10 - 1 group insurance characteristics provides insurance for a group typically 10 or more...

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10 - 1 Group Insurance Characteristics Provides insurance for a group Typically 10 or more employees Under master contract between the insurer and employer Yearly renewable form of coverage Renewed without evidence of insurability When use of this tool is indicated? When an employer to provide an employee benefit they will appreciate and even expect When insurance is difficult to obtain at standard rates When an employer wants to offer a cost effective means of providing up to $50,000 of coverage for shareholder-employees Chapter 10 Tools & Techniques of Life Insurance Planning

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Page 1: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 1

Group Insurance

Characteristics Provides insurance for a group

Typically 10 or more employees Under master contract between the insurer and employer

Yearly renewable form of coverage Renewed without evidence of insurability

When use of this tool is indicated? When an employer to provide an employee benefit they will appreciate and even expect

When insurance is difficult to obtain at standard rates

When an employer wants to offer a cost effective means of providing up to $50,000 of coverage for shareholder-employees

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 2: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 2

Group Insurance

Advantages Helps satisfy employer’s moral obligation

Contributes to employees morale and productivity

Provides a before-tax benefit to employees that they otherwise would have to pay with after-tax dollars

Is part of a benefit package that employees expect

Cost less for the employee than an individual policy

Provides insurance for those who otherwise might be uninsurable or unable to get insurance at standard rates

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 3: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 3

Group Insurance

Advantages Allows terminated employees to convert to individual policies without evidence of

insurance(if conversion option is part of master contract)

Allows base upon which an employee can build a personal financial program

Employer premiums are income tax deductible

Disadvantages Group term insurance is temporary in nature

Table I costs increases significantly as the insured get older

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 4: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 4

Group Insurance

Disadvantages Subject to ERISA reporting requirements

Must be provided for all eligible employees Increases cost for employers

Employer’s out if pocket costs can increase if no new employees enter the plan Insured population get older on average

Group plans cannot cover shareholders who are not employees

Employers cannot pick who to insure, the amount of coverage or terms and conditions of coverage

Plan must meet requirements of IRC section 79

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 5: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 5

Group Insurance

Disadvantages Employees have no guarantee the group coverage will be continued

When an employee is terminated, the coverage is lost. Although a conversion policy is available, it is usually quite expensive

By formula and design, group coverage ceases at retirement or reduces significantly

Employees may be lulled into complacency thinking the coverage is all they need

Tax implications The employee must report and pay income tax on the economic benefit of coverage

in excess of $50,000

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 6: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 6

Group Insurance

Tax implications (cont'd) Computing the economic benefit

Step 1 – Calculate the amount of total group coverage

Step 2 – Subtract $50,000

Step 3 – Divide result by 1,000

Step 4 – Multiply result by Table I Rate to arrive at monthly taxable income

Step 5 – Sum the 12 months of taxable income (taxable income for the year)

Step 6 – Reduce taxable income by any employee contributions towards coverage

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 7: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 7

Group Insurance

5 YearAge Bracket

Under 2525 to 2930 to 3435 to 3940 to 4445 to 4950 to 5455 to 5960 to 6465 tp 69

70 and above 2.06

0.230.430.661.27

0.080.090.100.15

Cost per $1,000 of ProtectionFor One-Month Period

$0.050.06

Table IUniform Premiums For $1,000 of

Group Term Life Insurance Protection

Rates Applicable To Cost of Group Term Life Insurance

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 8: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 8

Group Insurance

Tax implications (cont'd) Under 10 lives Group Term Life Plans

Coverage must be provided for all full time employees Amount of coverage must be computed:

As a uniform percentage of compensation

On the basis of coverage brackets as established by the employer

No bracket may exceed 2 1/2 times the next lower bracket

The lowest bracket must be at least 10% of the highest bracket

A separate schedule of coverage may be established for those over age 65

Evidence of insurability, if required, is limited to a modified questionnaire

Plan must not discriminate in favor of key employees

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 9: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 9

Group Insurance

Tax implications (cont'd) Eligibility Nondiscrimination Rules

Plan benefits 70% or more of all employer’s employees

At least 85% of the plan participants are not key employees

Employer specified classification must be nondiscriminatory (as determined by the IRS)

If the plan is found to be discriminatory the income tax exclusion for the first $50,000 is lost

Definition of key employee An officer whose compensation exceeds certain limitations or Employee owing ½% interest and one of 10 largest interests or More than 5% owner or More than 1% owner and compensation greater ten $150,000

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 10: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 10

Group Insurance

Tax implications (cont'd) Amounts reportable income are subject to FICA and FUTA

Beneficiary receives proceeds income tax free

Premiums are income tax deductible by the employer as an ordinary and necessary business expense

Premiums for partners and or sole proprietors are not deductible

Proceeds are includible in the insured’s estate if: They are payable to the estate The insured held any “incidents of ownership” in the policy

Group term proceeds may be exempt of certain requirement are met

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 11: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 11

Group Insurance

Tax implications (cont'd) If the insured makes an absolute assignment of their rights a gift is made.

Subsequent premiums made by the employer is also considered gifts

Requirement (cont'd) ERISA

Plan must be established and maintained in writing

Plan must provide for one or more fiduciaries who administer the plan

Plan document must provide a procedure for amending the plan

Plan must provide a claims review procedure

Chapter 10Tools & Techniques of Life

Insurance Planning

Page 12: 10 - 1 Group Insurance  Characteristics  Provides insurance for a group  Typically 10 or more employees  Under master contract between the insurer

10 - 12

Group Insurance

Requirements (cont'd) IRC Section 79 Requirements

Plan must provide a death benefit that meets the definition of life insurance

The plan’s benefits must be provided to a group of employees as compensation for services

Policy carried directly or indirectly by the employer

The amount of insurance for employees must be computed under a formula that precludes individual selection

Chapter 10Tools & Techniques of Life

Insurance Planning