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Long-Term Care Insurance Multi-Life Discount Program Metropolitan Life Insurance Company New York, NY 10166 Agent training use only—Not to be used with.

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Presentation on theme: "Long-Term Care Insurance Multi-Life Discount Program Metropolitan Life Insurance Company New York, NY 10166 Agent training use only—Not to be used with."— Presentation transcript:

1 Long-Term Care Insurance Multi-Life Discount Program Metropolitan Life Insurance Company New York, NY 10166 Agent training use only—Not to be used with general public L0507D3KJ(exp1206)MLIC-LD

2 2 Why LTCI Multi-Life? Producer –Multiple Sales –Door opener for other financial needs –Discounted rates –Reduced underwriting Employer –Recruitment and retention –Can help reduce productivity losses (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) –Potential employer tax deduction (if employer pays the premiums)

3 3 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 money 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)

4 4 Multi-Life Discount Programs Employer Paid - Modified Underwriting - 5% Discount Employer Paid - Simplified Underwriting - 10% Discount Voluntary Paid - Modified Underwriting - 5% Discount Voluntary Paid - Simplified Underwriting - 5% Discount

5 5 Multi-Life Discount Programs (continued) Discount Program must be selected during case review process An Employer can have two discount programs established, i.e., Employer Paid (executive carve- out) and Voluntary 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.

6 6 Eligibility for Discount Program Employees/Retirees and their: –Spouses/Domestic Partners –Adult Children age 18 and over –Parents and Parents-in-law (including step) –Grandparents and Grandparents-in-law Ages of 18 to 84 (all participants) W-2 Employees (Simplified Underwriting) Actively at work employees who work 30 hours or more per week (Simplified Underwriting) Note: Spouses include, where permitted by law, Domestic Partners and Civil Union Partners

7 7 Modified Underwriting Available to: –All eligible participants Minimum to Consider: –10 Employees Requirements to continue program for new hires: –10 insured lives within 12 months of approval date of discount program (all eligible employees and family members count) Underwriting: –Attending Physician’s Statement (APS) ages 66-84, Phone Health Interview (PHI) ages 66-84, fact to face nurse interview age 75+ –Medical questions similar to individual sales –Preferred Health discount available –Multi-Life application with “modified questions” completed

8 8 Simplified Underwriting Available to: Employees age 65 and younger actively at work (& spouses/domestic partners 65 and younger if premium paid by employer) Minimum to establish program: 10 employees (or combination of 10 employees & spouses if employer paid) Participation Requirement: 10 insured lives (including family members) Participation timeline: 90 days from approval date of discount program. If 10 insured lives not met in 90 days participants must use Modified Underwriting. Maximum benefits: 5 year benefit period, $200 DBA (all other benefits available)

9 9 Simplified Underwriting (continued) 5 Insurability questions No APS, PHI or face-to-face interview required for simplified underwriting (age 65 and younger) Standard rates – no preferred discount to anyone in program Employees over age 65 and/or applying for higher benefits in addition to all family members must completed “modified questions” on Multi-Life application and modified underwriting will be applicable

10 10 Modified Vs Simplified Underwriting What to Choose? Simplified + 5 Insurability Questions + Jet Issue - ease of business + Spouse can qualify if employer paid - Standard rates for everyone (i.e. No preferred health discount) - Benefit limits ($200 DBA/5 year B/P - all other benefits available) Modified + Reduced Medical Underwriting + APS/PHI optional < 66 + All benefits available + Preferred discount available - Longer underwriting process - Potential for more declines

11 11 Multi-Life Discounts 5% to employees & eligible family members - for life of policy –Applicants may qualify for preferred (Modified Underwriting only) and marital/spousal discounts –Employer may select modified or simplified Underwriting 10% to employees & eligible family members if employer paid (partially or full) and simplified underwriting selected –Applicants can qualify for marital/spouse discounts only –No preferred discount available

12 12 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 Preferred Health 10% for applicants who meet specific underwriting criteria and are not part of a Simplified Underwriting Multi-Life Program

13 13 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

14 14 Who Qualifies for Multi-Life? Recommended Characteristics Small, closely held businesses, including: –Law & Accounting Firms –Banks & Financial Institutions –Technology Companies –Any executive carve-out groups Employer interest & support Stand alone offering Few locations Stable Industry Employee average age >40 yrs Employee income >$40,000

15 15 Multi-Life Billing Choice of Billing Options 1) Direct Billing Available to: all eligibles 2) 3rd Party Billing Available to: all eligibles 3) Employer List Billing Available to: employee & their spouse only Monthly statement sent to Employer or Payroll Vendor Cash with application not acceptable

16 16 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 Exclusivity: Agent owns the rights to the discount for the group

17 17 Multi-Life Account Specialist 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

18 18 Multi-Life Approval Process Step #1 MGA/Agent to send qualification form(s) to MetLife –We will review group – App’s should never be taken at this stage Step #2 MetLife to send offer letter to MGA/Agent –Group to sign offer letter and return to agent –Agent to mail signed letter to MetLife Step #3 Formal approval –MetLife will assign the Multi-Life Identifier number –MetLife will inform the MGA/Agent of correct applications to use –MGA/Agent can begin to market discount and enrollments

19 19 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 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 MGA/Agent


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