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What are the different types of life insurance?

Published on June 23, 2011 by in Life Insurance

There are different types of life insurance policies.  Here are a few of the most common:

  • Whole Life
  • Universal Life (UL)
  • Term Life
  • Return of Premium Term (ROP)

Whole Life is the most traditional and considered to be permanent life insurance.  It pays WHEN you die and builds cash value over the years as you pay premium.  There is also a guaranteed interest rate that will add to the cash value of the policy.  Most whole life policies will allow you to borrow against the cash value as well.

Universal Life (UL) is also considered to be permanent insurance but tends to offer a higher interest rate than whole life, based on the market.

Term Insurance is very popular now because it boasts higher face amounts for lower premium.  Term insurance pays IF you die during the term; if you do not die during the term it pays nothing.  There is no cash value with a term policy.  This is considered to be temporary insurance used to cover a temporary need, such as income during working years or the final 20 years on a mortgage.  Term Insurance policies are available in a variety of terms (ie. 10yr, 20yr or 30yr or term to 100 ).  Only a small % of term policies actually pay a death benefit.  But people still buy them because most term policies offer generous conversion privileges.  This means an insured will have the option to convert some or all of the term insurance to permanent insurance (such as whole life) WITHOUT proving medical health again.  This meets the needs of someone wanting to buy permanent insurance but unable to afford the higher premium for permanent insurance today.  S/he can buy a term policy now and convert it to a permanent policy years later when s/he is making more money and better able to afford the premium of a permanent plan, without the worry of becoming uninsurable.  Conversion privileges can vary so be sure to ask you agent what they are.

Return of Premium Term (ROP) is a good fit for someone wanting to cover a temporary need but not wanting to throw all that money away in premium.  Quite simply, if you don’t die during the term you get all of your money back.  Return of premium policies tend to cost 50%-80% more than term policies but normally offer a nice ROI on the extra premium (today, in the area of 5%).

 
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How much life insurance and what type do I need?

Published on June 23, 2011 by in Life Insurance

The simple answer to this question lies in the answers to a few others.

What are you trying to insure? For how long do you need to insure it?

Here are some common answers:

  • Replace lost income, family protection
  • Pay off debt like credit cards, large loan or mortgage.
  • Pay for kids’ college
  • funeral and final expenses
  • Replace a key employee for my business

To use our free life insurance calculator please visit here.

Read more…

 
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Should I get a Dr. Office Copay with my plan or not?

Published on June 21, 2011 by in Health Insurance

To answer this, let’s look at what a Dr. Office copay actually is: a flat rate that pays for an office visit and some treatment performed inside the doctor’s office.  This often does not apply to lab work or x-rays.  As always you’ll want to refer to your policy for clarification.

Ask yourself: “How many visits did I/we make to the doctor in the last 3 years that were NOT related to wellness or check-ups?”

If the answer is 1-2 per person, per year you are probably better off without one.  This benefit costs extra premium to include in your plan.  If your carrier breaks down the cost of this benefit you can do a little math to determine its value to your family.  As an example we’ll use a husband and a wife.

$35 Dr. Office Copay benefit
Cost of Dr. Office Copay in monthly premium $80/mo $960/yr
Cost of Dr Visit (without a copay benefit) $80 (full rate) $56 (after network discount)

Let’s assume that both the husband and wife visit an in-network doctor two times that year.

Number of Dr. Visits Cost Per Visit Annual Total for Visits Annual cost of Copay Savings
4 $56 $224 $960 + cost of 4 visits ($140) = $1,100 $876

Also worth noting:

  • The $224 spent for the office visit is applied toward your plan deductible.  The cost of a copay ($35) does not.
  • The cost of an office visit WITHOUT a copay, after network discounts is often close to the copay amount.
  • Wellness visits and immunizations are covered without any out of pocket as per the Healthcare Reform Bill.

 

 

 
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What is Coinsurance

Published on June 10, 2011 by in Health Insurance

Coinsurance is also known as ‘Rate of Payment’.  This is the % that the insurance company will pay AFTER the deductible has been met.  Health insurance policies can have different coinsurance percentages so be sure to read your policy docs and ask your agent if you’re unclear.  Most common options are: 100%, 80%, and 50%.  These can also be shown on your policy as 100/0, 80/20 and 50/50 respectively.  The formula for this is: (Ins company percent/Patient percent).  You should always verify your percentage of responsibility in your policy documents.

Let’s say your insurance plan has a $2,000 deductible with 80% (80/20) coinsurance with a maximum out of pocket of $2,000 after deductible.

Claims examples:

You break your leg and receive a bill for $8,000 from the hospital.  Here is how your charges would be applied:

Full Charge $8,000
Deductible $2,000
Coinsurance $1,200
Patient Responsibility $3,200 *

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*if your plan is a PPO and the provider of treatment is in-network you should be eligible for network discounts before you pay anything out of pocket.  This % discount can vary by network and by service but a rule of thumb estimate is about 30%.  Here is what the same claim would look like after receiving network discounts:

Full Charge $8,000
Charge AFTER network discount $5,600
Deductible $2,000
Coinsurance $720
Patient Responsibility $2,720

 

 
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