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Long Term Care Insurance Sponsored Group Program*. Policy Series LTC-03 In Idaho: Policy Form LTC-03ID In Pennsylvania: LTC-03FRPA In New York: SG-03NY In North Carolina: LTC-03NC In Oklahoma: LTC-03OK In California: LTC-02CA In Florida: LTC_02FL. *Marketing Group Discount in NY and TX
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Long Term Care Insurance Sponsored Group Program* Policy Series LTC-03 In Idaho: Policy Form LTC-03ID In Pennsylvania: LTC-03FRPA In New York: SG-03NY In North Carolina: LTC-03NC In Oklahoma: LTC-03OK In California: LTC-02CA In Florida: LTC_02FL *Marketing Group Discount in NY and TX Long-Term Care Insurance is individually underwritten by John Hancock Life Insurance Company, Boston, Massachusetts 02117 For use with Employers Only. Not for use with Consumers. LTC-3170 10/05
Overview • Sponsored Group Program Advantages • Tax Advantages • The Need for LTCI: Facts and Statistics • How Long Term Care Can Affect Your Business • Why John Hancock?
Sponsored Group Program Advantages • Offer Long Term Care Insurance (LTCI) to employees with a 5% discount.¹ • Added benefit to offer employees • Once the policy is purchased it is portable. If the employee leaves the company they can take it with them and keep the discount. 1. In NY, Employer pay cannot exceed 50% of total premium in order to receive discount
Sponsored Group Program Advantages • Little or no cost to the employer for employees to purchase. • Discounts are available to spouses, partners¹, parents, parents-in-law grandparents and children (including adopted and fostered) of an employee. 1. Only spouses are eligible in LA and MD. In NY only spouses and partners (same sex or opposite sex are eligible.
Sponsored Group Program Advantages • Employers who pay LTC insurance premiums on behalf of an employee may be entitled to deduct 100% of the premiums as a business expense. • Employer can be selective when paying LTC insurance premiums – does not have to pay premiums for all employees. • Reduction in absenteeism among employees who otherwise need more time off from work to care for a family member. Clients should consult with their financial advisor or tax consultant regarding tax issues
Individual Tax Advantages • Tax qualified premiums are considered a medical expense deduction • Medical expenses deductible to the extent they exceed 7.5% of Adjusted Gross Income (AGI) • Limited to Eligible Premium Clients should consult with their financial advisor or tax consultant regarding tax issues
Eligible LTCI Premiums 2006 Tax Advantages 40 or Younger $280 41 – 50 $530 51 – 60 $1,060 61 – 70 $2,830 71 or Older $3,530 Clients should consult with their financial advisor or tax consultant regarding tax issues
Employee Benefit Plan Tax Advantages • Employer establishes employee accident and health plan • Explains need for a plan • Participation may be limited to key employees, including shareholder employees, and their spouses and dependents Clients should consult with their financial advisor or tax consultant regarding tax issues
Employee Benefit Plan Tax Advantages • Employer pays premiums on personally owned policies • Employer deducts premiums; deduction not limited to eligible premiums • Premiums excluded from employee’s gross income • Works for all subchapter C Corporation employees and Subchapter S Corporation employees who own 2% or less of the corporation Clients should consult with their financial advisor or tax consultant regarding tax issues
Self-Employed Tax Advantages • Tax qualified premiums can be deducted up to the age-based Eligible Premium. • The amount that exceeds Eligible Premium is not deductible • Not subject to the 7.5% AGI threshold • Limited to earned income from the business Clients should consult with their financial advisor or tax consultant regarding tax issues
Employee Benefit Plan Tax Advantages • The following are taxed as self-employed individuals • Partners in a partnership • LLC taxed as a partnership • More than 2% shareholder/employee of a subchapter S Corporation • Tax qualified premiums can be deducted up to the age-based Eligible Premium • Not subject to the 7.5% AGI threshold Clients should consult with their financial advisor or tax consultant regarding tax issues
John Hancock Support Tax Advantages If there are any further questions regarding the tax deductibility of Long Term Care Insurance please review: • 2005 Tax Guide (GFR-TX 8/2005) • Technical Release, January 2005 (Adv-1289 1/05) • Specimen Agreement (VIIAI 3/03) • Or contact your tax advisor Clients should consult with their financial advisor or tax consultant regarding tax issues
Example 1 Tax Advantages • Ann, age 55, is the President and sole shareholder of XYZ, Inc., a C Corporation. The Corporation adopts an accident and health plan that calls for it to pay the premiums for Ann’s Qualified LTCI policy. The premium is $1,500. • The Corporation deducts $1,500 • Ann excludes the $1,500 from her gross income Clients should consult with their financial advisor or tax consultant regarding tax issues
Example 2 Tax Advantages • Same facts in Example One except XYZ is an S Corporation. • The Corporation deducts $1,500 • Ann includes $1,500 in gross income and claims a self-employed health insurance premium deduction of $1,060 (The eligible premium for her age range) Clients should consult with their financial advisor or tax consultant regarding tax issues
Example 3 Tax Advantages • Ann is a partner in ABC Partnership. ABC adopts an accident and health plan under which it will pay the premiums for Ann’s Qualified LTCI policy. • Partnership deducts $1,500 if considered a guaranteed payment • Ann includes $1,500 in gross income and deducts $1,060 as self-employed health insurance deduction Clients should consult with their financial advisor or tax consultant regarding tax issues
Example 4 Tax Advantages • Ann is now a sole proprietor and her husband, also 55, is an employee. The premiums on each policy are $1,500. • Plan covers Ann and her husband, but as Ann’s spouse. • Deduction: $2,120 ($1,060 x 2) on the couple’s tax return as self-employed health insurance premium. Clients should consult with their financial advisor or tax consultant regarding tax issues
Example 4 Tax Advantages • Ann is now a sole proprietor and her husband, also 55, is an employee. The premiums on each policy are $1,500. • Plan covers husband, as an employee, and Ann as his spouse. Deduction: $3,000 business deduction fully excluded from each spouse’s gross income. • Ann’s husband must be a bona fide employee. • The full deduction and exclusion are not available if employee is married to a more than 2% Shareholder Employee of an S Corporation. Clients should consult with their financial advisor or tax consultant regarding tax issues
Who Pays for Long Term Care Services? 2001 National Spending for Long Term CareFuture Medicaid and Medicare funding levels are in question Out of Pocket 23% Medicare 16% Private Insurance 11% Other Private 3% Other Public 3% Medicaid 44% $172.5 Billion Source: Health Policy Institute, Georgetown University, 2001
Demographics are Compelling Millions of Elderly Persons Age 65 and Older 75 72 67 52 41 35 Millions Age 85+ Age 65 - 84 Source: Bureau of the Census, Elderly Population Will More Than Double by 2040, January 2000. Source: Long-Term Care. AHRQ Focus on Research. AHRQ Pub. No. 02-M028, March 2002. Agency for Healthcare. Research and Quality, Rockville, MD. Graph
Demographics are Compelling • Baby Boomers (Ages 39-57) represent a total of 77.7M in 2003. Boomers will begin turning 65 in year 2011 at the rate of 10,000 per day¹. 1. A profile American Baby Boomers: Mature Market Institute, 2003
The Need for Long Term Care Insurance • One illness or injury requiring long term care could deplete your savings. • On average, one year in a nursing home or 24-hour home care can cost more than $66,000 today.¹ In states such as New York, the cost can run as high as $115,340. 2 Congressional Budget Office, “Financing Long-Term Care for the Elderly,” April 2004 New York State Partnership for Long Term Care, 2003
The Future Cost of Care Potential Financial Impact on Income, Assets, and Estates Five years of average care in 20 years $179,034 x 5 = $895,170* Five years of above average care in 20 years $292,965 x 5 = $1,464,825** For Illustration purposes only *Assumes cost today of $66,000/year adjusted for 5% monthly compound inflation ** Assumes cost today of $300/day adjusted for 5% monthly compound inflation
Ask Yourself • Will $292,965/year effect me and/or my family’s lifestyle? • Is $1.5 million a significant liability to my Estate Plan? • Is this something my employees need to think about? • Should I be incorporating this into my benefit plan?
How Long Term Care Can Affect Your Business • 59% of caregivers are employed.¹ • The total business costs for workers who are caregivers of people with Alzheimer's disease in 2002 was $36.5 billion.² • Working age family caregivers double their chances of remaining in the workforce if the disabled elder they are caring for has private long term care insurance. These caregivers also experience significantly fewer work disruptions and social stresses. 1. Caregiving in the U.S., National Alliance for Caregiving and AARP, 2004 2. Alzheimer's disease: The Costs to U.S. Businesses in 2002, Alzheimer's Association, June 2002 3. "Benefits of Long Term Care Insurance: Enhanced Care for Disabled Elders, Improved Quality of Life for Caregivers and Saving to Medicare & Medicaid", HIAA and LifePlans, 2002
Value To Your Employees • Growing need/increased interest • Provides opportunity for “extended family” coverage • Meets a need that will not likely be addressed by public funding • Helps employees and their families protect their savings and assets • Opportunity to purchase a quality insurance policy
Why John Hancock? • Financial Stability • Innovator in the Long Term Care Insurance Market • Significant Role in Public Policy Development • Experience in Providing High Quality Customer Service • Ease of Implementation and Administration
John Hancock’s Financial Stability • High Ratings for Financial strength and Stability as Judged by the Major Rating Agencies. • Established in 1862 • Diversified Financial Services Company • Recognized Leader in Insurance Products and Quality Service
Flexible Product Design • Reimbursement Model • Comprehensive Benefits • “Pool of Dollars” Approach
John Hancock’s Long Term Care Insurance Policies • Custom Care II* Policy - This long term care insurance policy covers all levels of care in your home, an adult day care center, an assisted living facility or a nursing home. This policy provides comprehensive coverage with several optional features and benefits *Custom Care I available in CA and FL
Covered Services • All levels of nursing home care • Home health care • Adult day care • Care in Assisted Care Living • Respite Care
Benefit Selections* • LTCI Benefit Amount • Monthly Benefit: $1,500-$15,000 (In $100 increments) • Daily Benefit: $50-$500 (In $10 increments) • Benefit Periods - 2, 3, 4, 5, 6, 10 Years or Lifetime • Elimination Period: 30, 60, 90,180, or 365 Days • Inflation Protection – GPO, 5% Simple, 5%/3% Compound or 5%/5% Compound • Payment Options • 10-Pay • Paid-up at age 65 *Benefits vary depending upon age and state where purchased.
Additional Benefits¹ • Respite Care • Care Advisory Services (CAS) • Stay-at-home Benefit • Bed Hold Benefit • International Coverage • Advantage Provider Program 1. Benefits vary by state
Advantage Provider Program • Advantage List Program enhanced and expanded under Care Scout • Strategic alliance with the foremost leader in care provider reviews • Ratings, reviews and information on 77K nursing homes, assisted living facilities, hospice facilities and home health care providers • Discounts at over 7,000 LTC care providers • 95% Success rate in negotiating policyholder discounts • Discounts of 7-35% • Care advocacy program for claimants
Built In Benefits for Under Age 65* • Double Coverage for Accidents Benefit¹ • Return of Premium² *Benefits vary by state 1.This benefit is not available with FamilyCare Benefit or Lifetime Benefit Periods 2.This benefit is not available with FamilyCare Benefit
Optional Benefits¹ 2 • Waiver of Home Care Elimination Period • Additional Cash Benefit • Restoration of Benefits • Nonforfeiture 3 4 1. Choice of benefits will require additional premium 2. Not available with 180- or 365- Day Elimination Period. This benefit is not payable under International Coverage 3.This benefit may trigger a taxable event. Not available in CT, OR or the IN Partnership plan. 4. Not Available ages 80-84 or with 2 year, 10 year or Lifetime Benefit Periods
Additional Optional Benefits ¹ 2 • Survivor and Waiver of Premium Benefit • SharedCare • Enhanced Return of Premium 3 4 1. Choice of benefits will require additional premium 2. Not available with Limited Pay Options or Guaranteed Purchase Option. Not available in WA. 3.Not available ages 80-84 or Lifetime Benefits Period. In AZ and NH, available only with the 4-, 5-, 6- or 10-year Benefit Period. In PA, available only with the 3-, 4-, 5-, or 6-year Benefit Period. 4.Not available with SharedCare of FamilyCare or to ages 80-84. Not available in all states.
Policy Plan: Custom Care II (Retail Product): Benefit Period: 4 years; Daily Benefit: $200/day; Total Policy Limit: $292,000;Elimination Period: 90 days; Inflation: 5% Compound; No Optional Benefits selected. Typical Annual Premiums for a Married Individual (both approved) in Excellent Health How Much Does LTCI Cost? Typical John Hancock Policy Cost By Age
Underwriting Flexibility • Various health ratings to meet a wide range of health situations • Prequalification Hotline 1-888-604-7296 Option #3
Claims Case Management Unit • Staffed by experienced case managers and social workers • Eligibility certification • Information counseling
Client Service • Client Service Hotline • 1-800-377-7311