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Prudential Long-Term Care Insurance Selling to Businesses and Associations. Steven Ellis, Regional Sales Manager. For Financial Professional Use Only – Not for distribution to the general public. Prudential Financial Strength and Stability. From a name you know and trust
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Prudential Long-Term Care InsuranceSelling to Businesses and Associations Steven Ellis, Regional Sales Manager For Financial Professional Use Only – Not for distribution to the general public.
Prudential Financial Strength and Stability • From a name you know and trust • 130 years in Financial Services Industry • $568 billion in assets under management* • 15 million customers worldwide* • Prudential name and distinctive “Rock” logo are among the most widely recognized brands in the US Solid Financial Strength Ratings** A.M. Best A+ Standard & Poor’s AA- Moody’s Aa3 Fitch AA * As of 6/30/2006. **As of February 2006. A.M. Best ratings range from A++ (Superior) to F (In Liquidation); Standard & Poor’s ratings range from AAA (Superior) to CCC (Extremely Vulnerable); Moody’s ratings range from Aaa (Exceptional) to C (Lowest Rated); Fitch ratings range from AAA (Negligible Risk Factors) to DD (Company under Order of Liquidation).
Prudential Long-Term Care Insurance • Total LTC Solutions • 20 years in LTCi business with no rate increases • Innovative and comprehensive products • Markets we service: • Individual • Multi-life • True Group • Centralized 800# handles all producer LTC inquiries
Multi-life Opportunity • The “multi-life” LTC market is one of the fastest growing components of LTCi sales • Executive Carve Outs • Employee Benefits • Opens door for cross-selling approach • Prudential offers LTCi products to: • Individuals (small employer groups) • Associations • Large corporations
Impact of Caregiving on Employers • The National Alliance for Caregiving and AARP Survey1 found: • 1 out of 4 U.S. households are involved in caregiving • 2 out of 3 caregivers are employed fulltime • 1 out of 3 caregivers lose up to 16 hours of work per month due to caregiver responsibilities 11Caregiving in the U.S. National Alliance for Caregiving (NAC) and AARP. May, 2005.
Impact on Employer & Employee • Result of care-giving: • Businesses lose up to $33 billion annually1 • Absenteeism • Decline in productivity • Interruptions (emergencies and calls) • Decreased morale and motivation • Unwillingness to travel & inability to relocate • Employees are physically, emotionally, & financially drained • 30% of employees with parent age 65+ miss work2 • 31% quit work3 • 67% adjust work schedules4 • Impacts retirement & educational saving • Can place career limits during “key wage earning” years1 2/3The State of Aging and Health in America 2004. 1 National Alliance for Caregiving
The Financial Costs of “Informal” Caregiving • 1 out of 2 caregivers provide more than 8 hours of caregiving per week.1 • 17% provide more than 40 hours per week.1 • Estimated loss to “informal” caregiver: • $25,494 in social security benefits • $67,202 in pension benefits • $566,433 in wages Total lifetime loss = $659,1392 1 Source:The State of Aging and Health in America 2004. http://www.caregiver.org/factsheets/selected_caregiver_statistics.html.
Why LTC Insurance? • One of the newest employee benefits being used to attract and retain top-talent • Awareness and interest in LTC is increasing: • Media attention • LTC Awareness programs • Baby boomers seeing parents needing help • Facing their own futures • Employers can have a positive effect on employees in planning for their future needs • Help diminish the negative effects of caregiving • LTC market is untapped with only 3% of small businesses offering LTCi
LTC Advantages for Businesses • Group discounts • Tax advantages • Deductible premiums • No income / tax-free benefits • Executive benefit perk (carve outs) • Employers pay premiums for select employee groups • Benefits received by employee are not taxable • Employee owns policy and it’s portable • Method of providing a “raise” to key employees • Multiple “employee” classes with no nondiscrimination requirements* • Ease of administration (list billing) *Source: http://www.irs.gov/publications/p15b/ar02.html#d0e731.
LTC Tax Advantages For Individuals • Premium payments • Unreimbursed medical expenses and LTCI premium deductible to extent they exceed 7.5% of Adjusted Gross Income (AGI) • Benefits taxed • Excluded from income as long as insured is chronically ill* and benefits are used for qualified LTC services Example: Based on AGI of $60,000 & Annual Premium of $2,400 $1,060 Determine age bracket (58 yr individual) $6,000 Unreimbursed medical expenses (excluding LTC premium) $7,060 $4,500 Deduction allowed is the portion that exceeds 7.5% of AGI ($60k x 7.5%) $2,560 Total Allowable Deduction + - *As defined by the Internal Revenue Code.
Maximum Tax-Deductible Premiums (2006) 2006 Eligible Premiums Age 40 or below $280 Age 41 to 50 $530 Age 51 to 60 $1,060 Age 61 to 70 $2,830 Age 71 and above $3,530
Tax Advantages for C-Corporations • Premiums are 100% deductible as business expense • Fully deductible to firm, not taxable to employee • Spouse premiums are fully deductible to the firm, not taxable to the employee
What to Ask C-Corporations • Why do you want to pay for LTC yourself when your company can pay it for you? • Corporate paid premium after taxes is approximately 60% of actual premium (assume 40% personal and corporate tax bracket) • Example: • $8,000 premium is discounted to $4,800 • Personal after-tax paid premium approximately 140% of actual premium • $8,000 premium would cost $11,200 in after-tax dollars
Business Owner C-Corp: Couple $300/day,10-year, 90/180 EP, Monthly, 150 HHC (LTC3SM), Return Of Premium (LTC3), $2,190,000. Total initial benefits pool of money created for both… Keeping It Simple, Selling to a business owner $33,224* Annual 10 Pay Premium$13,290Estimated C-Corp Deduction (-40%) $19,934 Estimated net out of pocket cost to business $199,340 Total 10 pay net out of pocket cost to business $332,240 Gross premium paid by business $332,240 Amount paid to insured’s estate at death, minus any claims. *Please note – Premiums are LTC3. LTC3 is not approved for use in NY.
Tax Advantages: • S-Corporations • Premiums are deductible for owners, limited to an age-based amount • Fully deductible to firm, not taxable to employee • Greater than 2% of owners, eligible premium is deductible above the line*; all other fully deductible to firm, not taxable to employee • Spouse premiums are fully deductible to firm, not taxable to employee * Above the line – treated as an adjustment to gross income on the Individual Income Tax Return Form 1040 (I.e., before itemized deductions) for sole proprietor, partner, LLC shareholder, >2% S Corp shareholder. * Above the line – treated as an adjustment to gross income on the Individual Income Tax Return Form 1040 (I.e., before itemized deductions) for sole proprietor, partner, LLC shareholder, >2% S Corp shareholder.
Tax Advantages: • Partnerships • Fully deductible to firm, not taxable to employee • Eligible premium is deductible above the line* • Spouse premiums are fully deductible to firm, not taxable to employee • Premiums reported as guaranteed income on Schedule K-1 • LLCs • Fully deductible to firm, not taxable to employee • Eligible premium is deductible above the line* • Spouse premiums are fully deductible to firm, not taxable to employee • Income reporting depends on Corp or Partnership status * Above the line – treated as an adjustment to gross income on the Individual Income Tax Return Form 1040 (I.e., before itemized deductions) for sole proprietor, partner, LLC shareholder, >2% S Corp shareholder.
Business income * $350,000 Eligible (ILTC) Premium (2006 limit) treated as self-employed health insurancededuction for 61 – 70 ages: ($2,830) Adjusted gross income: $347,170 Tax savings on $2,830 Fed (28%): $792 Fed (33%): $934 State (5%) $142 State (5%) $142 Total savings: $934 Total savings: $1,076 * Schedule C for sole Proprietor, K-1 for Partner/Shareholder Financial Impact on Sub S, Partnership, LLC Based on $5,000 Annual Premium.
The Solution: Prudential Multi-Life Programs True Group Employer-Sponsored Affiliations
Employer Sponsored Program (ESP) Highlights • Employer group size requirement • 10 to 500 lives (must work minimum of 30+ hours per week) • Minimum participation requirement • 10 lives (including spouses) • Discounts • 10% discount to employees & spouse/partner • 5% discount to family members* • No maximum on discounts • Preferred health rate class not available to employees under ESP • Modified underwriting (employees ages 18 - 70*) • Customized plan design for every client • Buy-ups available * Parents, in-laws, aunts, uncles, siblings, grandparents, grandparents in-law, and children ages 18 and older.
ESP Plan Design • Options with modified underwriting • $50 - $300 Facility: daily, monthly, or cash benefit • 50%, 75% or 100% home care • Benefit periods: 2, 3, 4, 5, or 6 years • Elimination period: 60, 90, 120, 180, or 365 days • All Inflation options available • Accelerated premium options available • 10 pay • Paid-up at 65 • Buy-ups available • Lifetime, shared care rider, etc.
Benefits: Part of Every LTC3SM Policy • Restoration of benefits • Calendar day elimination period • Waiver of premiums • Cash alternative • Home support services benefit • Alternate plan of care benefit • International coverage benefit • Care management (including a Private Care Consultant benefit)
Optional Riders* • With modified underwriting • Flexible cash benefit rider • Cash benefit rider • Return of premium upon death benefit • Available as buy-up with full underwriting • Shared care benefit • 150% home care daily benefit • Joint waiver of premiums benefit • Survivor waiver of premiums benefit * For the Prudential LTC3 product only. Contact your Regional Sales Manager with questions on LTC By DesignSM.
ESP Modified Underwriting Questions • Do you use: walker, oxygen, respirator, or kidney dialysis? • Within past 12 months have you: used adult day care, needed home health care, or been medically advised to enter or been confined to nursing home, assisted living facility, or other LTC facility? • Do you currently need assistance or supervision by another person in performing any of the following activities: bathing, eating, toileting, bowel or bladder control, moving in and out of bed or chair, dressing, or taking your medication? • Have you had, do you currently have, or have you ever been diagnosed as having any of the following medical conditions: • Organic Brain Syndrome, Dementia, Senility, Confusion, Memory Loss, or Alzheimer’s Disease? • Metastatic Cancer (cancer that has spread from original site or location?) • Multiple Sclerosis (MS), Muscular Dystrophy, Multiple Transient Ischemic Attacks (TIA), Parkinson’s Disease, Amyotrophic Lateral Sclerosis, Stroke, or Cerebrovascular Accident (CVA)?
ESP Billing Options • List bill • Monthly payment sent to Prudential by mail or electronic transfer • All participants premium is sub-totaled on one bill • Direct bill • Employees deducted monthly with or without EFT • Quarterly, semi-annual, or annual available
Opening Doors • Who are your clients? • Do they own a business? • Are they executives with a company? • Do they belong to professional or personal associations? • What associations do you or someone in your personal network belong to? • Can you conduct a seminar?
Who to partner with? Property/Casualty Agents Accounting Firms Trade Associations Employee Benefit Consultants Chambers of Commerce Corporate Attorneys What industry to target? Favorable: Higher Education Physicians Law Firms Accounting Engineering Challenging: Retail Hospitals Manufacturing Finding the Right Businesses
Why Prudential? Effortlessly Handling All of Your Long-Term Care Insurance Needs Long-term care insurance is underwritten by The Prudential Insurance Company of America, 751 Broad Street, Newark, NJ 07102 (800-732-0416). Prudential Financial is a service mark of The Prudential Insurance Company of America, Newark, NJ, USA and its affiliates. For Broker/Producer Use Only. Not to be distributed to the public.
Questions & Answers Steven Ellis, Regional Sales Manager 866-829-4012 (toll-free)