LTC/CI Cheatsheet

Long Term Care and Chronic Illness Rider Summary
Rider Name
Issue Age
Tax Qualified Status
Qualification for
Benefits
Benefit Payment
Revised April 29, 2014
Allianz
American General
Aviva
AXA
ING
John Hancock
Long Term Care Accelerated
Benefit Rider
Accelerated Access Solution
Accelerated Access Rider
ADB for LTC Services Rider
Accelerated Benefit Rider
Life Care Benefit Rider
0-75
18-80
18-75
20-75
Same as product
20-75
101 (g) - Accelerated Life
Insurance Death Benefit
101 (g) - Accelerated Life
Insurance Death Benefit
101 (g) - Accelerated Life
Insurance Death Benefit
7702B - LTC Insurance 101 (g)
Life Insurance
101 (g) - Accelerated Life
Insurance Death Benefit
7702B - LTC Insurance
Certification insured is
unable to perform at least 2
of 6 ADL’s, or
Requires substantial
•
supervision due to a
cognitive impairment
• Expected to be permanent
•
•
•
Unable to perform 2 of 6
ADL’s (expected to be
permanent) or Cognitive
Impairment
Expected to be permanent
Permanently unable to
perform 2 of the 6 ADL’s, or
Permanently require
•
supervision to protect from
threats to health and safety
due to severe cognitive
impairment.
•
•
•
•
Certification insured is
chronically ill
Must certify insured is
receiving Qualified LTC
services
Written proof of loss
Qualifying medical/physical
condition or life expectancy of
12 months or less from the
date of receipt of a physician
statement
Certification insured is
chronically ill
Written proof of loss
•
• Re-certified at least annually
•
Monthly Indemnity
Monthly Indemnity
Monthly Indemnity
Monthly Indemnity
One time benefit
Monthly Reimbursement
Use of Benefit
Not Specified in Rider
No Restrictions
Any expenses for care
Adult Day Care, Assisted Care,
Home Health Care, Hospice
Care, Intermediate Care,
Skilled Nursing Care
Continuous confinement in an
eligible institution and stay for
rest of life or medical condition
requiring extraordinary medical
care
Adult Day Care, Assisted Care,
Home Health Care, Respite
Care, Intermediate Care,
Skilled Nursing Care
Waiting Period
90 Day elimination
90 day elimination
90 days
90 days of any combination of
qualified LTC services
N/A
100 days of service, not
including Respite Care
1%, 2%, 3% or 4% of DB, not
to exceed $10k / month
2%, 4% or per diem
Lesser of 2% of eligible
amount or IRS per diem limit
1%, 2% or 3% of DB
N/A
1%, 2% or 4% of DB
Policy Face Amount, maximum
of $1M
Customer chooses at issue,
50% - 100% of Face Amount
Net Amount at Risk x Multiplier
relevant to attained age at claim, plus
cash value = eligible amount
Policy Face Amount
Lesser of 50% of DB or $1M
Death Benefit at time of initial
claim
Dollar for Dollar reduction
Dollar for Dollar reduction
Dollar for Dollar reduction, plus
potential interest and mortality
fees
Dollar for Dollar reduction
Dollar for Dollar reduction
Dollar for Dollar reduction
Proportional Reduction
Proportional Reduction
No Impact on Cash Value
Proportional Reduction
Doesn’t impact CV
Proportional Reduction
Life Pro+ IUL, GenDex
Momentum IUL, GenDex
Foundation IUL, Generation
Planner II
AG Secure Lifetime GUL II
Lifetime Builder II and
LifeStage UL
Athena UL, Incentive Life,
VUL, Life Legacy II, BrightLife
Protect
ING IUL-CV, ING UL-CV
ULG-11, Protection UL, Accum
UL/VUL, Performance UL/VUL
No lapse protection, premium
and rider charges continue
Policy payments stop for as
long as policy owner meets the
Chronic Illness requirement
None
If policy would otherwise lapse,
benefit payments and
remaining unpaid DB is
guaranteed
None
If policy would otherwise lapse,
benefit payments still
payabale, but remaining
unpaid DB not guaranteed
CA, OR, VA
CA, OR, WA, KS, NY
CA, FL, NY, MT, TN
FL, MN, WA
NY
MN, NC, UT, WA
Max Monthly Benefit
Max Total Benefit
Claim Impact on DB
Claim Impact on Policy Value
Available Products
Lapse Protection on
Claim
State Restrictions
!
!
Lincoln
MetLife
Minnesota Life
Mutual of Omaha
Nationwide
Protective
LifeEnhance Rider
Enhanced Care Benefit Rider
Long Term Care Agreement
(LTCA)
Accelerated Death Benefit for
Terminal and Chronic Illness
Rider
Long Term Care Rider
Extend Care Rider / Chronic
Illness ADBR
20-80
18-70
20-80
Same as product
21-80
20-80
101 (g) - Accelerated Life
Insurance Death Benefit
101 (g) - Life
7702B - LTC Insurance
101(g) - Accelerated Life
Insurance Death Benefit
7702B - LTC Insurance
101 (g) - Life Insurance Death
Benefit
Unable to perform 2 of 6
ADL’s, or
Needs substantial
•
supervision due to cognitive
impairment
• Expected to be permanent
Certified as being unable to
perform 2 of 6 ADL’s
Inability to perform 2 of 6
ADL’s or
Cognitive Impairment
•
Indemnity
Monthly Indemnity
Monthly Indemnity
Indemnity
Monthly Indemnity
Monthly Indemnity
Use of Benefit
Policy Owner’s discretion
No Restrictions
Family Care, Adult Day Care,
Home Health Care,
Intermediate Care, Hospice/
Respite Care, Skilled Nursing
Care
None specified
Adult Day Care, Assisted
Care, Home Health Care,
Hospice Care, Intermediate
Care, Skilled Nursing Care
Use of benefit is not specified
in rider
Waiting Period
None
90 Days
90 days of service,
consecutive days not required
90 consecutive calendar days
90 Calendar Days satisfied by
any combination of days in
LTC, HHC and ACD Facility
Waiting period of 3 to 12 months,
must be selected by insured at issue
Lesser of 2% of DB or the IRS
per diem limit x days in month.
Can also be taken as one time
lump sum payment,
discounted for mortality andi
interest
Lesser of 100% of DB or:
>70 =$5M, <69 = $2M
Met will pay once during the
12 month claim period up to
24% of the eligible death
benefit in either a lump-sum or
monthly payment.
The lesser of 2% or 4% of
LTCA Face Amount
Benefits are paid in a lump
sum but insured can make
claims up to annually. Each
claim requires recertification
2% of LTC specified amount
chosen
Up to $9,900 - max per diem
Lesser of $5M or 90% of
eligible DB
Death Benefit at time of Initial
Claim
Lesser of $1M or 80% of DB
at time of issue
LTC Specified amount chosen
Lesser of $1M or 90% of DB
There is a ratio and formula
that applies, see Lincoln
marketing materials
Dollar for Dollar reduction,
plus $150 each year and
mortality and interest charges
Dollar for Dollar Reduction
Dollar for Dollar Reduction,
plus mortality adjustment
charge
Dollar for Dollar reduction
Dollar for Dollar Reduction
Policy values will be “prorated down”
Proportional Reduction
Proportional Reduction
Proportional Reduction
Dollar for Dollar reduction
Proportional Reduction
Available Products
Lincoln VULOne, Lincoln
LifeReserve IUL Accumulator,
Lincoln Life Guarantee UL
Promise Whole Life, Promise
WL 120, PWL Select 10, PWL
Select 20, PWL Select 65
Eclipse Indexed and Eclipse
Protector Life, Accumulated
UL and VUL
GUL, GUL Plus, AccumUL
Answers, GUL Express
YourLife NLG, YourLife CAUL,
YourLife IUL,Accum VUL,
Protection VUL
Lifetime Platinum III, Pro
Classic UL, Lifetime
Advantage, Plus
Lapse Protection on Claim
Rider charges cease, policy
charges continue, policy won’t
lapse as long as claim is
active
No
If policy would otherwise
lapse, benefit payments and
remaining unpaid DB is
guaranteed
Premiums are still required,
but ongoing COI’s are
adjusted proportionally
If policy would otherwise
lapse, benefit payments and
remaining unpaid DB is
guaranteed
CA, FL, HI, IL, MD, MA, MN,
NY, OH, PA, VT, WA
CA, CT, FL, IN, KS, LA, MA,
NY, OH, WA,
CA, FL, HI, NY, TX, VA, WA
CA, CT, VI, NY
MN, MT, WA
Monthly deductions cease
while the policy is on claim.
Benefit payments will continue
until the insured no longer
qualifies
CA, CT, FL, NY
Rider Name
Issue Age
Tax Qualified Status
Qualification for Benefits
Benefit Payment
Max Monthly Benefit
Max Total Benefit
Claim Impact on DB
Claim Impact on Policy
Value
State Restrictions
• Condition is expected to be
permanent
• Unable to perform 2 of 6
ADL’s, or
Needs substantial
•
supervision due to cognitive
impairment
•
Certification that the insured is
unable to perform 2 of 6 ADL’s per
physician statement, and/or
• Certification by physician insured
as severe cognitive impairment
•
•
•
Inability to perform 2 of 6
ADL’s
Written certification that
•
insured is chronically ill, and
in need of services
Re-certified annually
•
• Expected to be permanent
!
!
Prudential
Symetra
Transamerica
Genworth
North American
Pacific Life
Benefit Access Rider
Accelerated Death Benefit
Long Term Care Rider
Accelerated Benefit Rider for
Long Term Care Services
Chronic Illness Accelerated Benefit
Rider
Premier Living Benefits Rider
20-80
20-85
18-80
18-65
15 days - 75
18-75
Tax Qualified Status
101 (g) - Life Insurance Death
Benefit
101 (g) - Life Insurance Death
Benefit
7702B - LTC Insurance
7702B - LTC Insurance
101 (g) - Accelerated Life Insurance
Death Benefit
101(g) - Life Insurance Death
Benefit
Qualification for
Benefits
•
Physician certification that
insured is permanently
unable to perform 2 of 6
ADL’s, or
• Physician certification that
insured is suffering from
cognitive impairment
• Expected to be permanent
• Physician certification that
insured is suffering from
cognitive impairment, or
• Physician certification that
insured is unable to perform
2 of 6 ADL’s
• Expected to be permanent
• Certification that insured is
chronically ill
• Unable to perform at least 2
of 6 ADL’s
• Certification that insured is
chronically ill and will need
help for at least 90 days, or
Diagnosed with severe
•
cognitive impairment
requiring substantial
supervision
The owner qualifies for benefits if a
physician has certified within the past
12 months that the insured is chronically
ill
Expected to be permanent
•
Monthly Indemnity
Indemnity
Monthly Indemnity
Monthly Reimbursement
Monthly Indemnity
Monthly Indemnity
Use of Benefit
No restrictions
Not Specified by Rider
Adult Day Care, Assisted
Care, Home Health Care,
Intermediate Care, Respite
Care, Skilled Nursing Care
Adult Day Care, Assisted
Care, Home Health Care,
Hospice Care, Intermediate
Care, Skilled Nursing Care
Not Specified by Rider
Not Specified
Waiting Period
None
90 continuous days from time
of certification
90 Days of Service
0 Day for HHC, 90 Day for
Facility
90 day elimination
0 Day
2% of the DB at time of claim,
not to exceed lesser of IRS
per diem limit or iRS per diem
limit at time of issue
compounded at 4% annually
Can take a lump sum or
monthly payments that can
last up to 10 years
2% of per diem amount
allowed by IRS x (days in
month)
2, 3, or 4 year benefit periods
available. Max monthly
benefit amount is DB divided
by # of months, up to $25k /
month
Benefit payments can be made annually
or semi-annually. Maximum election is
the lesser of 24% of DB or $240k
2%
Lesser of DB or $5M
Lesser of $250k or 50% of the DB
DB at time of Initial Claim
$1.2M
95% of DB, up to $1M
$1.5M
Dollar for Dollar Reduction
Benefit payments are taken
as a loan against future DB
with interest charges
Dollar for Dollar Reduction
Dollar for Dollar Reduction
Dollar for Dollar reduction, plus $250 fee and
mortality discounting charged at each election.
Dollar for Dollar Reduction
Proportional Reduction
Policy values are impacted by interest
charges described above
Proportional Reduction
Proportional Reduction
Proportional Reduction
Proportional Reduction
Available Products
PruLife Founders Plus and UL
Protector
Symetra Classic
TransAce
Foundation Builder IUL, Asset
Builder IUL
Guarantee Builder IUL, Rapid Builder IUL,
Custom Growth CV, Custom Guarantee, Custom
Guarantee III and Custom Term UL
UL, VUL and IUL
Lapse Protection on
Claim
The policy can not lapse while
on claim.
Regular charges still apply
Policy will not lapse while the
rider benefits are being
received even if the policy’s
net CV is not sufficient to pay
the monthly deduction due
Policy charges waived during
claim. Any loan outstanding
and loan interest would still be
charged against policy values.
While an election is in effect or if at least
50% of the DB has been accelerated,
lapse checking will be suspended
Can lapse while on claim
State Restrictions
AK, CA, CT, DE, MS, MT, NV,
NH, OR, VA
CA, NY
CT, DE, FL, MT, NJ, NY
CA, CT, FL, NY
CA, NY, FL, KY
NY
Rider Name
Issue Age
Benefit Payment
Max Monthly Benefit
Max Total Benefit
Claim Impact on DB
Claim Impact on
Policy Value
Certification insured is
unable to perform 2 of 6
ADL’s
Supervision due to a
•
cognitive impairment
• Expected to be permanent
•