4 Things People Should Know About Insurance

One of the reasons for starting this blog was to help educate the public in the many facets of insurance. The business can be confusing for most people (including some agents). There are many kinds of insurance from the property and casualty side which included auto, homeowners and business policies, to the life and health side of the business. Even though I have licenses that allow me to sell both kinds, I prefer to concentrate on the life and health part. Here again, there are a lot of different products in that category alone. 

Here are just a few life and health insurance products:

• Major Medical
• Term Life insurance
• Whole Life insurance
• Universal Life insurance (traditional and indexed)
• Long Term Care 
  
• Annuities (Fixed, indexed and variable)
• Disability Insurance
• Critical illness
  
• Cancer plans
• Accident plans
• Hospital Indemnity
• Dental
• Vision

And that is not a complete list. Each of the ones listed above can be broken into a few more subtopics. The average consumer is not expected to know all of the nuances of each product. But for those of us in the industry, we need to be aware how each product works and when it is appropriate to suggest it for each client.

However, there are times when a client knows nothing about insurance. For instance, someone may tell me that they absolutely have to have a whole life insurance policy. When I ask why they feel they need a whole life policy they may say something like "My father said he always had it so I need it." Obviously that is not a valid reason as a term life policy may be more appropriate and could save the person a lot of money.

With this in mind, I wanted to make a short list of things everyone should know about insurance, especially life and health products.

1. Life insurance can change as your life changes. A young couple with small children may need term life early on, but as the kids move out of the house and the mortgage gets paid off, their life insurance needs change.  

2. Disability insurance is just as important as life insurance. If you die, your life insurance will pay a lump sum of money to your loved ones, who will be sad but will continue to move forward with their lives. However, if should unexpected get seriously ill or have a accident, your family will need to replace your income as well as taking care of you. Disability insurance is really paycheck insurance and it allows your family to continue paying the bills while you recover. 

3. Being chronically ill is a very expensive proposition and Long Term Care insurance (LTCI) can help cover those costs. We all know someone who is in a nursing home, assisted living or other type of senior care facility. Depending on the location the annual costs of these facilities can easily be from $30-50k each year. With the pandemic ravaging facilities, most people would prefer to stay in their own homes, but that can be even more expensive. Round the clock care can run twice the price of a facility.

4. Don't pay attention to "financial gurus" who give generic advice on TV or the radio. The truth is that everyone has a different financial situation and each needs to be treated uniquely. For example, I cringe when I hear someone say "Buy term and invest the difference. That may be a good strategy for some people but others may be better off with permanent life insurance.

Another one of these geniuses says buying LTCI is a bad idea before the age of 50. He fails to mention that about a third of those receiving long term care services are under 60. Again, everyone has a different situation.

I hope this helps you with some basic information you need when it comes to your family's financial security. As I always say, insurance is the one product we buy hoping to never have to use it. If you are interested in seeing what some coverages cost, feel free to run a few quotes on our website. 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!

 

 

Do I Have To Pay Taxes On Disability Insurance?

If you have been receiving disability benefits from an insurance company you may be wondering if you are responsible for paying taxes on those benefits. The answer really depends on the type of coverage you have and how the insurance premiums are being paid.*

For instance, if you are receiving benefits through a plan that is offered through your employer and the employer is paying the premiums, then those benefits are taxable as income. However, if the premiums are being deducted from your paycheck your benefits are tax-free.

Another time it will be taxed is when it is deducted from someone's paycheck on a pre-tax basis. Yes, pre-taxing the premium will look like you are paying less, but having your benefits taxed when you need them most is not worth the savings. (FYI Life insurance should never be pre-taxed either).

Let's consider what happens if you have an individual disability policy that you have purchased on your own. In a nutshell, the same rules apply. If you are paying for the policy with after-tax dollars then the benefits should be tax-free. However, if you own a business and have the premium payments coming out of the business's checkbook, then those benefits will be taxable. 

The IRS says that Social Security disability benefits may be taxable if one-half of your benefits, plus all of your other income, is greater than a certain amount which is based on your tax filing status. Even if you are not working at all because of a disability, you would still have to count any unearned income such as tax-exempt interest and dividends. If you are married and file a joint return, you also have to include your spouse's income into the calculation, even if your spouse is not receiving any benefits from Social Security.

This all may sound confusing but the concept is a simple one. If you are paying for your disability coverage, whether it comes from your personal bank account or through payroll deduction, you more than likely will not have to pay taxes on the benefits if you should need to file a claim. However, if the premium payment is coming from your employer or you decide to pay it out of your business account, then it will probably be taxable. 

You may not have a choice when it comes to your employer offering to pay for your coverage. I have seen instances when the employer pays for a Long Term Disability (LTD) policy, which does not start paying benefits until 3 or 6 months after the date of the disability, so the employee needs to fill the gap for those first few months without coverage with a Short Term Disability (STD) policy. 

The key here is awareness. If your policy is being paid by your employer, and if you are out of work due to illness or injury, your benefits could be much less than what you would expect. Using easy math for an example, let's assume you make $100 each week. Your disability policy pays 60% of the gross pay, so if you need to file a claim you should be receiving $60, but if it's taxed, that could drop to below $40. Ouch! And finding this out after the fact makes matters even worse if you have tried to set a household budget in place. 

With all of this in mind we still think of Disability Insurance as part of the Holy Trinity of insurance (with life and medical insurance). It's an important yet overlooked part of a financial game plan, especially in the midst of a pandemic. If you have questions about coverage, drop us a comment. In the meantime, please stay healthy!

*The advice here is in general terms and we suggest you consult your tax professional for specific information.

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!

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!