increases Premium Refund Catastrophic Benefits Long Term Care Conversion Variation and State Availability Cost of Living Benefits Future Insurability Benefits Automatic Increases Premium Refund Catastrophic Benefits Long Term Care Conversion Variation and State Availability
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COST OF LIVING BENEFITS Benefit Increases on Anniversary Date Compounded or Simple Minimum Benefit of 3%-4% Overall Cap of 2X Monthly Benefit Benefit Increases on Anniversary Date Compounded or Simple Minimum Benefit of 3%-4% Overall Cap of 2X Monthly Benefit
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FUTURE INSURABILITY BENEFITS Benefit Increase without Medical Re-Qualification Annually Bi-Annually Every 3 rd Anniversary Date Expires between Age 51 and 55 Cap on Total Benefits Benefit Increase without Medical Re-Qualification Annually Bi-Annually Every 3 rd Anniversary Date Expires between Age 51 and 55 Cap on Total Benefits
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CATASTROPHIC BENEFITS Qualifying Definitions 2 of 5 Activities of Daily Living Presumptive Disability Loss of Speech Hearing Sight Use of any Two Limbs Increase Monthly Benefit or Extend Benefit Period Qualifying Definitions 2 of 5 Activities of Daily Living Presumptive Disability Loss of Speech Hearing Sight Use of any Two Limbs Increase Monthly Benefit or Extend Benefit Period
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RETURN OF PREMIUM Client Pays an Extra Premium Receives % of Premium After X Years Claim Benefits Paid First Come out of Return of Premium Benefit Client Pays an Extra Premium Receives % of Premium After X Years Claim Benefits Paid First Come out of Return of Premium Benefit
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8 Year Premium Refund Option PRO Refund* *Example of Principal Life Insurance Company’s Premium Refund Option (PRO) rider with an 8 year payment term with 4 years premium refunded and no claims *Example of Principal Life Insurance Company’s Premium Refund Option (PRO) rider with an 8 year payment term with 4 years premium refunded and no claims Without PRO Without PRO With PRO With PRO Annual Premium With PRO With PRO Without PRO Without PRO Net Cost over 10 yrs.
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OCCUPATION CLASSES Insuring Duties, Not Job Titles What is the Client’s Day Like? Manual Duties? What Are They? Represent What % of Time? Ownership? Employees? Affects Costs and Benefit Insuring Duties, Not Job Titles What is the Client’s Day Like? Manual Duties? What Are They? Represent What % of Time? Ownership? Employees? Affects Costs and Benefit
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TAX CONSEQUENCES Premiums Paid with Pre-Tax Dollars Taxable Premiums Paid with After-Tax Dollars Tax Free More than 2% Ownership cannot deduct Premiums Partnerships S-Corps LLC’s Which is Better? Depends on Marginal Tax Rate Premiums Paid with Pre-Tax Dollars Taxable Premiums Paid with After-Tax Dollars Tax Free More than 2% Ownership cannot deduct Premiums Partnerships S-Corps LLC’s Which is Better? Depends on Marginal Tax Rate
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TAX CONSEQUENCES EXAMPLE $100,000 Income $4,800 Tax Free or $5,950 Taxable 28% Marginal Tax Bracket $4,800 Income Tax= $6,666 Gross Monthly Income No FICA paid after 6 Months $100,000 Income $4,800 Tax Free or $5,950 Taxable 28% Marginal Tax Bracket $4,800 Income Tax= $6,666 Gross Monthly Income No FICA paid after 6 Months
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MEDICAL UNDERWRITING Common Concerns Musculoskeletal Mental/Nervous/Drug/Alchohol Stress/Anxiety Counseling Diabetes Blood Pressure Cholesterol Attending Physician Statements Blood Urinalysis Common Concerns Musculoskeletal Mental/Nervous/Drug/Alchohol Stress/Anxiety Counseling Diabetes Blood Pressure Cholesterol Attending Physician Statements Blood Urinalysis
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FINANCIAL UNDERWRITING Client’s Net Income After Business Expenses Income History Bonuses Pension Contributions Tax Returns All Schedules for Business Owners Unearned Income Client’s Net Income After Business Expenses Income History Bonuses Pension Contributions Tax Returns All Schedules for Business Owners Unearned Income
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DISABILITY OVERHEAD EXPENSE
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HOW DOES IT WORK? This is a Reimbursement Policy Client Purchases a “Pot of Money” Carry Forward Provision Possible Limitations Total Number of Months Benefits will be Paid This is a Reimbursement Policy Client Purchases a “Pot of Money” Carry Forward Provision Possible Limitations Total Number of Months Benefits will be Paid
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WHAT IS COVERED? Normally Deductible Business Expenses Utilities Rent Insurance Taxes Office Expenses Employee Salaries Not in the Same Occupation as Owner In the Same Occupation by Rider Normally Deductible Business Expenses Utilities Rent Insurance Taxes Office Expenses Employee Salaries Not in the Same Occupation as Owner In the Same Occupation by Rider
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TAXATION Premiums are Tax Deductible Received Benefits are Taxable Write Off for Incurred Expenses Taxation a Wash Premiums are Tax Deductible Received Benefits are Taxable Write Off for Incurred Expenses Taxation a Wash
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DISABILITY BUY-OUT INSURANCE
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HOW DOES IT WORK? Reimburses the Non-Disabled Stockholder or Entity to Buy Out the Disabled Stockholder Premiums are not tax Deductible Benefits Received Tax Free May be a Taxable Event When Buy-Out Executed by Entity Reimburses the Non-Disabled Stockholder or Entity to Buy Out the Disabled Stockholder Premiums are not tax Deductible Benefits Received Tax Free May be a Taxable Event When Buy-Out Executed by Entity
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ADVANTAGES FOR THE DISABLED OWNER Assures a Definite Price and Buyer Mutual Terms Firm can Meet the Buyout Commitment Family Members can Care for the Disabled Business is Protected Provides Cash for Disabled Care Assures a Definite Price and Buyer Mutual Terms Firm can Meet the Buyout Commitment Family Members can Care for the Disabled Business is Protected Provides Cash for Disabled Care
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ADVANTAGES FOR THE ACTIVE BUSINESS OWNERS Assures: A Predetermined Price A Predetermined Time Frame Business Continuity Owners Retain Control Competitors Unable to buy any interest in the Firm Assures: A Predetermined Price A Predetermined Time Frame Business Continuity Owners Retain Control Competitors Unable to buy any interest in the Firm
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HOW DOES THE POLICY PAY? Definition of Disability Own Occ As Long as not Working in the Company Total Disability Only 12/18/24 Month Waiting Period Payments Lump Sum Monthly Funding Combination Definition of Disability Own Occ As Long as not Working in the Company Total Disability Only 12/18/24 Month Waiting Period Payments Lump Sum Monthly Funding Combination
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WHO ARE THE LIKELY PROSPECTS? Client Understands the Need Ability to Earn an Income Age 30-45 Premium at 2% or Less of Gross Income Healthy Client Understands the Need Ability to Earn an Income Age 30-45 Premium at 2% or Less of Gross Income Healthy
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SELLING THE PLAN Discuss Life while Disabled Sell the Benefits Sell the Price Be Creative Discuss Life while Disabled Sell the Benefits Sell the Price Be Creative
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Thank You
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