Can I Change My Health Insurance Now?

For people who have been without health insurance during the pandemic, relief may be in sight. President Biden signed an executive order this past January to open up the federal health insurance marketplace for three months so uninsured people can buy a plan and those with plans can make changes.

Since 2016 the number of Americans without health insurance has reached 30 million by 2019. The Covid-19 pandemic has made a bad situation even worse with millions losing their jobs and the insurance coverage that comes with it.

Typically the enrollment period runs from November thru early December. If one needed to get coverage outside of that window of time, they had to have a life-changing event, such as the birth of a child or loss of coverage from an employer. These changes would trigger a Special Enrollment Period (SEP). 

The new enrollment period started on February 15 and continues for three months, much longer than usual enrollment periods. With that the Biden administration plans to run an outreach campaign with paid advertising and direct-to-consumer marketing in hopes of attracting new people to the insurance pool.

The enrollment window for people in states that use the federal marketplace is open to anyone who is uninsured and would normally be eligible to buy coverage on the exchange. Those with incomes up to 400% of the federal poverty level (about $51,500 for one person or $106,000 for a family of four) are eligible for premium tax credits that can substantially reduce their costs. 

With the new special enrollment period, how long someone has been uninsured isn't relevant, nor do people have to provide documentation that they have lost their coverage through work.

For those who already have a marketplace plan but want to change to a different plan, this is a great opportunity to do so. Otherwise they would have to wait until the end of the year. Also, now is a great time to update information regarding job status and income as well.

Healthcare.gov has become easier to manage for the consumer in the last few years when it comes to making changes or looking for forms. Especially now that we are in tax season, many people will need their 1095-A form. 

At Surf Financial we have made getting health insurance easy to apply for our friends in North Carolina, South Carolina, Virginia, Tennessee and Georgia*. By going through our portal to the Health Sherpa system they can see rates and compare them easily.

An interesting wrinkle of late in all of that some of the "Blues" (Blue Cross and Blue Choice) have decided to send letters out indicating that there would be some pretty hefty rate increases starting April 1. From the letters I've seen the clients are going to be subject to increases of around 19%. In my estimation I think the insurance companies are using the SEP as a reason to increase their prices now instead of waiting for the end of the year. 

If you do not currently have health insurance and need some, check out the portal above and you can start shopping for insurance. And if you already have coverage but are interested in changing, you can do the same. And if you have questions, drop us a note. In the meantime, please stay healthy!

*Those are the states we are licensed in currently.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

Do People Have Enough Life Insurance?

Many Americans do not have nearly enough life insurance to support their families’ needs. In fact, about 44% of families say they would face financial hardship in six months if the primary wage earner were to die, noted David Levenson, president and CEO of LL Global, in a recent video presentation. Now, a group of life insurance organizations is aiming to change that.

LL Global, the parent organization of life insurance researcher LIMRA and LOMA, is helping lead an effort with industry trade associations and more than 60 of their largest member companies and distribution partners to close the life insurance coverage gap. One initiative is encouraging financial professionals to engage with their existing clients to look at the adequacy of their protection. 

"Most people think it’s just to pay for funeral expenses; but the word ‘life insurance’ is really a misnomer," Elsie Theodore, a Virginia-based regional vice president of Primerica, told Investopedia. "Can anyone really insure someone’s life? No, ‘life insurance’ is really income replacement. Its purpose is to replace the income of the breadwinners in the household."

As a general rule, she added, “When you are trying to determine how much coverage you should have, you must first look at your annual income then multiply by 10. You make $100,000 a year, your life insurance should be at least $1 million.”

That number may seem high but the priority is making sure that loved ones can stay in their home, take care of the everyday bills and even provide for education costs if children are still in the picture.

A major problem today, Theodore noted, is that many people rely solely on the group life insurance provided by their employer, which is often inadequate. Typically those policies only provide coverage for one or two years salary replacement. Also, they may or may not be portable, which means if the the employee changes jobs the policy might not be there when their family needs it most. 

According LIMRA’s research, about 60 million American households don’t have the proper protection for their families, with an average deficiency of $200,000.2

What's more, the problem is worse than it was in the past. While 63% of Americans had life insurance coverage a decade ago, that number had dropped to 54% by 2020, LIMRA says.

There are a lot of contributing factors to the incomplete coverage, including changes in individual life
distribution, employment-based benefits, worker participation rates, family and household make-up, and population demographics. People also have competing financial priorities.

In addition, there are misconceptions about price point, need, and ease of purchasing, particularly among Millennials. This is ironic when you realize that most of them grew up with phones and most agencies are trying their best to make insurance coverage accessible on mobile devices.

As LIMRA points out, the COVID-19 pandemic has highlighted the fragility of life and focused more Americans on the role of life insurance.

Theodore recounted one particularly sad situation: "After a few attempts to get this one client to sit with me and get her plan started, she called me because she had 13 members of her family die from COVID-19 and not a single one had insurance. That was an unfortunate wake-up call.”

The life insurance industry has also responded to the pandemic by adapting its sales practices. Companies have made significant advancements in the ability to deliver a fully digital purchase experience so consumers can choose to buy a policy when, how, and where they want. Understandably, insurance carriers are increasing the availability of web based applications and decreasing the requirements for in person medical exams. 

If you aren't sure if you have enough coverage, let us help. In the meantime, please stay healthy!

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

What Is The Current State Of Long Term Care Part 3

In the previous posts we took a look at what Long Term Care (LTC) is as well as how those who suffer from chronic illnesses are cared for in various types of facilities. As explained, stays in nursing homes and assisted living facilities are not cheap. Statistically 2 out of every 5 people will need some sort of LTC services, and the cost of those services is steadily rising each year. 

We also discussed a couple of ways to shift the burden of the expenses to an insurance carrier, through either a traditional stand alone Long Term Care insurance (LTCI) policy or a life insurance policy with living benefits. Depending on one's financial situation, age and health conditions, one option may be preferred over the other.  However, there are still another way to help cover the costs of LTC services. 

Short Term Home Healthcare (STHHC) insurance is a great alternative for those who possibly can't afford the premiums of a LTCI policy. As most people would prefer to stay in their own homes instead of a facility, a STHHC is an obvious choice. Especially with Covid wreaking havoc in nursing and assisted living facilities. home healthcare is a better option. But there is a caveat. 

The costs of home healthcare are much higher than staying in a facility. This makes sense if one considers that one-on-one care will cost more compared to a facility where several staff members watch over dozens of people at once.

As I mentioned in a previous post, my father suffered from Parkinson's Disease and insisted on being in his own home. His in-home care company was charging him in excess of $75,000 each year! He barely had the funds from his pension and some rental incomes and fell short each month. To subsidize the shortfall he was dipping into his home equity line, which our family was unaware of until he passed away. 

A better way to pay for the cost of home healthcare is the purchase of a Short Term Home Healthcare insurance policy. The cost of one of these policies is not nearly as expensive as a traditional LTCI plan and the application process is very simple. However there are a few drawbacks. 

The policy only covers in home care and for a total of 365 days. Given that some people only receive in-home care services a few days of the week, the 365 days don't have to be consecutive. In other words, the policy can be used over several years potentially. 

The applicant for one of these policies must be 60 years old and the rates do go up every five years, so these are points that must be taken into consideration. However, I still recommend this coverage to our clients who are looking into LTCI. 

For a good explanation of the policy and how it works, you can watch a short video by clicking here. 

Trying to self-fund long term care expenses is difficult for the vast majority of Americans. There is a myth that the government will take care of us, but it's not true. With our life spans getting longer it doesn't mean that the quality of life is better as we age. Making sure that we don't burden our families as our health declines should be a priority for most people. 

As we plan for our retirement years we need to seriously take into consideration that our health will decline and there will be expenses to deal with. Let us help you with planning and if you have any questions let us know. In the meantime, please stay healthy!

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

What Is The Current State Of Long Term Care? Part 2

In the previous post we looked at Long Term Care (LTC) services and when people need them. Included in that summary was how expensive LTC can be. As discussed, someone can work their whole life to build a nest egg of assets, only to have those assets depleted due to a chronic illness. The alternative is to shift that financial risk to an insurance company by taking out a policy while one is still insurable. 

We also covered one of the options which was a life insurance policy with "living benefits" or a LTC rider to help cover these expenses. One advantage of this is that if the insured should die unexpectedly, the policy will still pay a death benefit.

Another option is the traditional stand alone Long Term Care Insurance (LTCI) policy. These insurance policies have been around for a relatively short period of time and there have been a lot of changes over the years. And even though they are pretty comprehensive in that they can help pay for care in a facility or for "in home" care, they also can help pay for other expenses, like construction of a ramp or "informal caregiver" training, when a family member is involved. 

There are other issues that one needs to be aware of when it comes to LTCI. First, the underwriting process is different (as in stricter) when someone applies for coverage. The carrier may want to have a cognitive test done, for instance. I had a client get declined for coverage because he had a history of heart problems and smoked a few cigars each week. Separately they may not have been a problem but the underwriter put the two together and saw that as a potential risk. 

Also, most stand along LTCI policies usually have a provision that allows the carrier to raise the rates on the policy, unlike the previously mentioned life insurance which would "lock in" on a rate. After the financial crisis of 2008, several companies increased their rates on their in-force books of business, some doing it more than once. For those who are trying to do the right thing and plan ahead, this provision can come back to bite them.

Yet another thing to consider is that a lot of insurance carriers have gotten away from offering LTCI policies. These companies have either stopped selling new policies but still keep the old ones on their books, or they have sold the books of business to other carriers. This is due to the fact that when these policies were developed they did not have a lot of claims history to go on when setting the premium rates. As claims mushroomed, the number of carriers offering these policies shrunk. 

One more thing to be aware of is how these policies pay. Typically, LTCI pays claims as a reimbursement, which means the insured will need to send the bills for LTC expenses to the insurance company. Most nursing and assisted living facilities will take care of this matter for you, but remember that if you are a patient in one of these facilities you may need to rely on a family member to handle this. 

With all of that to consider, I still think that LTCI can be a great value as long as the client is aware of how they pay benefits and the multitude of features. A good agent will discuss all of this with a prospective client in detail and should also include other family members as well. These policies may seem expensive but can save you and your loved ones tens of thousands of dollars.

In the next post we'll look at one more option that is available. In the meantime, please stay healthy! 

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

What Is The Current State Of Long Term Care? Part 1

Over the past year nursing homes, assisted living facilities and other facilities that house the chronically ill, mostly the elderly*, have been ravaged by Covid. The numbers of infections and deaths are heartbreaking, especially since the vast majority of these people are isolated from their families. But why are all of these people in these facilities to begin with? Are there other options available and what do those options cost?

In general terms, most of the people who are in these types of facilities are deemed "chronically ill", which means that they will be ill for a long period of time and there is no cure. Some will receive some rehabilitation but getting them back to 100% is not possible. An example of this could be an older person who has broken a hip which will prevent them from walking again. 

Medically speaking, long term care (LTC) services are for those who are unable to perform or need help with Activities of Daily Living (ADL's). These are:

• Bathing
• Transferring (going from the bed to a chair, for example)
• Dressing
• Using the toilet
• Eating
• Incontinence

Paying for these services can be expensive. Many people find out too late that Medicare will not cover the costs of assisted living facilities and will only pay for skilled nursing care for up to 100 days, and that is only if you are released from a hospital. In other words, the smart move is to begin looking for LTC insurance early on when you are healthy and insurable.

Most LTC policy's benefits will be triggered if someone is unable to perform two of the six ADL's. Another way to trigger the benefits is to be cognitively impaired, i.e. Alzheimer's or dementia.

There are other types of facilities as well, which mostly are non-medical. Think of an apartment but has meals and someone checks in on you. LTC policies generally don't cover these types of facilities.

Let's assume that you are reading this and are healthy enough to go through the underwriting process with an insurance carrier. What are your options? My suggestion is to call a few facilities in your area** to find out what they are charging their patients. Most are pretty good at giving you rates, but be aware that some will give you a monthly rate and others a daily rate, which is an industry norm. 

With that valuable information at your disposal you can begin to look at ways of covering those costs. Needless to say, these services can be very expensive and it can easily take a few years to wipe out any assets one may have spent a lifetime working for.

Let me say right off the bat that there are a limited number of available "Medicaid beds" in each facility, but to be eligible for those one has to prove a level of indigence. In other words, you are limited in the assets you own and there is a "look back period", which at the time of this writing was 60 months. This is to avoid someone from transferring all of their assets to a family member so they can get free nursing care. 

Going back to our options, if you are young enough you may want to look into a life insurance policy with LTC or "living benefits" as part of the policy or even a rider. This locks in the rate for your coverage and if you should pass away before you use it the life insurance will pay a death benefit to your loved ones. 

The nice part about this option is that it pays you a percentage of the face amount of the policy once your doctor says that you can't perform 2 of the 6 ADL's or if you are cognitively impaired. Once the benefits are triggered they pay until they run out.

In the next post I will go over a couple more options. In the meantime, check us out on the web and please stay healthy!

*One of the myths of nursing facilities is that only the elderly are patients, when in fact nearly a third of the patients are under the age of 65.

**Costs vary dramatically depending on your geography.  

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

What Is Your Insurance Agent's Work Situation?

Have you ever wondered why some insurance agents like to suggest some insurance products or companies more than others? There are a lot of reasons why this happens.  Some reasons may be legitimate concerns while others may have to do with the agent and his relationship with the carriers. Let's take an objective look at why this happens. 

To begin with, there are generally two types of agents. "Captive" agents work for insurance companies with an exclusive agreement to only sell their products and products of other carriers that have some sort of pre-arranged contractual obligation.

An example of this is when briefly worked with a company who had a limited menu of policies. We had term and universal life, a horrible cancer plan and an accident policy. There were agreements in place with other companies to sell their health plans and long term care plans, but generally speaking those policies were not very good. 

In exchange for working with this company as a captive agent we were given weekly training, a cubicle with a land line telephone, and other office accoutrements, like a receptionist and access to a fax machine. Sometimes there are even some benefits included, like health coverage.

As a captive agent, one is generally required to hit sales numbers that are mandated by the carrier and the agent is actively overseen by a manager*. This is part of the answer to our original question.

On the other hand, an "independent" agent can offer a wide variety of products (not including the ones from the captive companies), but for the most part have to take care of covering the costs of overhead, like rents and phone bills. No benefits here though, as the agent must pay for these costs. There are no sales quotas or managers, just agents trying to find the best fit for the client. 

Years ago I worked with a company that had a blend of the two scenarios, where we had to hit the company's numbers to retain our contract and benefits, but were still free to offer products from other carriers. One agent sold the bare minimum of our employer's products but preferred other products because they were less expensive for the clients and paid her higher commissions.

The issue for consumers is that they don't know if their agent is always working in their best interest or not. As someone who has worked in both types of agencies I can say that for the most part agents are trying to do the best they can for a client. However, there are those who, because of the limited variety of products they have available to them, will try to sell something that may not be a great fit.

I have worked with both formats over the years. In my opinion, working with a captive company is especially good for newer agents who would like training on subjects from product knowledge to prospecting for clients. After a year or so of this, the agent may decide to move over to an independent status. My personal preference is to work independently. I still take advantage of training opportunities when they come along, but the less structured work environment means that I can be available for a client when they need me. 

An old veteran agent once told me that captive agents work for a company, while independent agents have companies who work for them. And if the companies don't do their job right, the agent can fire them. It's true to an extent, as I can stop placing business with an insurance carrier anytime. 

 *The sales manager is always looking over your shoulder, even when he's not there. 

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

How Can I Get Quotes For Life Insurance?

Over the last year or so, we at Surf Financial Brokers have made changes in our business model to make it a lot easier for our clients to purchase various types of insurance. Even before the Covid pandemic forced businesses to go virtual, we were thinking of ways to alter our business model. The events of 2020 just forced us to speed up the process. 

The most noticeable changes were on our website, which originally just had product information and some contact forms to let us know when someone had questions or needed a quote for life insurance, dental or cancer plans, hospital and accident coverage. 

Over the past 12 months we have added some buttons on our "Products and Quotes" page which allow people to get their own quotes and, in some cases, start an application. There was one area where we were lacking and that was the life insurance quoting tool, which only quoted one of our carriers. As of this week, that has changed. 

After some intense negotiations* we have entered into an agreement with a national brokerage firm to use a quoting tool that is consumer friendly and offers quotes from multiple insurance carriers. These are top tier companies who offer great life insurance products. The easy-to-use format helps get a more accurate quote**. 

One of the nice parts of this quoting tool is that it let's the client know if which policies require paramed exams. For some people, the thought of a nurse with a needle will deter them from getting the coverage they need. Besides telling you which policies won't require an exam, this tool also gives other information. Do you want to know which policies include living benefits, for instance? That will show up as well. 

Say someone is looking for a rate for coverage and they see several term policies pop up. That's great, but they want permanent coverage. This person can just click on the "Permanent" button and the quoting system finds those rates too. It is all very easy to use.

Another great piece of information is the estimated length of time it takes to actually get a policy issued. Listed as "Average Approval Time", this lets our client know how long, on average, it is taking for life insurance polices to get approved. These are estimates, but when one runs a few quotes they can see how each insurance carrier stacks up. 

But that is just part of this system. Let's assume that our client sees a quote they like. What do they do next? Our client can click on  the "Apply In Minutes"  button and begin completing an application. It really is a very easy process and only takes a few minutes. 

Looking for coverage never has been easier. Try our new quoting tool to find a policy that fits into your budget and make sure that your family will be financially secure if something should happen to you. Give it a try and let us know what you think. Your feedback is greatly appreciated!

Remember, life insurance is to give you peace of mind. If you have questions, let us know. And in the meantime, please stay healthy!

*Not really, but it sounds good.

**Rates are estimates and are subject to underwriting.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!