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1 MetLife Individual LTC Multi-Life Discount Program Teresa B. Campama, MBA, CLTC, LTCP MetLife Investors Employee Benefits Regional Sales Vice President Western Region L0603LZO2(exp0307)MLIC-LD
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2 Preferred Multi-Life Groups Recommended Characteristics Small, closely-held businesses, including: Small, closely-held businesses, including: Banks & Financial Institutions Banks & Financial Institutions Law & Accounting Firms Law & Accounting Firms Technology Companies Technology Companies Any executive carve-out groups - details on the next slide Any executive carve-out groups - details on the next slide Employer interest & support Employer interest & support Stand-alone offering Stand-alone offering Few locations Few locations Stable Industry Stable Industry Employee average age >40 yrs Employee average age >40 yrs Employee average income >$50,000 Employee average income >$50,000
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3 Executive Carve-Out Successful Cases Success Case # 1 Success Case # 1 Employer: Hospital Number of eligibles: 7 senior executives and 4 spouses Applications: 11 Annual Premium: $70,778.38 Plan Structure: Employer-Paid Program, Modified Underwriting Success Case # 2 Success Case # 2 Employer: Manufacturing Company Number of eligibles: 2 owners, 3 managers and 5 spouses Applications: 10 Annual Premium: $72,401.96 Plan Structure: Employer-Paid Program, Simplified Underwriting
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4 Eligible Participants Employees/Retirees* Employees/Retirees* Adult Children Adult Children Spouses/Domestic Partners** Spouses/Domestic Partners** Parents (Including Step & In-Laws) Parents (Including Step & In-Laws) Grandparents (Including Step & In-Laws) Grandparents (Including Step & In-Laws) * Board of Directors and 1099 employees may be considered under Modified Underwriting * Board of Directors and 1099 employees may be considered under Modified Underwriting **Domestic Partners eligible where permitted by law **Domestic Partners eligible where permitted by law
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5 Program Options Modified UW Employer-Paid = 5% Simplified UW Employer-Paid = 10% Modified UW Voluntary = 5% Simplified UW Voluntary = 5%
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6 Modified vs. Simplified Underwriting Modified Underwriting: Available to: All eligible participants Available to: All eligible participants Participation Requirement: 3 insured lives within 12 months of group approval Participation Requirement: 3 insured lives within 12 months of group approval Modified underwriting requirements: Modified underwriting requirements: APS - ages 66 - 84; under 66 at nurse discretion APS - ages 66 - 84; under 66 at nurse discretion PHI - ages 66 - 74; under 66 at nurse discretion PHI - ages 66 - 74; under 66 at nurse discretion Medical questions are similar to individual sale Medical questions are similar to individual sale Preferred rating is available Preferred rating is available Simplified Underwriting: Available to: W-2 Employees, under age 65 & actively at work at least 30 hours a week (& spouses if premium paid by employer for groups of 10+ lives only) All other participants MUST complete modified underwriting Participation Requirement: Employer-paid: 3 insured employer-paid lives within 90 days of group approval or; Voluntary: 10 insured lives within 90 days of group approval Maximum benefits: 5-year benefit period and/or $200 Daily Benefit Amount Preferred rating is not available
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7 Full vs Simplified Underwriting What to choose? Simplified 5 Insurability Questions 5 Insurability Questions “Jet Issue”-ease of business “Jet Issue”-ease of business Potential Decline Offer* Potential Decline Offer* Spouse can complete if Spouse can complete if Employer-Paid Employer-Paid Standard rates for everyone Standard rates for everyone Benefit limits ($300/5yr) Benefit limits ($300/5yr) * Does not apply in the 3-9 life segment Reduced Medical Questions Reduced Medical Questions APS/PHI optional <66 APS/PHI optional <66 All benefits available All benefits available Preferred discount available Preferred discount available Longer underwriting process Longer underwriting process Potential for more declines Potential for more declines No decline offer No decline offer
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8 Multi-Life Discounts Modified Underwriting- Maximum discount available is 45% Voluntary or Employer-Paid Multi-Life 5%, plus 30% spousal, plus 10% Preferred Health = 45% Voluntary or Employer-Paid Multi-Life 5% plus 15% Marital, plus 10% Preferred Health = 30% Simplified Underwriting- Maximum discount available is 40% Employer-Paid Multi-Life 10% plus 30% spousal = 40% Employer-Paid Multi-Life 10% plus 15% Marital = 25% Voluntary Multi-Life 5% plus 30% spousal = 35% Voluntary Multi-Life 5% plus 15% Marital = 20%
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9 Discount Program reduced to 3 approved lives!! Key differences from our current 10 approved lives program: Minimum Benefits Offer (Decline Offer) is not available for groups with less than 10 lives Compensation will be reduced for employer groups in the 3-9 life segment effective after July 1, 2006 Voluntary Program will require modified underwriting for all eligibles For Employer-Paid Program, simplified underwriting is available for qualified employees only. Available for employer groups only (no associations) This new enhancement is not yet available in New Jersey, New York and Pennsylvania Available for VIP2 states only
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10 Multi-Life Billing Three Billing Options: 1. Direct Billing Available to: all eligibles 2. 3rd Party Billing Available to: all eligibles 3. Employer List Billing Available to: employees & spouse/domestic partners only Monthly or Annual statement sent to Employer or Payroll Vendor
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11 Competitive Advantages No reduction in commission for 10+ life segment No reduction in commission for 10+ life segment Minimum requirement of 3 lives to establish a group Minimum requirement of 3 lives to establish a group Spouse can have access to simplified underwriting if Employer-Paid * Spouse can have access to simplified underwriting if Employer-Paid * Simple participation requirements Simple participation requirements Reduced underwriting for everyone Reduced underwriting for everyone 10% discount available 10% discount available All eligibles count towards participation requirements All eligibles count towards participation requirements * Does not apply in the 3-9 life segment
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12 Important to know Portable: Discount and coverage stays with employee if he or she leaves the company Portable: Discount and coverage stays with employee if he or she leaves the company No linkage required: Employee does not have to apply for family members to be eligible No linkage required: Employee does not have to apply for family members to be eligible
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Data as of 2005 13
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14 Multi-Life Successes Top 5 industries for Multi-Life: Education Financial/Insurance Health Care Legal Banking Top 5 industries are based on participation received as of 2005
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15 Multi-Life Stats Average Age: 53 Average Age: 53 Average ML Premium: $1,900 Average ML Premium: $1,900 Payment Type: 71% Voluntary 29% ER Paid Payment Type: 71% Voluntary 29% ER Paid Billing: 39% Direct 61% List Billing: 39% Direct 61% List Underwriting:63% Modified 37% Simplified Underwriting:63% Modified 37% Simplified
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16 Multi-Life Account Specialist Actively manages inbound Multi-Life calls Actively manages inbound Multi-Life calls Own case from prospecting to the application Own case from prospecting to the application Responsible for: Responsible for: Producer consultation: process/rules/options Producer consultation: process/rules/options Group Review/Approval Group Review/Approval Implementation Meeting Implementation Meeting
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17 Marketing Materials Employer and employee presentations Employer and employee presentations Announcement letters and e-mails Announcement letters and e-mails Contact & meeting flyers and posters Contact & meeting flyers and posters Lead generators - to employer or employee Lead generators - to employer or employee Illustrations and proposals Illustrations and proposals Prospecting letters Prospecting letters Employer brochure Employer brochure Producer Resource Kit Producer Resource Kit Enrollment Kits!! Enrollment Kits!!
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18 Questions
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19 Submitting a Multi-Life Quote Contact BJFIM/Paradigm marketing rep for pre- qualification form Contact BJFIM/Paradigm marketing rep for pre- qualification form Complete information Complete information Employer contact information Employer contact information Number of employees/projected applicants Number of employees/projected applicants How applicants will be contacted How applicants will be contacted Projected enrollment over next 12 months Projected enrollment over next 12 months Your producer information Your producer information Fax to BJFIM/Marketing Rep Fax to BJFIM/Marketing Rep Marketing Rep will contact MetLife and pre-underwrite the case and get approval Marketing Rep will contact MetLife and pre-underwrite the case and get approval Proceed to work with employer group to write the case Proceed to work with employer group to write the case
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