WHAT IS LIFE INSURANCE AND WHO NEEDS IT?

The death of a loved one is not only emotionally devastating, but can also lead to financial challenges for surviving family members. This is particularly true when the deceased was the primary income earner in the family. Funeral and burial expenses are unavoidable, but when also faced with home mortgages, living expenses, and children's educational fees, survivors may find themselves struggling to make ends meet. A life insurance policy, which often serves to replace the deceased wage earner's income, can protect you and your loved ones from facing such a situation.

What is life insurance?

Life insurance is a contract between an individual (policy owner) and an insurance company (insurer). The policy owner agrees to pay periodic premium or lump sum in exchange for the insurer's promise to pay a particular sum of money (death benefit) to certain individuals (beneficiaries) upon the death of a specified person for whom the policy is purchased. The person covered by the life insurance policy (insured) may or may not be the policy owner. But, for purposes of this book, we will assume the policy owner and insured are the same.

Who needs life insurance?

Life insurance is needed anytime there is a situation where an income earner is responsible for the financial needs of another. In other words, if you do not have any dependents, you likely do not need life insurance. Also, you may not need life insurance if you are not responsible for making a significant portion of your family's income.

You should consider purchasing life insurance if you fall in one of the following categories: As the list above makes clear, most anyone can identify a need for life insurance. Coverage will allow loved ones to avoid much of the financial hardship that may incur in the event of death.

What types of life insurance are available?

There are primarily two types of life insurance that you can choose from, term or permanent. Within the term and permanent categories, you can select among various policy options in accordance with your immediate and long-term needs.

Term Life Insurance

Term (also known as level premium) insurance is probably the purest of all of the life insurance policies. In exchange for payment of a premium, it provides a set death benefit for a beneficiary if an individual dies during a specified period of time. The maximum length of term life insurance policies is set at thirty years.

Here are two examples of term insurance in action: Two points to remember about term insurance are:
While level term life insurance is the most common, four variations-increasing premium, decreasing premium, annual renewable, and return of premium (ROP) term life insurance-are also available.
Below is a brief discussion of these types of term life insurance:

Term Life Insurance Options

If you purchase one of the above variations of term insurance, you may opt to add additional features to your policy. These include either a:

Term Life Insurance Points to Note

There are a few points you should keep in mind when purchasing term life insurance:

Permanent Life Insurance

Unlike term insurance, permanent life insurance (also known as cash value) stays in force for your entire life. That means that the death benefit will be paid whenever the insured dies. In fact, the policy generally matures when the insured turns 100 (although this can vary and be as high as the age of 121). At that time, if the insured is still alive, the full policy value is paid.

Permanent life has two features. First, like term insurance, it pays out a death benefit. Second, it introduces a new component to the policy, cash value. The policy accumulates cash. Cash that eventually returns to the policyholder.

That means that part of your premium goes to pay for the death benefit and the other parts builds up the cash value. The cash value adds turns life insurance into a tax-free investment vehicle in addition to insuring your life. It is very similar to a retirement plan asset. After some time and after some cash has accumulated, you can have access to the money.

Some points to note: Following is an example of how cash value works. This applies to all of the permanent life insurance policies:
There are variations of permanent insurance that can be purchased. They all have a death benefit and a cash value component. They are called whole life, universal life and variable life.
There are five major variations of permanent insurance that you may purchase:

Permanent Life Insurance Points to Note

There are a few points you should keep in mind when purchasing term life insurance: See Appendix B for a summary of the different term and permanent life insurance policy variations for easy comparison.

Are there any other types of life insurance?

Other than term and permanent life insurance and their variations, you can purchase survivorship and first-to-die life insurance.

HOW CAN I ENHANCE OR MODIFY MY LIFE INSURANCE POLICY?

You can opt to either expand or to limit either your term or permanent life insurance coverage through riders, which are optional provisions that can be added to the original policy. In most instances, riders are purchased to add benefits that are not included in the policy. Examples of riders include:

HOW MUCH INSURANCE DO I NEED?

The amount of insurance you need depends on the purpose for which you are purchasing the policy. While the purpose behind purchasing life insurance is unique for each individual, policies are commonly purchased to meet one of the following four objectives:
  1. Annual Income Objective: Many purchase life insurance with the intent of providing their loved ones with a replacement for any income that will be lost due to the insured's death. Thus, they insure for the amount of money needed to ensure those dependent on the deceased's income can live comfortably and maintain their standard of living.
  2. Interment Objective: Some purchase life insurance for the purpose of covering funeral and burial costs. Rather than burden loved ones with interment expenses, a death benefit can be used to pay for most, if not all, of these expenses.
  3. Educational Objective: Others purchase life insurance to ensure that if they die, their children will still be able to pursue and complete their education without financial strain. Thus, they insure for the amount of money needed for the schooling of children, e.g., private K-12 and post-secondary education. Death benefit funds can either subsidize or pay in full the costs of tuition, books and related fees.
  4. Charitable Objective: Still others purchase life insurance with the purpose of making a charitable donation upon their death. In this case, insurance is for the amount of money that an individual would like to bequeath to organizations, e.g., nonprofits and philanthropic entities, to support specific causes and initiatives. For example, this might include applying either a portion or all of a death benefit towards a scholarship fund, an arts program or a community initiative.
In the event you purchase life insurance with an interment, educational or charitable objective, calculating the desired death benefit is relatively straightforward. Determine the cost of the expense for which you are purchasing the insurance and that will be the amount of insurance you need.
Typically the death benefit of a life insurance policy serves to replaces the income of the deceased earner. Calculating the death benefit in such a case is a little more involved.

To determine how much life insurance you might need, use your net monthly income as a starting point. Then move to expenses. Total all of the expenses your income covers. From this amount, subtract your personal expenses. These would include clothing, food, club memberships, hobbies, etc. The resultant amount is what you want your benefit to be.

Also, factor in one-time items such as college expenses, paying down debt, funeral costs and any others you can think of. Add these to the continuing expense amount. That will be optimal benefit amount you may want to consider.

The calculation might work like this: Another approach suggests insuring for a death benefit amount that is somewhere between 5 to 10 times your annual salary.

Individual needs, your budget, and the economy can also determine the final benefit amount you select.

See Appendix C for a worksheet that can help you calculate how much insurance you need to purchase.

HOW MUCH WILL LIFE INSURANCE COST?

The cost of life insurance is primarily dependant on: But in addition, the following factors play a role in determining cost: By evaluating these kinds of factors, insurance companies classify individuals in one of three risk classes: Premiums are then determined based on the risk class and the desired insurance type and death benefit.

HOW DO I SELECT A LIFE INSURANCE COMPANY?

When selecting a life insurance company, shop around. Insurance rates vary from insurer to insurer.

Whether you find a life insurance company yourself or go through an agent, consider these three criteria when selecting a life insurance company: Furthermore, the National Association of Insurance Companies (NAIC) has developed standards that most states have adopted to provide potential policy owners with details about the policies that they are considering. Life insurance agents should be able to provide sales illustrations to help you compare and contrast items across various policies and across insurers so that you can make an informed decision about what how much to spend on what type of life insurance policy. A sales illustration indicates a policy's expected premium rates, projected earnings and any possible fluctuation in death benefit. These are nonguaranteed elements based on the insurer's assumptions on future mortality experience and investment performance. It is important to recognize that since interest rates and administrative costs may change over time, actual premium rates and cash value in the future may differ from what a sales illustration suggests. To better understand a sales illustration that an insurer provides, you should ask the following questions:

Additional Considerations Before and After Purchase

You should make an informed decision about life insurance needs and coverage to ensure the best possible benefits. It is important that you are thoughtful when choosing a policy as well as pragmatic after you purchase it.

ARE THERE ANY REQUIREMENTS TO QUALIFY FOR LIFE INSURANCE?

If you wish to obtain life insurance coverage, you must complete and submit application materials that may require the disclosure of your personal and medical history information. This may include details from medical examinations and tests. Because this application will be included in the policy contract, it is critical that it be completed as accurately and as thoroughly as possible. Any inaccurate and/or incomplete responses may result in either coverage denial from the outset or eventual coverage termination or claim denial.

Different types of policies require different amounts of disclosure. If you wish to purchase life insurance, you must decide which of three types of policies they prefer:
  1. Underwritten Policies require the insured to undergo a medical examination that is arranged and paid for by the insurer and to answer questions about personal and family medical histories. People who are generally healthy will most likely receive the best premium rate from this kind of policy. Most term and whole life insurance policies are underwritten.
  2. Simplified Policies require the insured to answer medical questions about personal and family medical histories, but do not require a medical examination.
  3. Guaranteed Policies require the insured to neither undergo a medical examination nor answer personal and family medical history questions.
Because insurers assume that individuals who opt for either simplified or guaranteed policies may be in poor health and/or be subject to some hidden risk, these policies are typically more expensive per $1,000 of coverage than underwritten policies. In addition, they tend to provide less coverage, e.g., up to $25,000, and may require a specified survival period for a death benefit to be paid. These types of policies are frequent coverage of the elderly.

HOW IS A LIFE INSURANCE POLICY CONSTRUCTED?

All life insurance policies whether they are term or permanent life contain the following five basic components:

WHAT IF I DON'T NEED MY LIFE INSURANCE POLICY ANYMORE?

If you have experienced the loss of a loved one, have medical bills that need paying, are facing a divorce, or know that the beneficiaries no longer need to be protected, you might not need the life insurance policy any longer.

You could let the policy lapse by not paying the premiums. You also could surrender it for its cash value. However, you might want to consider the fact that many types of life insurance policies are assets that can actually be sold.

Most types of life insurance policies can qualify as long as they have been in existence for over two years. The most common are variable life, convertible term-life, universal life and whole life.

In fact, usually in a life settlement, the selling price is less than the face value of the policy but higher than the cash value. It averages about 15% of the face value of the policy. The value is determined by a number of factors including insurance type, outstanding loans and the age and medical condition of the insured.

Once you sell the policy, you forfeit all rights and obligations to the investor in exchange for the sales price. The buyers are usually institutional investors like hedge funds, pensions or endowments.

There can be significant fees involved plus this one-time cash settlement is usually taxable.

CAN LIFE INSURANCE REALLY MAKE A DIFFERENCE?

The answer to this question is, quite simply, yes. Not only will coverage provide monetary assistance for beneficiaries who were dependent of the deceased's income, but will also provide a peace of mind. The dollars invested in life insurance will help to cover the necessary living expenses that loved ones will continue to incur after an insured's death, which will enable prudent planning for the future. Moreover, the cash value that a policy may generate can help to support insured individuals when they most need it; it will allow them to borrow funds that they have been earned rather than acquiring a bank loan to meet expenses, thereby eliminating the need for loan applications, approval, and strict repayment terms and conditions. This can prove to be invaluable when the unexpected - such as job loss or illness arises, and these dollars can provide a type of safety net for those with coverage. Life insurance is an essential component for anyone wanting to protect loved ones for the future.

However, as you can see, there are many options available and there is no single right answer for everyone and every situation. You should take the time to learn what each type of policy offers so that you can be sure to get the insurance policy that is best suited for you and your loved ones' needs.

Appendix A: Glossary of Terms

Term
Definition
Adjuster
A Department of Insurance licensed professional who helps determine the amount the insurance company will pay by evaluating the amount of loss.
Agent
A Department of Insurance licensed professional who solicits and services insurance policies.
Beneficiary
The individual chosen by the policy owner to receive the death benefit.
Cancellation
Termination of an insurance policy, prior to the actual expiration date, by the insurance company or policyholder.
Child Rider
A life insurance extension that is added to a parent's policy to provide coverage for a dependent child up to a stated age.
Claim
A demand to an insurance company for financial reimbursement to recover a loss.
Coverage
Indicates how much protection the insurance policy provides, either in the form of the dollar amount purchased or the type of loss covered.
Death Benefit
The amount paid to beneficiary upon the death of the insured.
Endorsement
An amendment that changes the original terms of an insurance contract.
Exclusion
An event or loss that is not covered by an insurance contract. The term can also be used to describe the provision that removes coverage for the event or loss.
Floater (Rider)
Additional coverage for special items.
Insured Loss
A loss that the insurance policy will pay for, either in full or in part.
Insured
The person or persons covered by the insurance policy.
Insurer
The company that is underwriting the insurance contract.
Liability
Legally enforceable obligations.
Peril
The cause of a loss.
Policy
The contract between an individual and an insurance company that details the terms of insurance coverage.
Policy Owner (Policyholder)
The individual who owns the insurance policy with whom the insurance company has a contract; this may or may not be the person insured by the policy.
Premium
The amount paid by the insured to the insurer in return for insurance coverage.
Risk
The chance of loss.

Appendix B: Term and Life Insurance Policy Variations


Appendix C: Life Insurance Coverage Calculation Worksheet