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Long-Term Care Insurance Multi-Life Discount Program Metropolitan Life Insurance Company New York, NY 10166 PRODUCER OR BROKER/DEALER TRAINING USE ONLY—NOT TO BE USED WITH GENERAL PUBLIC L06087162[exp1209] LTC 04730(0608)
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2 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Why LTCI Multi-Life Discount Programs? Producer Multiple policy sales potential Door opener for other financial service needs Discounted premium rates for employees and eligible family members Reduced underwriting requirements compared with individual policies sold outside the workplace Opportunity to substantially increase book of business Cross-sell opportunities with the employer for other employee benefits broker may offer
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3 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Why LTCI Multi-Life Discount Programs? Employer Help maximize recruitment and retention of employees Help minimize productivity losses due to caregiver distractions –i.e. when parent or spouse has coverage and becomes chronically ill, the employee is less likely to require time off or be distracted while at work Achieve potential tax deductions for businesses (if employer pays the premium)* Help employees protect their retirement savings/assets from potentially high costs of LTC events * MetLife does not provide tax and legal advice. Clients should consult their attorney and /or tax advisor.
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4 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Why LTCI Multi-Life (continued)? Employer Considerations American businesses lose between 17.1 - $33.6 Billion in productivity costs per year1 –Productivity costs include replacing employees, absenteeism, workday interruptions, unpaid leave and reducing hours from full-time to part-time –Based on employees making workplace accommodations as a result of caregiving responsibilities Eldercare calculator – www.eldercarecalulator.org drills down this figure on an individual employer basiswww.eldercarecalulator.org Source: MetLife Mature Market Institute®, “MetLife Caregiving Cost Study: Productivity Losses to U.S. Business,” July 2006
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5 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Employee Productivity Concerns: More than one-fifth (22%) of the sandwich generation furnish aid to their parents, other elderly family members, or both. –17% personally provide help, which may include financial as well as other forms of assistance, and another 5% bestow financial support alone. From 1996 to 2001: –43% of older boomers have taken time off from their own jobs to care for someone –17% have reduced the amount of time they work Source: AARP, In the Middle: A Report on Multicultural Boomers Coping with Family and Aging Issues, July 2001. Why LTCI Multi-Life (continued)?
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6 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Source: MetLife Study of Employed Caregivers: Does Long-Term Care Insurance Make a Difference? 2001. Why LTCI Multi-Life (continued)? Employee Concerns: With the aging workforce, childcare concerns are being replaced with eldercare issues LTC Insurance for eligible family members can help reduce future employee job disruptions –With LTC Insurance, the caregiver nearly twice as likely to continue working –Caregivers can have more “quality time” and leave hands-on assistance to care service providers
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7 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Why MetLife? Multi-Life Competitive Advantages MetLife is a leading carrier in the employer-sponsored LTCI market Simple participation requirements –All eligibles count towards participation requirements –Minimum requirement of 3 lives to establish a group No reduction in commission for 10+ life segment Reduced underwriting for everyone Spouse can have access to simplified underwriting if Employer-Paid* 10% Multi-Life discount available (employer-paid simplified underwriting) * Does not apply in the 3-9 life segment
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8 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Eligibility* for Multi-Life Discount Program Employees/Retirees and their: –Spouses/Domestic Partners** –Adult Children –Parents and Parents-in-law (including step) –Grandparents and Grandparents-in-law (including step) *State variations may apply to eligible participants **Spouses include, where permitted by law, Domestic Partners and Civil Union Partners All participants must be age 18 to 84
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9 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Discount Programs Four Program Options: 1.Employer-Paid*; Simplified Underwriting Program - 10% Discount 2.Employer-Paid*; Modified Underwriting Program - 5% Discount 3.Voluntary-Paid; Simplified Underwriting Program - 5% Discount 4.Voluntary-Paid; Modified Underwriting Program - 5% Discount Discounts may vary by state. *Employer may pay full or partial premium, however minimum contribution levels may apply The discount program must be selected during the case review process
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10 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Participation Minimums Two Participation Categories: 3 – 9 life segment 10+ life segment (No reduction of commission)
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11 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Participation Minimums Simplified Underwriting Programs: Voluntary: –At least 10 insured lives (all eligibles) must be received by MetLife within 90 days of case approval (3-9 life segment not available) Employer-paid: –At least 3 insured lives (employer-paid, employees) must be received by MetLife within 90 days of case approval Modified Underwriting Programs: Voluntary or employer-paid: –At least 3 insured lives (all eligibles) must be received by MetLife within 12 months of case approval
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12 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Discount Programs If the employer chooses a: Modified Underwriting Program –All eligible applicants must meet the Modified Underwriting requirements –Preferred Health discount is available to any qualified, approved applicant –Household discounts available to any qualified, approved applicant –All features and options are available with Modified Underwriting
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13 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Discount Programs If the employer chooses a: Simplified Underwriting Program: –Employees and employer-paid spouses, age 65 and younger, may apply by meeting Simplified Underwriting requirements* –All other eligible applicants must meet Modified Underwriting requirements –Preferred Health discount is NOT available to any applicants within the group –Household discounts are available to any qualified, approved applicant –Benefit limitations apply * Employee must meet actively at work requirement, and apply during initial enrollment period. Spouses must be employer-paid and apply during initial enrollment period. Benefit limitations apply.
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14 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Discount Programs Executive Carve-Out Programs: LTCI is a discriminatory plan which allows the employer to make contributions towards the premium of a select class of employees; the remaining employees will have access to the discount program on a voluntary basis. For example: 1.The employer agrees to pay the LTCI premium for the 5 executives (executive carve-out); and 2.The remaining 25 employees are offered the same discount on a voluntary basis. Note: There may be ERISA implications depending on how LTCI policies are made available to the employees. Employers should consult their own tax and legal advisors for further information on potential ERISA implications.
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15 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Modified Underwriting Requirements Available to: –All eligible participants –Medical questions similar to individual sales –Age ranges for requirements more lenient than individual sales Requirement*Ages Multi-Life Application - “Modified Questions” completed All applicants Attending Physician’s Statement (APS) Applicants age 66-84 Phone Health Interview (PHI) Applicants age 66-69 Face-to-Face Nurse Interview Applicants age 70-84 *All requirements may be deemed necessary by Underwriter, if applicant’s health warrants it.
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16 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Simplified Underwriting Requirements Available to: –Employees age 65 and younger actively at work (& spouses/domestic partners 65 and younger if premium paid by employer) Must be applying during initial 90-day enrollment period Must be applying for coverage within benefit limitations (see below) –All other applicants must meet Modified Underwriting Requirements Simplified Underwriting Maximum Benefits*: –VIP2: 5 year benefit period, $300 DBA –LifeStage Advantage: $6k MBA/$300k TBA (Simple Advantage) $9k MBA/$500k TBA (Custom Advantage) –All other benefits available * State variations may apply RequirementAges Multi-Life Application - 5 “Simplified Questions” completed Employees age 18-65 Multi-Life Application - 6 “Simplified Questions” completed Employer-paid spouses age 18-65
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17 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Modified Vs Simplified Underwriting What to Choose? Simplified Underwriting Pros: + 5 Insurability Questions for eligible employees + Ease of enrollment + Employer-paid spouses eligible if group is set-up in the 10+ life segment Cons: - Preferred Health Discount not available to anyone in group - Benefit limitations - Limited to 90-day enrollment period Modified Underwriting Pros: + Fewer medical questions than standard non- Multi-Life policy underwriting + Preferred Health Discount available + More benefit options available Cons: - Additional underwriting may be considered (phone and face-to-face interviews) for applicants under age 66, if their health warrants it - Longer underwriting process - Potential for more declines
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18 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Available LTCI Discounts Spousal/Domestic Partners – 30% when two spouses apply and are approved for coverage Marital – 15% when only one spouse applies or both apply but only one receives coverage Residential – 15% when two or more applicants reside in the same household and meet eligibility requirements Preferred Health – 10% for applicants who meet specific underwriting criteria and are not part of a Simplified Underwriting Multi-Life Program Note: Spousal/Marital/Residential discounts may vary by state and may not be combined
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19 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Modified Underwriting: Voluntary or ER Paid Multi-Life 5% + 30% Spousal/Domestic Partner + 10% Preferred Health = 45% Voluntary or ER Paid Multi-Life 5% + 15% Marital/Domestic Partner + 10% Preferred Health = 30% Simplified Underwriting: ER Paid Multi-Life 10% + 30% Spousal/Domestic Partner = 40% ER Paid Multi-Life 10% + 15% Marital/Domestic Partner = 25% Voluntary Multi-Life 5% + 30% Spousal/Domestic Partner = 35% Voluntary Multi-Life 5% + 15% Marital/Domestic Partner = 20% Sample Discount Combinations Note Spousal/Marital discounts may vary and be limited by state
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20 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Billing Choice of Billing Options 1)Direct Billing –Available to: all eligibles –Monthly (Automatic Checking Account Deduction), Quarterly, Semi-Annual or Annual basis –Bills are mailed directly to the insured unless it is a Monthly direct bill, which is only available as an Automatic Checking Account Deduction 2)3rd Party Billing –Available to: all eligibles –Bills are mailed to a third-party payor selected on the application on a Quarterly, Semi- Annual or Annual basis 3)Employer List Billing –Available to: employee & their spouse only –Monthly statement sent to Employer or Payroll Vendor –Cash with application not acceptable 4)[Split Billing] –[Available to: employee & their spouse only]
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21 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC ERISA and Employer-Sponsored Plans The Employee Retirement Income Security Act (ERISA) Enacted in 1974 Employer must specify to carrier whether the LTCI Plan they make available to their employees is considered an ERISA or non-ERISA plan If employer requests, please provide a copy of the ERISA Monograph, which includes a sample Summary Plan Description (SPD). –Ask your Multi-Life Program Advisor for a copy Please refer your client/prospect to consult with their tax/legal advisor to determine ERISA status
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22 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC LTCI Taxation Summary C-CorporationS-Corporation Business Tax Deduction 100% of total premiums paid Personal Tax Deductions to Owner(s)* None Owners of more than 2% stock can deduct 100% of “eligible” premiums paid for themselves, their spouses and qualified dependents on their personal tax returns Income Tax to Employee’s (premiums paid by employer) Generally None Income Tax to Owner(s) Generally NoneMust declare premiums paid on behalf of themselves, their spouses and dependents as income Employers should consult their own tax and legal advisors. The IRS Tax Codes that reference this summary are as follows: 104(a)(3), 162(l), 213(d), 7702B(a), 7702B(a)(3), 7702B(d)(2), Rev. Proc. 206-53 * No deduction allowed on coverage for the owner, spouse or dependents if the owner is eligible to participate in any other employer-subsidized (wholly or partially-paid) plan including that of a spouse’s employer Under certain Internal Revenue Code (IRC) sections, such as §7702(B), tax qualified (TQ) LTCI policies may receive favorable tax treatment. For example, benefits received from an employer-paid TQ LTCI policy are generally non- taxable to the employee, and the employer-paid LTCI premiums for employees may be tax deductible to the employer.
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23 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC LTCI Taxation Summary (Continued) PartnershipSole Proprietor Business Tax Deduction 100% of total premiums paid Personal Tax Deductions to Owner(s)* Partners can deduct 100% of “eligible” premiums paid for themselves, their spouses and qualified dependents on their personal tax returns The owner can deduct 100% of “eligible” premiums paid for themselves, their spouses and qualified dependents on their personal tax returns Income Tax to Employee’s (premiums paid by employer) Generally None Income Tax to Owner(s) Must declare premiums paid on behalf of themselves, their spouses and dependents as income Employers should consult their own tax and legal advisors. The IRS Tax Codes that reference this summary are as follows: 104(a)(3), 162(l), 213(d), 7702B(a), 7702B(a)(3), 7702B(d)(2), Rev. Proc. 206-53 * No deduction allowed on coverage for the owner, spouse or dependents if the owner is eligible to participate in any other employer-subsidized (wholly or partially-paid) plan including that of a spouse’s employer
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24 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Important to know Portable: Discount and coverage stays with employee if they leave the company No linkage required: Employee does not have to apply for family members to be eligible Employer-Paid: Partial or full payment acceptable & must be paid by employer (minimum contribution levels may apply) Exclusivity: Producer owns the rights to the discount for the group
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25 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC The Trend: Sizes of Companies Offering LTCI Source: HIAA ILTC Survey, 2002. “By the end of 2001, more than 4,700 employers were offering a Long-Term Care Insurance plan to their employees, retirees or both.” – HIAA. Long-Term Care Insurance in 2000-2001, January 2003.
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26 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Preferred LTCI Multi-Life Business Characteristics Recommended Small, closely held businesses (25 – 3,000 employees), including: –Law & Accounting Firms –Banks & Financial Institutions –School Districts –Technology Companies –Carve-out employee groups Employer interest & support Stand alone offering Few locations Stable Industry Employee average age >40 yrs Employee income >$50,000 Not Recommended Building & trade contractors Charitable organizations Warehouse workers Unions Seasonal employees Foodservice workers No or little employer support Unrealistic enrollment timeline Complex plan design/requests Multiple carriers involved Multiple locations for enrollment
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27 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Recommended Business Types Small closely held/family businesses for executive carve-out cases Medical practices, healthcare Educational Financial, accounting and insurance Law firms Technology firms
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28 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Keys to Successful LTCI Plan Participation Employer support Simple plan design – 3 plan variations Strong marketing communications strategy that includes preliminary needs awareness building –Enrollment implementation with 8-11 employee communication touch points Sufficient lead time for implementation –60 – 90 days
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29 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Importance of Employer Support Employers help create multiple employee touch-points and can provide you with employee access: –Enforce mandatory seminars and one-on-one LTC educational meetings either during or after business hours Meetings after business hours will allow eligible family members to attend –Assist with distribution of materials E-mail and home address lists –Provide a designated employer point-of-Contact –Ability to facilitate payroll deduction, if list bill
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30 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC When Are LTCI Offerings Not Successful? Lack of producer access to employees during pre- awareness campaign, program launch and enrollment Too many voluntary offerings competing for the same employee dollar Majority of employee population is under age 40 years with an annual salary below $50,000 Unrealistic implementation timeframe Unclear need or low interest for LTCI Complex plan design with too many choices
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31 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Sales Support Multi-Life Program Advisor –Responsible for group set-up –Communicates with Producer/GA LTCI Wholesaler Team –Training/Education –Marketing strategies LTCI Resource Line –Program Overview/ General Assistance –Quotes/Proposals
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32 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Program Advisor Actively manage inbound Multi-Life calls Owns case from beginning to end Responsible for: –Agent consultation: process/rules/options –Illustration support –Group review/approval –Implementation meeting* –Follow up & feedback *Implementation meetings are mandatory for cases that are set up on a list bill
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33 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Multi-Life Approval Process Step #1 MGA/Producer to send qualification form(s) to MetLife –We will review group within 1-2 business days –Applications should never be taken at this stage Step #2 MetLife to send offer letter to MGA/Producer –Authorized officer from organization to sign offer letter and return to producer –Producer to provide signed letter to MetLife Step #3 Formal approval –MetLife will assign the Multi-Life Group number –MetLife will inform the MGA/Producer of correct applications to use –MGA/Producer can begin to market discount and enrollments
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34 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Quotes & Proposals Quote/Illustration Available on MetWINS Introduction Illustration –Side by side of 3 plan designs for ages 18-84 –Suitable for any group interested in our pricing Summary Illustration –Detailed quote for each employee within group –Suitable for employer paid situations Multi-Life Web-site Proposal Used for bidding situations or when employer wants detail on MetLife and the LTC offering Must be pre-qualified Prepared by Multi-Life coordinator Customized for employer E-mailed to producer
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35 PRODUCER OR BROKER/DEALER TRAINING USE ONLY — NOT TO BE USED WITH GENERAL PUBLIC Additional Information Sheets Handout Material –Multi-Life Underwriting Program Overview –ERISA Monograph –Identifying Prospective Companies Sheet
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