The Case For Individual CI: Strong

January 03, 2010 at 07:00 PM
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Approximately 90% of all critical illness insurance sales in the United States come from either the worksite or group sales channels.

The product pays the policy owner a lump sum in the event the insured suffers one of the critical illnesses named in the policy. The person can then use the funds to pay for medical expenses not covered by insurance or any other expenses.

The average CI worksite policy in the US is usually designed as a stand-alone product. It is sold in benefit amounts of under $30,000, using simplified underwriting, limited or full portability, and an option for buy-ups.

In the U.S. the true group CI policies are even smaller. They are usually written for under $10,000 per employee.

By comparison, in the United Kingdom, the majority of CI policies are sold as a combination life and CI product, with an average benefit amount of $100,000 (U.S. dollars). The UK has about 9 million CI policyholders in a population of 36 million.

In Canada, the average policy is sold as a stand-alone health product, including a return of premium feature. The average individual CI amount is $93,000 (US).

This may be the right time to consider developing more, and selling more, individual CI in the U.S. market–not to the exclusion of worksite CI and group CI but in addition to those sales.

The target market for individual sales may well be the white-collar professional or business owner, age 30-50, who desires more CI coverage (over $100,000) and is willing to be fully underwritten.

The sales approach could focus on an individual's need for CI as asset protection, providing a liquidity trigger for calamitous medical events such as heart attack, stroke, or life-threatening cancer.

A possible design could include a loss of independent living rider, which is triggered by two of six activities of daily living, using an approach similar to that used in long term care insurance. This CI feature could provide a catch-all for conditions not included in the product.

In the U.S., most individual CI policies that are sold are stand-alone products and fully underwritten, with policy limits between $250,000 and $500,000. But although there are more than 40 carriers currently selling CI in the U.S., only a few offer individual products.

Another opportunity exists–to include CI as a rider on an individual life policy. Since life insurance typically requires full underwriting for amounts greater than $50,000, a CI rider could easily be offered at this time. It would provide the customer an opportunity to purchase CI coverage with no additional underwriting.

To lower the premium costs, financial advisors should consider CI in combination with disability income or LTC insurance. For example, by increasing the elimination period on the DI or LTC from 90 days to one year, the advisor can then position the CI to provide liquidity protection during that longer elimination period.

New markets to consider for individual CI are mortgage life, key person insurance and executive carve-out programs.

The nation is in the midst of recovering from a recession that is second only in magnitude to the Great Depression. Individuals, especially professionals and business owners, have suffered losses of 30% or more due to declines in their 401(k) plans, equities accounts, and home values. Given that only 21% of the U.S. working population is covered by traditional pensions, a catastrophic illness might well be the catalyst for financial devastation.

Individual CI sales have the potential to be the new frontier for CI sales growth within the U.S. This is the only financial product that offers discretionary cash infusion for financial stability.

Daniel R. Pisetsky is president of US Living Benefits, Old Lyme, Conn., and founder of National Association for Critical Illness Insurance. His e-mail address is [email protected].

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