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Heart Disease & Stroke. Underwriting. Our way or the long way. High. RISK. Low. Heart Disease. Heart disease refers to a group of conditions that affect the structure and functions of the heart. A well functioning heart should …. Pump blood throughout the body.
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Heart Disease & Stroke Underwriting Our way or the long way
High RISK Low
Heart Disease • Heart disease refers to a group of conditions that affect the structure and functions of the heart.
A well functioning heart should… Pump blood throughout the body Supplies oxygen and nutrients Remove carbon dioxide and other wastes
Heart Disease - Did You Know? Every 7 minutes in Canada someone dies from heart disease. About 2.4 million Canadians aged 20 years and older live with ischemic heart disease. Heart disease is the 2nd leading cause of death in Canada.
Heart Diseases on our Application Angina Coronary Artery Disease (CAD) Heart Attack Angioplasty Bypass Surgery Stent Insertion Cardiomyopathy Congestive Heart Failure
Don’t Ask, Don’t Tell • Atrial Fibrillation • Arrhythmia • Congenital Heart Disease • Heart Murmur • Valvular Heart Disease NOT on our Application
Stroke The interruption of the blood supply to any part of the brain.
STROKE vs. TIA Stroke TIA Stroke is caused by blockage of blood flow or rupture of an artery to or in the brain Similar to a stroke, except the blockage lasts for less than 24 hours Heart and Stroke Foundation Canada
Stroke - Did You Know? Every year, nearly 14,000 Canadians die from stroke. • Every year in Canada, there are over 50,000 new strokes—that's one stroke every 10 minutes Stroke is the 3rd leading cause of death.
Traditional uw – Heart & stroke Blood/Urine The Long Way Stress Test Traditional Underwriting Cardiac Report APS ECG
X This is all you need: Our Way APS
A Few Examples Canada Protection Plan Case Traditional 12 months post stroke • Deferred Elite up to $350,000 Postponed • Potentially Simplified Elite up to $500,000 More than 1 stroke Declined Stroke combined with Diabetes • Deferred Elite up to $350,000 Declined Possible ECG, stress test Rated or Declined Angina (chest pain) 53 M, more than 3 years ago • Simplified Elite up to $500,000 Congestive Heart Failure • Guaranteed Acceptance up to $25,000 Declined
How We Underwrite – What Matters Most to us 1. Date and Age at which event (CAD/MI or stroke) took place 2. Treatment versus Maintenance Medications 3. CAD Coupled with Diabetes
1. Date and Age Heart Attack (Myocardial Infarction) Angina (Cardiac Chest Pain) Stent Insertion Angioplasty Bypass Surgery Stroke & TIA
1. Date and Age Section A, Q#9. Have you ever had, been treated for, or been diagnosed prior to age 40, with: coronary artery disease, heart bypass surgery, angioplasty, stent insertion, angina or heart attack…? Canada Protection Plan • Guaranteed Acceptance • Up to $25,000 • No Medical • 2-year deferral period Mortality Age at onset 40 80 0
1. Date and Age If coronary event occurred > age 40... Canada Protection Plan • Deferred Life • Up to $50,000 • No Medical • 2-year deferral period Section B, Q#1. Within the past 12 months have you had, been told you have, or been treated for: a) Cardiac chest pain (angina), heart attack (myocardial infarction), coronary artery disease, stroke (CVA), heart bypass surgery, angioplasty, stent insertion…..?
1. Date and Age If coronary event occurred > age 40... • Deferred Elite • Up to $350,000 • No Medical • 2 year deferral period. After 1 year, 50% of the face amount if death occurs Canada Protection Plan Section C, Q#4 a) Are you age 54 or under and within the past three years, have you had treatment or surgery for or been diagnosed as having cardiac chest pain (angina), heart attack (myocardial infarction), coronary artery disease, heart bypass surgery, angioplasty, stent insertion,…? b) Are you age 55 or over and within the past two years…
Section C Deferred Elite Up to $350,000 NO MEDICAL Issue Ages: 18 - 80 New deferral conditions…
…If the death occurs during the second year and is due to non-accidental means, 50% of the coverage amount is payable. The full coverage is payable after two years. If cause of death is accidental, the full coverage is payable any time.
If… The client is</= 54 years old and the cardiovascular event/stroke took placeOVER 3 years ago OR The client is >/= 55 years old and the cardiovascular event/stroke took place OVER 2 years ago …Then, move on to Section D
Section D Immediate Coverage Simplified Elite Up to $500,000 NO MEDICAL Issue Ages: 18 - 80
Any history of heart disease or stroke NOT ELIGIBLE FOR PREFERRED
3. CAD/Stroke Coupled with Diabetes Cardiovascular disease is the leading cause of death among people with type 1 and type 2 diabetes. Did you know…. Adults with diabetes are two to four times more likely to die from heart disease than adults without diabetes.
3. CAD/MI Coupled with Diabetes CPP A history of CAD + diabetes = APPROVED! Deferred Elite, max $350K, non-medical Traditional Insurer A history of CAD/stroke + diabetes = DECLINED
1. Spotlight: Heart Disease & Stroke • 33-year-old Male, Non-Smoker • Had a sudden heart attack while at work. A stent was inserted, and he was prescribed aspirin, 81 mg per day, for prevention/maintenance. DARE TO COMPARE • Approved Guaranteed Acceptance • Up to $25,000 • No Medical • 2 year deferral period • $56.57/month • Guaranteed Acceptance Life for $25,000 Canada Protection Plan Traditional Provider • APS • Full cardiology reports • New labs • Decision: • Likely Declined
2. Spotlight: Heart Disease & Stroke • 48-year-old Female, Non-Smoker • Diabetes type II, uses only non-insulin medication for 7 years. She had a stroke 4 years ago. DARE TO COMPARE • Approved Deferred Elite • Up to $350,000 • No Medical • 2 year deferral period. After 1 year, 50% of the face amount if death occurs • $43.65/month • Deferred Elite T10 for $100,000 Canada Protection Plan Traditional Provider • APS • Full cardiology reports • New labs • Decision: • Likely Declined
3. Spotlight: Heart Disease & Stroke • 55-year-old Female, Smoker • Experienced severe chest pains 6 years ago. She was taken to the ER and had a stent inserted. She also had a stroke 2 years prior to this incident. She currently takes a blood thinner and cholesterol-lowering medication. DARE TO COMPARE • Approved Simplified Elite • Up to $500,000 • No Medical • No deferral period • $93.89/month • Simplified Elite T20 for $75,000 Canada Protection Plan Traditional Provider • APS • Full cardiology reports • New labs • Decision: • Likely Declined
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