life Underwriting Guide - pinneyinsurance.comunderwriting. By initially obtaining specific, detailed...
Transcript of life Underwriting Guide - pinneyinsurance.comunderwriting. By initially obtaining specific, detailed...
For Financial proFessionals
The principal Financial Group®
life Underwriting Guide
Principal National Life Insurance Company and Principal Life Insurance Company, Des Moines, Iowa 50392-0001 www.principal.com
Insurance products from the Principal Financial Group® (The Principal®) are issued by Principal National Life Insurance Company (except in New York) and Principal Life Insurance Company, Des Moines, Iowa 50392.
For producer information only. Not for use in sales situations
BB10009-03 | 05/2013 | t11112904tq
We’ll Give yoU an edGe®
Not FDIC or NCUA insured May lose value • Not a deposit • No bank or credit union guarantee
Not insured by any Federal government agency
Table of Contents
General Overview ...................................................................................................... 2
impairments ............................................................................................................... 4
autOmatic standard apprOval prOGram ........................................................... 18
HealtHy lifestyle credits ......................................................................................... 20
HeiGHt/weiGHt cHarts ............................................................................................. 21
Balanced apprOacH tO ............................................................................................ 22
preferred/super preferred
financial underwritinG ......................................................................................... 26
teleapp......................................................................................................................... 28
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the principal financial Group® leads the industry with a remarkably fast underwriting and issue process.
Competitive turnaround times
• We’veexpandedourteamtohelpusexpedite
your cases.
• Top-tierindustrytimeservice
• 1035unittoproactivelyexpeditetransfer
of proceeds
Easy to work with
• Applicationsacceptedelectronicallyorbyfax
(1035paperworkneedswetsignature).
Toll-freefax:1-866-542-1359
• QuickQuotesSystemforsubmitting
informal inquiries
• Dedicatedhomeofficecasemanagersplus
access to your underwriter when you need it.
Toll-freephone:1-800-654-4278
TeleApp
Streamlinetheunderwritingprocessandeliminaterequirements:
• Eliminatesredundantparamedquestions
• FewerAttendingPhysicianStatements
(APS)required
• Eliminatesinspectionsthrough$5million
On-line services
New business application forms
ThePrincipalprovideseasyaccesstolifenewbusinessapplicationformsviaourPrincipaleFinancial
professionalsmsecuredwebsitecalledPrincipalVirtualSupply.Wehavealsoteamedwiththefollowing
companiestoensureourapplicationmaterialsareavailabletocustomerswhosubscribetotheirservices.
• iPipelinetm • Ebix’sVitalForms
Submitting new applications
submit new business applications electronically to help streamline the new business process. we support
thefollowingelectronicsubmissions:
• PrincipalDirectFTP(filetransferprotocol) • PrincipalFTPwebsite
Wehavealsoteamedwiththefollowingcompaniestoensurenewapplicationsubmissionisavailable
tocustomerswhosubscribetotheirservices:
• PaperClipIncorporated
• iPipeline’siGOtm
• ExamOne
TraditionalsubmissionssuchasU.S.mailandfaxarealsowelcomed.
The right partner. The right services.
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Pending case status
Receiveimportantup-to-dateinformationonpendinglifeanddisabilityinsurancenewbusinessvia:
• PrincipalPendingBusinessReport • PrincipalDirectFTPfromusinACORDformat
Wehavealsoteamedwiththefollowingcompaniestoensureourpendingnewbusinessinformation
isavailabletocustomerswhosubscribetotheirservices:
• Oracle/SkyWire
• AgencyWorks
• SmartOfficetm
Wehavealsoteamedwiththefollowingcompaniestoensureunderwritingrulesareavailableto
customerswhosubscribetotheirservices:
• XRAE
Unique survivorship features
reconsideration
• Availableforratedoruninsurablerisks • Underwritingforsecondinsurednotrequired
Seven classes of uninsurable
• U1(ourmostfavorableuninsurableriskclass)
throughU7(lifeexpectancyoflessthanoneyear)
• Nominimumlifeexpectancy
Opt-out underwriting
• ForU7riskswithlifeexpectancylessthan
one year
• Routinerequirementswaived
Business case advantage
Flexible, partnership approach – collaborate for creative solutions
• Understandconceptandkeyissues • WorkwithAdvancedSolutionswhenneeded
Multi-life underwriting
• Availableforemployer-sponsoredplans
• Fourunderwritingprogramsavailable
• Homeofficepre-approvalrequired
Nonqualified executive benefits – aggregate funding on COli
• Liberalizedfinancialunderwritinglimits
− 30timesincometoage55
−15timesincomeage56andover
• Streamlinedunderwritingrequirements
− physical measurements + ecG + labs + aps
−NoparamedorMDexamsrequired
− no inspections required
− Employercensusprovidesfinancialinformation
• Preliminaryunderwritingandselectionof
participants using teleapp
• Addedlevelofservice–weorderall
requirements and aps reports for you
• Pre-completedapplicationformsprovidedfor
formal signatures
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Theimpairmentinformationonthefollowingpageshasbeenprovidedtohelpgiveyouageneral
ideaofpotentialunderwritingoutcomesbasedonmedicalandnon-medicallifeinsurance
underwriting.Byinitiallyobtainingspecific,detailedinformation,yourunderwriterwillbeable
toprovidetherightquotequicklyandeasily.
Descriptionsofpossibleunderwritingoutcomesrepresenttentative,non-bindingassessmentsbased
on hypothetical parameters using our underwriting guidelines at the time of publication. actual
underwritingoutcomesmaypossiblybemorefavorablethanillustratedusingavailableHealthyLifestyle
CreditsandourAutomaticStandardApprovalProgram(ASAP).Wereservetherighttoapplyindividual
considerationtoanycase.Allcasesaresubjecttofullunderwriting,andassessmentsaresubjectto
changebasedonactualfilereview.Formoreinformation,contactyourhomeofficeunderwriter.
Theimpairmentstableissetupasfollows:
• impairment –Thenameoftheimpairment,includingashortdescription.Conditionsare
listed alphabetically
• risk Factors–Thecriteriatheunderwriterusestoclassifytherisk
• Typical requirements–Medicalrequirementstheunderwriterislikelytorequestinaddition
to the routine age and amount medical requirements
− For Faster Decision–Thesearethespecificdetailstoincludeinyourapplicationpackageto
enabletheunderwritertoquicklyandeasilyprovidetherightquote.Thisinformationmaybe
usedtodetermineappropriateAPSacquisition,therebyexpeditingtheunderwritingprocess
and limiting the need for subsequent requirement requests.
• likely Underwriting Decision–Theriskclassificationorratingnecessaryfortheimpairment
basedonthefactorsandrequirementspresented.Manyimpairmentsoutlineabest-casescenario,
typicalcaseandworst-caserating.
Impairments
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Impairments | medical
alcOHOl aBuse (Includesalcoholismandproblemdrinking)
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Amountofpastandpresentalcoholconsumption declared
•Anydiagnosisofabuseordependence
•Pasthistoryoftreatment
•Resultsofallinvestigations,includingliverenzymesandalcoholmarkers
•Howlongabstinentorconsuminginmoderation
•Anyrelapses
•Memberofaself-helpgroupsuchasalcoholics anonymous
•Treatmentwithmedication
•Anyco-morbidconditions,includinganyhistoryofothersubstanceabuse,drivingoffensesorparticipationinhazardoussports
•Anyhistoryofmaritalorjobinstability
•Anymedicalcomplications
requirements:
APS,medicalexam,MVR,bloodtest,alcoholquestionnaire,inspectionreportselectively
For faster decision:
•Providedetailsofmedicaltreatment.
•Documentanyresidentialcare/treatment including dates and length of treatment.
•Outlineanyfavorableaspectssuch ascontinuedemployment,attendancein alcoholics anonymous or similar body,etc.
Ratingsdependprimarilyonapplicant’sage,timesincelastuseandanyco-morbid factors.
alcoholism:Best Case: Standard(overage30 and>fiveyearssincelastconsumption)
worst Case: decline
Problem Drinking:Best Case: Table2-4(overage30andmild)
worst Case: decline
ALzHEIMER’SDISEASE
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Ageatonsetofsymptoms
•Treatment,includinganymedications
•Activitiesofdailyliving
•Livingindependently
•Typeofassistance,ifrequired
•Judgmentintact
•Stablecourse
requirements:APS,InspectionReportselectively
For faster decision:•Anyneuropsychiatrictestingsuchas
cognitiveormemorytesting
•Activitylevels
•ADLsaffected
•IADLsaffected
all cases: decline
anemia
risk Factors Typical requirements likely Underwriting Decision
•Typeofanemia
•Severity/degreeofanemia
•Causeofanemia,ifknown
•Treatment
•Bloodtestresults
•Detailsoftestingdoneandreferralstospecialists/hemotologists(includedates,namesoftestsanddoctorsseen)
•Medications
•Anyconcurrentimpairment
requirements:aps
For faster decision:•Resultsofallinvestigationsandtesting
to include cause and/or source of bleeding
•Detailsoftreatment
•Detailsofongoingsurveillanceofthecondition,includingrecentcompletebloodcount(CBC)
ratings depend on type of anemia and assumeanemiaisfullyinvestigatedand stable. decisions can range from preferred to decline.
iron deficiency anemia:Preferredpossibleforbest-casescenario
Hemolytic anemia:Preferredpossibleforbest-casescenario
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aneurysm
risk Factors Typical requirements likely Underwriting Decision
•Precisediagnosis
•Typeorlocationofaneurysm
•Dateofdiagnosis
•Cause
•Sizeandstabilityofaneurysm
•Currentlypresent
•Treatment
•Smokinghistory
•Presenceofassociatedcoronaryarterydisease,hypertension,cerebrovascular,otherperipheralvascularorrenaldisease,orCOPD
•Bloodpressurecontrol
requirements:aps
For faster decision:•Alltestsanddetailsofongoing
surveillance
•Detailsofanylifestylemodifications
•Detailsofbloodpressureandlipidcontrol
•Presenceofassociatedcoronaryarterydisease,hypertension,cerebrovascular,otherperipheralvascularorrenaldisease,orCOPD
•Smokinghistory
•Presenceorabsenceofsymptoms
can consider on a rated basis 6 to 12 monthspost-opdependingonthetypeof aneurysm.
abdominal:No surgery: BestcaseisTable6provideddiameter<5cm,withnoincreaseinsizewithin last three years or since diagnosis
if diameter >5 cm: decline
with surgery: Individualconsideration
Cerebral:No surgery: $7.50per$1,000ifsmall,stable and no complications
large: decline
with surgery: standard after two years
Thoracic:No Surgery: decline
with Surgery: table 4 after two years
anGina pectOris
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
anGiOplasty
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
apnea/sleep apnea
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Typeofapnea(obstructive,centralormixed)
•Severity
•Treatment(CPAPorsurgery)
•Compliancewithtreatment
•Dateoflastsleepstudy
•Currentheight/weight
•Presenceofcardiovasculardiseaseand/orriskfactorsincludinghypertension,arrhythmias
•Anyassociatedoverweightorobesity
•Smokinghistory
requirement:aps
For faster decision:•Type,frequency,severity,andduration
of symptoms
•Resultsofsleepstudyincluding,apneaindexanddegreeofoxygendesaturation
•Treatmentandcompliancewithtreatment
•Anyassociatedimpairments
•Historyofmotorvehicleorindustrialaccidents attributed to sleepiness
Mild disease and no complications: preferred or super preferred possible
Moderate disease untreated and no complications: Table2-3
Moderate disease treated and compliant with therapy: preferred possible
Severe disease untreated and no complications: decline
Severe disease treated and compliant with therapy: standard
arteriOsclerOsis
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
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astHma
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Currentsymptoms
•Frequencyandseverityofasthmaattacks
•Typeofmedicationandfrequency of use
•Compliantwithmedications
•HospitalizationsorERvisits
•Limitationstoactivities
•Smokinghistory
•Occupationalorenvironmentalexposure
•ConcurrentimpairmentssuchasCOPD,psychiatricdisorder,alcoholabuse,CAD
requirement:aps
For faster decision:•Resultsofinvestigationsincluding
pulmonary function tests
•Frequencyofsymptoms
•Durationandintensityofexacerbations
•Treatmentandresponsetotreatment
•Frequencyofnight-timesymptoms
•Smokinghistory
•Timeoffwork
•Levelofactivity
Minimal or mild asthma:
preferred or super preferred
Moderate: standard to table 2
Severe: table 6 to decline
atrial fiBrillatiOn
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosisandageatonset
•Ageofapplicant
•Frequencyofattacks
•Associatedsymptomsandcomplications
•Riskfactorsforstroke
•Exercisetolerance
•Underlyingcardiacandnon-cardiacdisease
•Fullcardiacevaluation
•Paroxysmalvs.Chronic
•Treatmentincludinguseofanticoagulant medication
requirement:aps
For faster decision:•Typeofatrialfibrillation
•Detailsoftreatment
•CopiesofallcardiacInvestigations
•Currentlevelofactivity
Found on examination, no investigation: postpone
Paroxysmal atrial Fibrillation (PaF) with infrequent attacks: standard
Chronic atrial Fibrillation:Table2-6
Lessfavorableoutcomeforco-morbidcomplications
BARRETT’SESOPHAGUS
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Ongoingriskfactors
•Resultsofallinvestigationsincludingbiopsy
•Stablecourse
•Medication/treatment
•Responsetomedicationtreatment
•Compliantwithmedicaltreatmentandsurveillance
•Complications(e.g.,hemorrhage,perforation)
requirement:aps
For faster decision:•Resultsofallinvestigationsincluding
biopsy
•Detailsofongoingfollow-up(e.g.,endoscopy)
•Detailsoflifestylemodification(stopsmokingandalcoholuse)
Best case: preferred or super preferred if nodysplasiaandgoodfollow-updoneona regular basis
Typical case: standard to table 2
worst case: decline
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BlOOd pressure
risk Factors Typical requirements likely Underwriting Decision
refer to Hypertension.
Bypass surGery
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
cancer
risk Factors Typical requirements likely Underwriting Decision
Refertospecificorganortypeofcancer. For all forms of cancer: consideration for insurance begins once treatment has beencompleted,assumingtheclientiswell followed.
CANCER:BASALCELLCARCINOMA/SQUAMOUSCELLCARCINOMA
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosis
•Pathologyreportsincludingconfirmationofbasalcellcarcinoma
•Typeoftreatment
•Datetreatmentcompleted
•Confirmationthattumorhasbeenremovedcompletely
•Familyhistoryofatypical/dysplasticneviordysplasticnevussyndrome
•Detailsofregularfullbodysurfaceskinexaminations
•Anyrecurrenceorspread
•Ongoingriskfactorssuchasmultipledysplasticneviandapropensitytodevelopotherskincancers
•Anyseriouscomplicationsfromtreatment
requirement:aps
For faster decision:•Pathologyreportincludingpost-
operative
•Detailsofongoingfollow-up
•Detailsoflifestylemodification(sunscreen,stopsmoking)
Complete excision: possible preferred or super preferred
CANCER:BREAST
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosis
•Typeandstageofcancer
•Sizeoftumor
•Typeoftreatment
•Datetreatmentcompleted
•Anyrecurrenceorspread
•Anyseriouscomplicationsfromtreatment
requirement:
aps
For faster decision:
•Pathologyreport
•Stageandgradeoftumor
•Detailsanddate(s)oftreatment,including any adjunct therapy (e.g.,Tamoxifen)
•Hospitalreports
•Detailsoffollow-up(mammograms,bonescan,etc.)
Best case: standard for carcinoma in situ after2-3yearssincetreatment
Typical case: unable to consider until 2-3yearsaftercompletionoftreatment(chemoorradiation),thenpossibleTableratingand/oraflatextradependingonstage and grade
worst case: decline
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CANCER:COLON
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosis
•Stageandgradeofthetumor
•Anyhereditarysyndromethatmaybeassociated with other types of cancer
•Familyhistoryofcoloncancertypes of cancer
•Whattreatment
•Lengthofremission
•Ongoingfollow-upincludingcolonoscopy results
•Anyrecurrence
•Anycomplicationsfromtreatment
requirement:aps
For faster decision:•Pathologyreportandstaging
information
•Detailsanddate(s)oftreatment
•Hospitalreports
•Detailsoffollow-up(colonoscopyandtumormarkers)
Best case: standard after three years
Typical case: unable to consider until 2-3yearsaftercompletionoftreatment(chemoorradiation),thenpossibleTableratingand/oraflatextradependingonstage and grade
worst case: decline
CANCER:LEUkEMIA
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Typeofleukemiaandstageofcancer
•Treatment
•Datetreatmentcompleted
•Anyrecurrenceorsecondarycancer
requirements:APS,bloodtestingifcurrentresultsarenotavailable
For faster decision:•Pathologyreports
•Evidenceofregularfollow-up
•Hospitaltreatmentreports
acute lymphoid leukemia/acute myeloid leukemia:
Best case: standard
Typical case: Standardwithaflatextra
worst case: decline
Chronic lymphoid leukemia/ hairy cell leukemia:
Best case: table 4
Typical case: Table8–Decline
worst case: decline
CANCER:LUNG
risk Factors Typical requirements likely Underwriting Decision
•Currentage•Dateofdiagnosis•Typeofcellandstageofcancer•Typeoftreatment•Datetreatmentcompleted•Anyrecurrenceorspread•Reduced/eliminatedriskfactors(e.g.,
smoking)•Anyconcurrentimpairment(e.g.,
emphysemaorchronicbronchitis)•Anyseriouscomplicationsfrom
treatment
requirement:aps
For faster decision:•Pathologyreportandstaging
•Treatmentandhospitalreport
•Evidenceofregularfollow-up (CTscansetc.)
Carcinoma (all types)Stage 1:Best case: StandardaftersevenyearsTypical case: Standardwithaflatextraworst case: decline if less than or equal to three years since primary treatment
Stage 2-3:Best case: standard after nine yearsTypical case: Standardwithaflatextraworst case: decline if less than or equal tofiveyearssinceprimarytreatment
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CANCER:PROSTATE
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Typeoftreatment
•Datetreatmentcompleted
•StageandGleasonGrade
•Anyrecurrenceorspread
•SerialPSAlevelsincludingcurrentPSA
•Anyseriouscomplicationsfromtreatment
requirements:APS,bloodprofiletoincludePSAifcurrentresultsarenotavailable
For faster decision:•Pathologyreports
•Typeoftreatment
•Evidenceofregularfollow-upand psa testing
•CopiesofPSAtests
Ifclientisunderage70,rateclasswilldependonyearssinceprimarytreatment,the stage of cancer and Gleason grade of the tumor.
Best case: standard
Typical case: Standardwithaflatextra
worst case: decline
CANCER:MALIGNANTMELANOMA
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosis
•Typeofcancer/tumor
•Depthandthicknessoftumor
•Typeoftreatment
•Datetreatmentcompleted
•Anyrecurrenceorspread
•Detailsofregularfullbodysurfaceskinexaminations
•Ongoingriskfactorslikemultipledysplasticneviandapropensitytodevelopotherskincancers
•Anyseriouscomplicationsfromtreatment
requirement:aps
For faster decision:•Pathologyreport
•Evidenceofregulardermatology follow-up
•Hospitaltreatmentreports
Best case: standard
Typical case:Standardwithaflatextra
worst case: decline
CANCER:THyROID
risk Factors Typical requirements likely Underwriting Decision
•Typeofthyroidcancer(papillary,follicular,anaplastic,etc.)
•Pathology
•Ageofapplicant
•Typeoftreatmentanddate(s)performed
•Anyremissionandforhowlong
•Anyrecurrence
•Anycomplicationsfromtreatment
requirements:aps
For faster decision:•Pathologyreport
•Treatmentandhospitalreport
•Evidenceofregularfollow-up
Best case: standard
Typical case: standard or standard with aflatextra
worst case: decline
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CHRONICOBSTRUCTIVEPULMONARyDISEASE(COPD)
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Smokinghistoryandcurrent tobacco use
•Build,anycurrentweightloss
•Severityofsymptoms
•Degreeofimpairedrespiratoryfunction
•Speedofdiseaseprogression
•Alpha-1antitrypsindeficiencyorotherbiochemical abnormality
•Anyconcurrentimpairment(e.g.,CAD,cancer,malnutrition)
•Anyhospitalization
•Anytreatmentwithoxygenisadecline
requirement:aps
For faster decision:•Pulmonaryfunctiontests(PFT),
serial pfts
•Detailsoflifestylemodification
•Levelofactivity
Best case: standard
Typical case:Table2-8
worst case: decline
cOrOnary artery disease
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosisandageatonset
•Severityofthedisease(howmanyvesselsandwhichones)
•Currentsymptoms
•Treatment
•Medications
•Smokinghistory
•Anyconcurrentseriousimpairment
•Anyhistoryofcongestiveheartfailureor arrhythmia
•Activelifestyle
•Bloodpressureandcholesterolreadings
•Familyhistory
requirements:APS,EkG(orTST)ifcurrenttestis notavailable
For faster decision:•Cardiactestresults(e.g.,angiogram,
recentstresstests,perfusion)
•Detailedlistofmedications
•Copiesoflipidtesting
•Detailsofanylifestylechange.Bestratings possible with testing including perfusion and stress echocardiograms within the past 12 months
Unabletoconsideruntilsixmonths post-surgery
Best case: standard
Typical case:Table2-8
worst case: decline
CROHN’SDISEASE
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Severityofthedisease
•Frequencyofflareups
•Severityofsymptoms
•Medication–ongoingoralsteroidtherapy
•Hospitalization
•Surgery
•Weightstableorloss
•Testingandfollow-up
•Complicationsorconcurrentimpairments such as rheumatoid arthritis or other inflammatory disease
requirement:aps
For faster decision:•Pathologyreports
•EvidenceofregularGIsurveillance(colonoscopy)
•Detailsofhospitalizationandhospitalreports
•Stableweight
•Activelifestyle
Best case: possible preferred
Typical case:Standard–Table5
worst case:Table6–Decline
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diaBetes
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosisandageatonset
•Typeofdiabetes
•Treatment
•Medication
•Degreeofcontrol–bloodsugarreadings
•Complications–nephropathy,neuropathy,retinopathy,cardiovasculardisease
•Currentheightandweight
•Bloodpressure
requirements:APS,blood(ifnotalreadyrequiredorcurrentresultsnotavailable)
For faster decision:•Typeofdiabetesincludingageatonset
•Copiesofspecialistreports(neurologist,nephrologist,endocrinologist)
•Historyofbloodsugarcontrol–copiesof blood tests (incl. Hemoglobin a1c wherepossible)
•Detailsofriskfactormodification
•Activelifestyle
Type 1
also known as insulin dependent DiabetesMellitus(IDDM)
Best case: Table3-4Typical case: Table5-8 worst case:Decline(complications, poororuncontrolled)
Type 2
AlsoknownasNon-InsulinDependentMellitus(NIDDM)orAdultOnsetDiabetes
Best case: standardTypical case: Table2-4 worst case: Decline(complications, poororuncontrolled)
empHysema
risk Factors Typical requirements likely Underwriting Decision
refer to cOpd.
epilepsy/seizure disOrder
risk Factors Typical requirements likely Underwriting Decision
•Ageonset
•Compliancewithmedication
•Controlofseizures
•Reasonfortheseizureactivity
•Anyalcoholuse
•Anyothersignificantmedicalconditions
For faster decision:•Typeofepilepsy
•Agediagnosed
•Durationofhistory
•Dateoflastseizureandnumberofseizuresperyear
Best case: standard
Typical case:Table2-6
worst case: decline
Gastric surGery fOr OBesity
risk Factors Typical requirements likely Underwriting Decision
•Pre-operativeweight
•Currentweight
•Anyco-morbidconditions(suchasdiabetes,hypertension,coronarydisease)
•Dateofsurgery
•Typeofsurgery
•Anysurgicalcomplications
•Outcomeofsurgery(weightloss,improvementofriskfactors)
requirements:aps
For faster decision:•Supplyallmedicalreportsrelatingto
thesurgicalprocedureandfollow-up
•Currentweight
unable to consider until 6 months after surgery.
restrictive surgery (gastric banding or gastroplasty):6 months to 3 years: Table3
>3 years: standard to table 2
Malabsorptive surgery/bypass:<1 year: postpone
1-5 years: table 4
>5 years: standard to table 2
HEARTATTACk
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
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Hepatitis B
risk Factors Typical requirements likely Underwriting Decision
•Dateofdiagnosis•Isthisacuteorchronicinfection•Laboratoryresults(liverfunction)•Ifchronic,wasabiopsydone•Anyalcoholusageorothermedical
conditions
requirement:aps
For faster decision:•Laboratoryresults
•Sonograms,CTs,biopsyresults
Best case: standard
Typical case:Table2-6
worst case: decline
Hepatitis c
risk Factors Typical requirements likely Underwriting Decision
•Durationofthedisease•Laboratoryresults•Hasabiopsybeendone•Doestheclientusealcohol,andifso,
amount per day
requirement:aps
For faster decision:•Laboratoryresults•Biopsyresults•Sonogramand/orCTscanresults
Best case: Table3-4
Typical case: Table5-8
worst case: decline
HypertensiOn
risk Factors Typical requirements likely Underwriting Decision
•Currentage•Dateofdiagnosis•Typeofhypertension(essentialor
secondarytoanotherimpairment)•Medication/treatment•Responsetomedicationtreatment•CurrentBPreadingsandhistoryof
readings for past 2 years (demonstrate stablecourse)
•Compliantwithmedicaltreatment andfollow-up
•Anyconcurrentimpairment(e.g.,CAD,stroke,kidneydisease,build)
requirements:APS,paraormedicalexam,selectively
For faster decision:•Recordofbloodpressurereadings
•Copiesofanycardiacinvestigation
•Detailsofriskfactormodification
•Activelifestyle
Ratingdependsonseverityofhypertension.
may qualify for preferred or super Preferredifwell-controlledandcompliantwith medication.
liver functiOn test
risk Factors Typical requirements likely Underwriting Decision
•Howmanyliverfunctionsareoutsidethe normal lab range?
•Isclienttakinganymedicationsor using alcohol?
•Isthereamedicalconditionthatiscausingtheelevationinliverfunction?
•Howlonghasthisfindingbeenmonitored by the attending physician?
•Isthisanewfindingwhichhasnotbeenfullyevaluatedwithadditionaltesting?
requirements:APS,Hepatitisscreens,allmarkers,selectively
For faster decision:•Alllaboratorytests•Anysonograms•Detailsofmedicationsbeingtaken•Amountofalcoholused•Resultsofanyinvestigationsforelevated
liverfunctions
Decisionwilldependonhowmanyliverfunction results are outside the normal range,thedegreeofelevation,anyothermedicalconditions,andanydiagnosisfortheelevatedliverfunctionfinding.
Best case: preferred or super preferred
Typical case: standard to table 4
worst case: decline
myOcardial infarctiOn
risk Factors Typical requirements likely Underwriting Decision
refer to coronary artery disease.
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PARkINSON’SDISEASE
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Medication/treatment
•Responsetomedicationtreatment
•Severityofthedisease
•Historyoffallingorindicationsofdementia
•Compliantwithmedicaltreatment andfollow-up
•Anyconcurrentimpairment(e.g.,depression)
requirement:aps
For faster decision:•DetailsoftypeofParkinson’s
•Typeoftreatment
•Complianceandresponsetomedication
•Severityofthedisease
•Activeandindependentlifestyle (outlineActivitiesofDailyLiving)
Best case: standard
Typical case: Table2-4
worst case: Table5–Decline
PERIPHERALARTERyDISEASE(PAD)/PERIPHERALVASCULARDISEASE(PVD)
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Medication/treatment
•Responsetomedicationtreatment
•Smokingstatus–ifcurrentlysmokingthiswillhaveagreaterimpactondisease progression
•Compliantwithmedicaltreatmentandfollow-up
•Anyconcurrentimpairment(e.g.,CAD,CVD,diabetes,hypertension,build)
requirements:APS,medicalexam,insurancebloodprofile,EkG–selectively
For faster decision:•Copiesofanyvascularandcardiac
investigation
•Detailsofanyongoingsymptoms
•Ankle-brachialindex(ABI)score
•Detailsofriskfactormodification
•Activelifestyle
Best case: standard
Typical case: Table2-4
worst case:Table5–Decline
pulmOnary nOdule
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosis
•Sizeandnumberofnodules
•Anytreatment
•Datetreatmentcompleted
•Benignpathology
•Reduced/eliminatedriskfactors (e.g.,smoking)
•Anyconcurrentimpairment(e.g.,emphysemaorchronicbronchitis)
requirement:aps
For faster decision:•Copiesoftests
•Detailsoffollow-up
•Demonstratedstabilityofnodule(s)
Best case: preferred possible
Typical case: standard
worst case: decline
rHeumatOid artHritis
risk Factors Typical requirements likely Underwriting Decision
•Severityofsymptoms
•Whatmedicationsarebeingtaken
•Anylimitationsofdailyactivities
•Noothersignificantmedicalcondition(s)
requirement:aps
For faster decision:laboratory results
Best case: preferred or super preferred
Typical case: StandardtoTable3
worst case: table 4 to decline
iMPa
irM
eNTS
| 15 |
STROkE
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosisandageatonset
•Currentsymptoms/extentofneurologicaldeficit
•Causeofstroke
•Treatment
•Medications
•Numberofstrokes
•Smokinghistory
•Activelifestyle
•Bloodpressureandcholesterolreadings
•Anyconcurrentseriousimpairment
requirement:aps
For faster decision:•Neurologyworkup(carotidduplex,
MRI)
•Currentfunction(howactive)
•Lifestylemodifications
Best case: table 4
Typical case: Table4withaflatextra
worst case: decline
TRANSIENTISCHEMICATTACk(TIA)
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Dateofdiagnosisandageatonset
•Anyneurologicaldeficit
•Numberofepisodes
•Treatment
•Medications
•Smokinghistory
•Testresults
•Activelifestyle
•Bloodpressureandcholesterolreadings
•Anyconcurrentseriousimpairment
requirement:aps
For faster decision:•Neurologyworkup(carotidduplex,
MRI)
•Currentfunction(howactive)
•Lifestylemodifications
Best case: standard
Typical case: Table2-3forsingleTIA,Table4withaflatextraformultipleTIAs
worst case: decline
ulcerative cOlitis
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Ageofonset
•Severityofthedisease
•Frequencyofflare-ups
•Severityofsymptoms
•Dateoflastepisode
•Extra-coloniccomplications
•EffectonADLs
•Medication(ongoingoralsteroidtherapy)
•Hospitalization
•Surgery
•Weightstableorloss
•Testingandfollow-up
requirement:aps
For faster decision:•Pathologyreports
•EvidenceofregularGIsurveillance(colonoscopy)
•Detailsofhospitalizationandhospitalreports
•Stableweight
•Activelifestyle
Best case: possible preferred
Typical case:StandardtoTable5
worst case: table 6 to decline
iMPa
irM
eNTS
| 16 |
Impairments | NON-MEDICAL
aviatiOn
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Pilotexperience
•Flightratingsandtypeoflicenseheld
•Medicalhistory
•Lifestyle
•Wheretheyfly
•Typeofaircraftflown
•Typeofflying
•Purposeofflightsandnumberof flying hours per year
•Medicalhistory
•Lifestyle
requirement:AviationStatement
For faster decision:•Overallexperience
•Hoursflownperyear
•Pilotexperience
•Flightratings
•Aircraft
•Detailsofspecializedflying
Best case: preferred or super preferred possible*
Typical case: standard*
worst case:AviationExclusionRiderifavailableorDecline
*Flatextramayapplytobaserating
climBinG and mOuntaineerinG
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Frequency
•Typeofterrain:establishedtrails
•Altitude/heights
•Location:NorthAmerica/Europe or elsewhere
•Medicalhistory
•Lifestyle
requirement:SportStatement,ForeignTravelquestionnaire,ifapplicable
For faster decision:•Overallexperience
•Frequency
•Typeofterrain
•Difficultyofclimbs
Best case: preferred or super preferred possible*
Typical case: standard*
worst case:HazardousSportsExclusionRiderifavailableorDecline
*Flatextramayapplytobaserating
drivinG
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Typesofinfractions
•Frequencyofinfractions
•DWI(Multiple)
•Othersuspensionsandnumberofsuspensions
•Accident(atfault)
•Risk-takingavocations
requirement:mvr
For faster decision:•Numberandtypesofviolations
•Dateoflastviolation
•Dateoflastsuspension,lengthof,andreason for suspension
Best case/typical case: preferred or SuperPreferredforinfrequent,minorviolations
worst case: decline
NOTE:AsingleDUIcanbeconsideredwithaflatextra0-1yearsinceviolation.Standardisavailableafter2-3years.
iMPa
irM
eNTS
| 17 |
mOtOr veHicle racinG
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Typeofvehicle/sizeofengine
•Typeoffuel
•Frequency
•Speedsattained(average,highest)
•Typeofcourse
•Location(outsideU.S.orCanada)
•Concurrentavocations
requirements:SportStatement,ForeignTravelQuestionnaire(ifapplicable)
For faster decision:•Typeofracingandfrequency
•Speedsattained
Best case: preferred or super preferred
Typical case: standard to standard with aflatextra
worst case: decline
scuBa divinG
risk Factors Typical requirements likely Underwriting Decision
•Currentage
•Experienceincludingcertification
•Depthsandfrequencyofdives
•Medicalhistory
•Lifestyle
•Divelocation(e.g.,lake,openocean,beaches)
•Divesites(e.g.,wreck,salvage)
•Divingactivities(e.g.,searchandrescue,caves,ice)
•Commercialdiving
requirement:AvocationQuestionnaire,ForeignTravelQuestionnaire(ifapplicable)
For faster decision:•Typeofdiving(location,site,activities)
•Experience
•Frequency
Best case/typical case: preferred or super preferred
worst case: decline
iMPa
irM
eNTS
| 18 |
Automatic Standard Approval Program
How it works
automatic Standard approval Program (aSaP) is designed to help eliminate low substandard
ratings. Whilesomecompanieshaveeliminatedtheirprogramorchangedtheirguidelines,
the principal®stillsupportsASAP.Here’showASAPworks:
• ImprovesratingsuptoTable3orflatextrasto$7.50toStandard
• Canbeapplieduptoandincludingage70
• Appropriateforcaseswithfaceamountsuptoandincluding$5million
• Canbeusedonselectpermanentlifeinsuranceproducts*
• Appliestomedicalratingsonly.Nodriving,hazardoussports,aviationorlifestylecases
(drug/alcoholuse)
*Forproduct-specificeligibility,contactyourhomeofficeunderwriter.
How does our program differ from other companies?
ThePrincipaldoesnotlimitorexcludecancerorcoronaryheartdisease.Manycompetitorsusethe
samecriteria,buttheyexcludecancerorcoronary.Also,ourHealthyLifestyleCredit(HLC)program
canbeusedinconjunctionwithASAP.ThecombinationofHLCandASAPprovidesanopportunityin
somecasestomovesomebodyoutsideaTable3toStandard.Forexample,whenwerateapersona
Table5anduseHLCtogetthemtoaTable3,wecanthenuseASAPtogettoaStandardrating.a
UTO
Ma
TiC STa
ND
ar
D
aPPr
Ova
l PrO
Gr
aM
| 19 |
What are the benefits?
OurASAPeliminatesthelow,substandardratingsthatcanbethemostchallengingtopresentto
yourclient.Consequently,youcanpresentanoffertoaclientthathasagreaterchanceofbeing
placed.ThegreatestbenefitisthecompetitiveStandardratereceivedbyyourclientwithouta
reduction in the compensation paid to you.
exaMPleS
aSaP with HlC aSaP Only Survivorship
Male,age65,$1millionfaceamount,universallifeinsurance.Medicalhistoryincludeselevatedliverenzymesandasthma.ThecaseisratedTable5,butbecausetheclienthasearnedfavorableHealthyLifestyleCredits,hegetsatwo-tableimprovement.TheremainingthreetablesareremovedusingASAP,andthepolicyisapprovedasstandard.
Female,age68,$2.5millionfaceamount,universallifeinsurance.medical history includes type ii diabetes.ThecaseisratedTable3.ASAPisusedtoreducetheTable3andapprovethepolicyasStandard.
ASAPcanbeusedonbothlives toreduceTable2-3ratingsforfaceamounts$5millionandunderandmay also be used with Healthy LifestyleCreditsaspreviouslyillustrated.
Unlike many of our competitors, The Principal does not exclude cancer or
coronary artery disease from our Automatic Standard Approval Program.
aU
TOM
aTiC
STaN
Da
rD
a
PPrO
val Pr
OG
ra
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| 20 |
Healthy Lifestyle Credits
What are Healthy Lifestyle Credits?
The Principal feels all applicants should be given credit for doing the right things to take
care of themselves. Becauseofthisphilosophy,we use Healthy lifestyle Credits (HlCs) as an
underwriting tool to help clients get the most favorable rating possible. the underlying basis
ofourHLCsisanevaluationofseveralcoronaryandcancerriskfactorsofaclientasfollows.
Risk profile factors
• Bloodpressure
• Cholesterol
• Pulse
• Weight
• Familyhistory
• Preventivecancer
screening tests
• Preventiveheart
screening tests
• Routinephysicals
Ascoringsystemisusedforeachfactor,withpositivepointsforfavorablefactorsandnegative
pointsforlessfavorablefactors.Ifafactorisconsideredneutral,ascoreofzeroisgiventoreflect
theneutralresult.Thesefactorscombinetomakeupaninsured’sHealthyLifestyleCreditScore.The
resulting score is used in conjunction with our preferred/super preferred Guidelines (pages 24 and
25)todetermineaninsured’srating.
How do HLCs help your clients?
Throughourreviewoftheriskprofilefactors,ourunderwritersestablishanHLCscoreusingour
criteria.FavorableHLCscanhelpyourclientsearnuptotwotablesofcreditthatoffsettableratings
thathavebeenassessed.Theendresultisareductionoreliminationofaratingfortheirmedical
history.OurAutomaticStandardApprovalProgram,whichisdesignedtohelpeliminatelow
substandardratings,canalsobeusedinconjunctionwithHLCs.Hereareafewguidelinestokeep
inmindwithHLCs:
• Ratingsforasthma,anxiety,depression,colitis,sleepapnea,bodybuildandbloodpressure
areexamplesofcoveredconditions.(Thislistingisnotallinclusiveofcoveredconditions.)
• Afewconditionsareexcluded,includingratingsforcardiovasculardisease,diabetesand
flatextras.
• Asanaddedbenefit,therearenolimitationsduetoage,planorfaceamount.
exaMPleS
Condition Original assessment after HlCs
sleep apnea Table5 Table3
depression Table5 Table3
asthma table 4 table 2
Build table 2 standard
Hea
lTHy
liFeSTyle C
reD
iTS
| 21 |
Height/Weight Charts
Super Preferred, Preferred, Super Standard, Standard Build Height
aGe 20-44 Male aND FeMale
Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9
super preferred
132 137 141 145 151 156 161 166 172 177 183 188 193 200 204 210 216 223 229 236 242 248 255 262 268 275
preferred 149 154 160 165 171 177 183 189 195 201 207 213 220 226 233 240 247 253 260 268 275 282 289 297 304 312
super standard/standard
162 168 174 180 186 193 199 206 212 219 226 233 240 247 254 261 269 276 284 292 299 307 315 323 332 340
Super Preferred, Preferred, Super Standard, Standard Build Height
aGe 45-64 Male aND FeMale
Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9
super preferred
143 150 155 160 167 172 178 185 190 195 202 207 212 219 223 229 235 246 253 260 267 273 281 289 295 303
preferred 158 164 169 175 181 187 194 200 206 213 219 226 233 240 247 254 261 269 276 284 291 299 307 315 323 331
super standard/standard
167 173 179 185 192 198 205 211 218 225 232 239 246 253 261 268 276 284 292 300 308 316 324 332 341 349
Super Preferred, Preferred, Super Standard, Standard Build Height
aGe 65 & UP Male aND FeMale
Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9
super preferred
148 154 159 165 172 177 183 190 195 200 208 213 218 225 229 235 241 253 260 267 274 281 289 297 303 311
preferred 162 168 174 180 186 193 199 206 212 219 226 233 240 247 254 261 269 276 284 292 299 307 315 323 332 340
super standard/standard
167 173 179 185 192 198 205 211 218 225 232 239 246 253 261 268 276 284 292 300 308 316 324 332 341 349
HeiG
HT/w
eiGH
T CH
ar
TS
Note: ToqualifyforPreferredorSuperPreferred(orSuperStandard),aclientneedstomeetourPreferred/SuperPreferredGuidelines(Page24and25)andmeetourHealthyLifestyleCreditscorecardthresholdsforeachriskprofilefactor(Pages20and21).
| 22 |
Balanced Approach to Preferred/Super Preferred
Preferred/Super Preferred classes are designed for individuals whom we expect to have lower
or better mortality than individuals rated Standard.
How does our program differ from other programs?
• ThePrincipalusesa“scorecard”approach
thatallowspositivecreditstooffsetnegative
risk factors.
• Weallowindividualstakingmedicationfor
high blood pressure and cholesterol to qualify
for a preferred rating.
• Weprovidecreditsforregularcheckupsand
preventivescreeningtests.
• Preferredratingsareavailablewithaviation/
sportsexclusions.
• Individualswithanimperfectfamilyhistoryor
other risk factors may still qualify for a preferred
ratingifthereareenoughfavorablecredits.
Basic guidelines
ThefollowingdescribesourcriteriaforratingacasePreferredorSuperPreferred:
• Preferredages=20to85;
SuperPreferredages=20to80
• Ascorecardapproachisusedforeachfactor,
withpositivepointsforfavorablefactorsand
negativepointsforunfavorablefactors.
• Tobaccouse:
– SuperPreferredclassrequiresnotobacco
use for prior 60 months.
– PreferredNon-Tobaccoclassrequiresno
tobaccouseforprior24months(prior36
monthsforages71to85).
– PreferredTobaccoclassincludesallforms
of tobacco.
Note: ToqualifyforPreferredorSuperPreferred(orSuperStandard),aclientneedstomeetourPreferred/SuperPreferredGuidelines(Page24and25)andmeetourHealthyLifestyleCreditscorecardthresholdsforeachriskprofilefactor(Pages20and21).
PreFer
reD
/SUPer
PreFer
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| 23 |
exaMPle 1
Scenario Our rating Competitor rating
• Male,age68
• BloodPressure=130/87
• 6’0”and215pounds
• Pulse=74andregular
• Cholesterol/HDL=6.2
• EkG=normal
• Familyhistory:fathersufferedaheartattack at age 62
• Lastcompletephysicalwas18monthsago,includingacolonoscopyandPSA. all results were normal.
client meets criteria to remain preferred. when looking at theentirescorecard,weareabletoovercomehighcholesterol/Hdl ratio using Healthy lifestyle credits (HLCs).
• Finalrating:Preferred
client is not allowed the preferred class due to high cholesterol/Hdl.
exaMPle 2
Scenario Our rating Competitor rating
• Female,age52
• BloodPressure=128/76
• 5’5”and135pounds
• Pulse=72andregular
• Cholesterol/HDL=3.2
• EkG=normal
• Familyhistory:motherdiedofbreastcanceratage65
• Lastcompletephysicalwas9monthsagoincludingmammogram,whichwaswithin normal limits
• Mammogramslast10yearshavebeenwithin normal limits
client meets criteria to remian super preferred/preferred. when looking at the entire scorecard,weareabletooffset family history using favorableHLCsduetoregularmammograms.
• Finalrating:Super Preferred
client is not allowed the super preferred class due to family history (mother died ofbreastcanceratage65).
exaMPle 3
Scenario Our rating Competitor rating
• Female,age74
• Bloodpressure=145/80
• 5’1”and181pounds
• Pulse=72andregular
• Cholesterol/HDL=5.8
• EkG=normal
• Familyhistory:bothparentsdiedin their90s
• Noheartdiseaseorcancernotedin family history
• Lastexamwas12monthsago,includinga colonoscopy and mammogram within normal limits
client meets criteria to earn a preferred rating. when looking at the entire scorecard,weareabletoovercomebuildandcholesterol/Hdl ratio by using Hlcs for family history and frequent checkups.
• Finalrating:Preferred
client is not allowed the preferred class due to her build and cholesterol/ Hdl ratio.
PreFer
reD
/SUPer
PreFer
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| 24 |
PreFerreD SUPer PreFerreD
family HistOry
• Includes:parents&siblings
• Cardiovasulardefinedas:CoronaryArteryDisease,PeripheralVascularDisease,Stroke,andTransientischemic attack
• Nodeathpriortoage60of: CardiovascularDisease Breast cancer colon cancer OvarianCancer prostate cancer diabetes
• disregard cancer of opposite sexexceptforcoloncancer
• Family history not considered forapplicantsaged71+
• Nodeathpriortoage65of: CardiovascularDisease Breast cancer colon cancer OvarianCancer prostate cancer diabetes
• disregard cancer of opposite sexexceptforcoloncancer
• Family history not considered forapplicantsaged71+
BlOOd pressure
• Useexamaverageifno hypertension treatment
• use 12 month averageifhypertension history
Cannotexceed:
• 150/85atages20-44
• 155/90atages45-64
• 160/92atages65-85
Cannotexceed:
• 140/83atages20-44
• 145/85atages45-64
• 150/90atages65-85
lipids
• medication may be disregarded
• Weassesstheratio withinthecontextof theentirelipidprofile
NoPreferredif:
• Cholesterol/HDLis7.0+
noSuperPreferredif:
• Cholesterol/HDLis5.0+
HISTORyOF:
• alcohol abuse• drug abuse• cancer• diabetes
• no personal history of alcohol or drug abuse within 10 years
• no personal history of diabetes or cancer ever
• exception – Basal and Squamous Cell
• Personal history of certain cancers will be allowed. consult your home officeunderwriterforcriteria.
• no personal history of alcohol ordrugabuse,diabetesor cancer ever
• exception – Basal and Squamous Cell
fOreiGn residency/travel
• ApplicantmustbeaU.S.citizenorpermanentU.S.resident
• TraveltohazardousareamaydisqualifyforPreferredandSuperPreferred
• ConsultwithyourhomeofficeunderwriterforapplicantswhoarenotU.S. citizensorpermanentresidents
Preferred/Super Preferred Guidelines
PreFer
reD
/SUPer
PreFer
reD
Note: ToqualifyforPreferredorSuperPreferred(orSuperStandard),aclientneedstomeetourPreferred/SuperPreferredGuidelines(Page24and25)andmeetourHealthyLifestyleCreditscorecardthresholdsforeachriskprofilefactor(Pages20and21).
| 25 |
PreFerreD SUPer PreFerreD
tOBaccO1
• tobacco use includes any tobacco or nicotine product (i.e.,cigar,patch, gum&marijuana)
• Best offer for marijuana use within one year is tobacco/standard
• Notobaccousefor: twoyears,ages20-70 threeyears,ages71-85
• exception – 12 or fewer cigars per year with a negative urine
• for tobacco/preferred rates all preferred criteria must be met excepttobaccouse
• Notobaccousefor: fiveyears,ages20-80
drivinG2 • Nomorethantwomovingviolationsinthepastthreeyears
• Nodrivingundertheinfluenceorrecklessdrivinginfiveyears
OccupatiOn/military/aviatiOn/HazardOus spOrts
• not ratable for occupation and military
• Foraviationandhazardoussportsrisk,refertoyourhomeofficeunderwriter
1Tobaccodefinitions: • Tobacco:Currentorpastuseintheprior24monthsofanytobaccoincludingcigarettes,cigars,pipe,chew,
snuffornicotineaids.(Forages71-85,aclientwillbeclassifiedastobaccoiftheyhaveusedanytypesoftobaccointhelast3years.)
– MarijuanausewithinoneyearrequiresTobaccoclassificationinallstatesexceptNewJersey.
• Non-tobacco: no tobacco use in any form currently or in the prior 24 months.
• Exception to non-tobacco:Twelveorfewercigarsintheprior12monthswithadmitteduseontheapplication(orTeleApp)andanegativeurinespecimenfornicotinewillqualifyfornon-tobacco.
2Subjecttoreviewofspecificinfractions.
PreFer
reD
/SUPer
PreFer
reD
| 26 |
AsavaluedpartnerofThePrincipal,westrivetogiveyouanedgeindoingbusinesswithus.Weare
committedtomaintainingmarket-leadingunderwritingandservice,andwewantyoutobefamiliar
withourfinancialunderwritingrequirementsandguidelineswhensubmittingcasestous.
Financial requirements
FaCe aMOUNT
FiNaNCial UNDerwriTiNG
SUPPleMeNT FOr liFe iNSUraNCe
iNSPeCTiON rePOrT wiTH
FiNaNCial QUeSTiONS
THirD ParTy FiNaNCial
veriFiCaTiON
$2,000,000to$5,000,000 X
$5,000,001to$10,000,000 X X
$10,000,001andup X X X
Anyfaceamount,age70+, trust less than two years
X X X
Note: Underwritershavediscretiontorequestadditionalfinancialinformationatanyageand/oramount.
Premium to income ratio
• Ifnetworthislessthanorequalto$5million,acceptableratioofpremiumtoincomeis
upto25percent.
• Ifnetworthisgreaterthan$5million,acceptableratioofpremiumtoincomeisupto
40 percent.
• Ifnetworthisgreaterthan$10million,acceptableratioofpremiumtoincomeisupto
60 percent.
Financial Underwriting
FiNa
NC
ial U
ND
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| 27 |
Personal financial underwriting guidelines
PUrPOSe OF iNSUraNCe FOrMUlaS aND GUiDeliNeS iNFOrMaTiON NeeDeD
income replacement
MaxiMUM COveraGe
ages: Multiply income by:
20-29 20-25 30-39 15-20 40-49 12-15 50-54 10-12 55-59 8-10 60-65 5-8 Over65 2-5
• Grossannualincome• Howamountofinsurancewas
determined• Othercoverageinforceor
pending with all carriers
estate planning •Estategrowthfactorupto8%
estate growth period:•Ages20-65–75%oflifeexpectancynot
toexceed15years•Ages66-80–75%oflifeexpectancynot
toexceed10years•Ages81+–Usecurrentestatevalue;no
growth assumptions•Assume50%ofestimatedfutureestate
valuewillbelosttoestatetax• Insuranceamount=50%ofestimated
futureestatevalue
• Estateanalysis• Networth• Howinsuranceamount
was determined• Riskamounts
Note:Ifyouhavequestionsregardingjuvenile,charitableinsuranceorcreditorinsurance,pleasecontactyourhomeofficeunderwriter.
Business financial underwriting guidelines
PUrPOSe OF iNSUraNCe FOrMUlaS aND GUiDeliNeS iNFOrMaTiON NeeDeD
Key executive •Upto10timesannualincome•Businessownerandbeneficiary
•Verificationofincome•Listofotherkeyexecutives
andtheircoverage•Explanationoflayrole
to employer
Buy-sell and stock redemption plans
•Percentofownership=Xvalueofcompany•Crosspurchase–partnersareowners
andbeneficiaries• Entitypurchase–businessisowner
andbeneficiary• Valueofbusinessandhowthevaluewas
determined
Businessfinancials:•Balancesheet• Incomestatement•Listofowners/ownershippercent•Confirmationallpartnersare
similarly insured
executive Bonus/ S Owner
• Insuranceamount=amultipleoftheexecutive’sincome
•Verificationofincome
Deferred compensation
• Insuranceamount=amultipleoftheexecutive’sincome
•Deferredcompensationplanformula and description of insurancebenefit
•Verificationofcompensation
Note:Ifyouhavequestionsregardingcreditorinsurance,pleasecontactyourhomeofficeunderwriter.
FiNa
NC
ial U
ND
erw
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| 28 |
Asafinancialprofessional,weknowthatyourtimeisbetterspentfocusingonsalesandservice.Letuscompletethemedical
portionPartB(PartII)oftheapplicationforyouusingourfree Teleapp service. we employ our own trained professionals and
useastate-of-the-artreflexivesystem,designedbyourunderwriters,toguideyourclientsthroughtheinsurabilityquestions.
Ourreflexivequestionslettheunderwritersgainadditionalinsightintomedicalimpairmentsthatourtraditionalapplication
processdoesn’tallow.Nomorebackandforthbetweenyourclientandunderwritingtryingtoclarifyvaguepaperapplication
medicalquestions.WearesoconfidentinthequalityoftheinformationweobtainthroughTeleAppthatwerequirefewer
routinerequirementsandhavereducedAPSorderingby40percent.
Save Time with TeleApp
Benefits of using Teleapp
• it’s free!
• Improvedpolicyissuetime
• less paperwork and follow-up
• Fewerroutinerequirements,attending physician statements and paramedicalexams
• Advisorsdon’thavetoaskawkward medical questions
• you choose whether or not we schedule the paramedicalexamination.
• Clients’medicalinformationis gathered by our professionalinterviewers,notthird-partyvendors.
Five easy steps
1. Complete Part a (Part i) of the application, and obtain part c
signatures.Explaintheinterviewprocesstoyourclient.TheTeleapp
Guide (BB10268)providesstep-by-stepinstructionstohelpprepare
your client.
2. Schedule the interview using one of the scheduling options shown
below.Interviewsmaybescheduledfrom7a.m.to10p.m.CST,
MondaythroughThursday,and7a.m.to7p.m.CST,Friday.
3. Submit the initial application and other required forms (supplemental
applications,illustrations,bloodconsentandFieldOfficeReport)to
your new Business coordinator for processing.
4. The Teleapp interviewer calls your client at the scheduled time and
completestheinsurabilityquestions(PartB/PartII).Theaverageinterview
takes15-20minutes.Adraftcopyofthecompletedinterviewresponses
willbesenttoyouoncetheapplicationisreceivedinthehomeoffice.
5. Deliver the policy to the client.Thehomeofficeprovidestwocopies
ofthecompletedapplication.yourclientreviewstheinformationand
signs both copies. One copy is attached to the policy and remains with
theclient.Returntheentirepacket,alongwiththesignedapplication
(PartD),tothehomeoffice.
TeleaPP
| 29 |
Scheduling the interview
you can choose to have your client complete an immediate interview or
you can schedule a future date and time when it is most convenient for
your client using the following options:
• Toimmediatelycompletetheinterview,call888-TeleApp(888-835-3277),
option 2.
• Toscheduleaninterview,call888-TeleApp(888-835-3277),option1.
• submit a request using the online form at www.principal.com/teleapp.
when scheduling an interview, please provide this information:
• Producer’snameandphonenumber
• Client’sname,SocialSecuritynumberanddateofbirth
• products and total amounts applied for
• Signaturestate(thesigningstate)
• Client’stelephonenumberandtimetocall
Staying informed
you may access your pending business report at principal efinancial
professionalsm(PrincipaleFP)atanytimetomonitorthestatusofthe
TeleAppinterview.OryoucancallourTeleAppdepartmentanytime
youhavequestions,888-TeleApp(888-835-3277),option1.
Preparing your clients
Byhelpingclientsknowwhattoexpect,wecanmoreefficiently
completetheinterviewandbuildapositivecustomerexperience.On
average,interviewstake15-20minutesandcoverthefollowingtopics:
• Generalactivitiesandhealthhabits
• annual income and net worth information
• Foreigntravelhistoryforthelastfiveyears
• names and dosages for all medications currently being taken
• Names,addressesandphonenumbersofmedicalproviders
• Approximatedatesofanyinjuries,surgeries,emergencyroomvisits,
hospitalizations,illnessesorconditions
For more information
Go to www.principal.com/teleapp.
Helpful hints
• Immediateinterviewsarefast
andeasy.888-TeleApp
(888-835-3277),option2.
• Scheduledinterviewswitha
specificdateandtimehavean
80percentfirst-callcompletion
rate(35percentwhennot
scheduled).Ifyou’renot
completing an immediate
interview,it’sbettertoschedule
aspecificdayandtime.
• Whenschedulinganinterview,
let us know the state in which
the application was signed. we
canthentailortheinterviewto
thestate-specificapplication
questions.
• Theconfirmationnumber
providedbytheTeleApp
counselor and the date and
timeoftheinterviewshouldbe
recordedontheFieldOffice
report for life applications or
theProducer’sReportfor
disability applications.
TeleaPP
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| 31 |
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Principal UnderrightSM
Fast. Easy. Just Right.
• Applicationsacceptedelectronicallyorbyfax(1035Exchangepaperworkneedswetsignature).
Toll-freefax:1-866-542-1359
• Dedicatedhomeofficecasemanagersplusaccesstoyourunderwriterwhenyouneedit.Toll-free
phone:1-800-654-4278
For Financial proFessionals
The principal Financial Group®
life Underwriting Guide
Principal National Life Insurance Company and Principal Life Insurance Company, Des Moines, Iowa 50392-0001 www.principal.com
Insurance products from the Principal Financial Group® (The Principal®) are issued by Principal National Life Insurance Company (except in New York) and Principal Life Insurance Company, Des Moines, Iowa 50392.
For producer information only. Not for use in sales situations
BB10009-04 | 08/2013 | t11112904tq
We’ll Give yoU an edGe®
Not FDIC or NCUA insured May lose value • Not a deposit • No bank or credit union guarantee
Not insured by any Federal government agency