life insurance underwriting that’s fast, easy and just right€¦ · • no life, health or...

Life insurance

Underwriting that’s fast, easy and just right Underwriting guide

For financial professional use only. Not for distribution to the public.

For financial professional use only. Not for distribution to the public. 1

Table of contents

2 General overview

4 Accelerated underwriting

7 Automatic Standard Approval Program

9 Healthy Lifestyle Credits

10 Online Part B and TeleApp

12 Impairments

32 Height/weight charts

33 Super Standard/Preferred/ Super Preferred

38 Financial underwriting


2 For financial professional use only. Not for distribution to the public.

Save time with the right programs and services

Helping clients achieve the best ratings possible and having more time to sell is easy when you take advantage of our valuable programs and services.

The following is a high-level glance at our offerings. Then for the remainder of the guide, we’ll take a closer look at our programs and guidelines.

Competitive turnaround times

• Wehaveanexpandedteamtohelpexpediteyourcases.

•Weoffertop-tierindustrytimeservice.• A1035unitproactivelyexpeditesthe

transfer of proceeds.• PrincipalAcceleratedUnderwritinghelpsexpediteunderwritinginaslittlea48hours(for applicants who qualify).

Easy to work with

• Applicationsareacceptedelectronicallyorbyfax(1035paperworkneedswetsignature).Toll-freefax:866-542-1359

• SubmitaninformalinquiryusingourQuickQuotesSystem.

• Dedicatedhomeofficecasemanagersareavailable, plus access to your underwriter whenyouneedit.Toll-freephone: 800-654-4278

• PrincipalTeleAppusesourtrainedprofessionals to help guide clients through the medical portion of the application. This helps eliminate requirements with reflexivequestions.

• OnlinePartBallowsclientstocompletethemedical portion of the application on their own terms and timeline and submit directly to us for faster processing.

Competitive survivorship features

Reconsideration• Availableforratedoruninsurablerisks• Underwritingforsecondinsured

not required

Seven classes of uninsurable• U1(ourmostfavorableuninsurableriskclass)throughU7(lifeexpectancyoflessthan one year)

• Nominimumlifeexpectancy

Opt-out underwriting• ForU7riskswithlifeexpectancylessthan

one year• Routinerequirementswaived


Business case advantage

Flexible, partnership approach – collaborate for creative solutions• Understandconceptandkeyissues•WorkwithAdvancedSolutionswhenneeded

Multi-life underwriting• Availableforemployer-sponsoredplans•Multipleunderwritingprogramsavailable• Homeofficepre-approvalrequired

Nonqualified executive benefits – aggregate funding on COLI• Liberalizedfinancialunderwritinglimits › 30timesincometoage55 › 15timesincomeage56andover• Streamlinedunderwritingrequirements › Physical measurements + ECG + Labs + APS › NoparamedorMDexamsrequired › No inspections required › Employer census provides financialinformation

• Preliminaryunderwritingandselectionofparticipants using TeleApp

• Addedlevelofservice–weorderallrequirements and APS reports for you

• Pre-completedapplicationformsprovidedforformal signatures

Online services

New business application formsPrincipal® provides easy access to life new business application forms in Virtual Supply on the advisor website.Wehavealsoteamedwiththefollowingcompanies to ensure our application materials are available to customers who subscribe to their services.• iPipelineTM•Ebix’sVitalForms

Submitting new applicationsSubmit new business applications electronically tohelpstreamlinethenewbusinessprocess.Wesupportthefollowingelectronicsubmissions:• PrincipalDirectFTP(filetransferprotocol)• PrincipalFTPwebsite

Wehavealsoteamedwiththefollowingcompaniesto ensure new application submission is available tocustomerswhosubscribetotheirservices:• PaperClipIncorporated • iPipeline’siGOTM

• ExamOne

TraditionalsubmissionssuchasU.S.mailandfaxare also welcomed.

Pending case statusReceiveimportantup-to-dateinformationonpending life and disability insurance new businessvia:• PrincipalPendingBusinessReport• PrincipalDirectFTPfromusinACORDformat

Wehavealsoteamedwiththefollowingcompaniesto ensure our pending new business information is available to customers who subscribe to theirservices:• Oracle/SkyWire •AgencyWorks• SmartOfficeTM

Wehavealsoteamedwiththefollowingcompaniesto ensure underwriting rules are available to customerswhosubscribetotheirservices:• XRAE


How does it work?

Accelerated underwriting

What is accelerated underwriting?

Get cases issued faster and easier with Principal Accelerated

UnderwritingSM.

Decisionswithin48hours

The elimination of lab testing and paramedexamsfor45-55percentofapplicants who qualify*

*Based on age, product, face amount and personal history.

Step 1. CompletePartAandCoftheapplication,includingProducerReport,HIPAA,InformedConsentForm,etc.Donotscheduletheparamedappointment.Indicate“AccUnd”ontheProducerReport(andagencytransmittalifsubmitted)toalertthecasemanagerthatthisisanAccelerated Underwriting case.

Step 2.DeterminehowtheclientwouldliketocompletePartBoftheapplication—onlineorvia a telephone interview. To complete using the online Part B, initiate the client email using thePartBRequestForm.TocompleteusingtheTeleAppinterview,call888-TeleApp(888-835-3277),option0.Havetheclientcompleteaninterviewimmediately,oryoucanscheduleafutureappointmentusingouronlineschedulertool.MakesureyoutelltheinterviewerthatthisisanAccelerated Underwriting application.

TeleApp Contact Center hours: Monday–Thursday:7a.m.–10p.m.CT Friday:7a.m.–7p.m.CT

Step 3. UnderwritingevaluatestheonlinePartBorTeleApp,MotorVehicleReport,prescriptionhistoryandMIBInc.report.IftheapplicationisapprovedforAcceleratedUnderwriting,itproceeds to issue. If not approved, a paramed appointment will be scheduled plus any additional requirements.Usethechecklistbelowtohelpdetermineifyourclients(s)arepartofthe50–60percent who qualify.


Ages:18- 60Faceamount:$50,000-$1millionProductsavailable:Term(10-,15-,20-,and30-year),UL,IUL,VUL,SUL, orBenefitVULII(NYonly)

• Buildmustbewithintherecommendedweightlimits. See chart on following page.

•Nomajormedicalcondition(s)fromlistonnextpage.

• IfpreviouslyunderwrittenbyPrincipal® coverage was approved at Preferred or Super Preferred.

• ApplicantmustresideintheU.S.andbeaU.S.citizenorpermanentresidentwithnotraveltohazardouslocations.

• Statedbloodpressure–lessthan135/85.

• Totalcholesterolislessthan240,andcholesterol/HDLratioislessthan4.5.

• Ifage50orgreater,applicanthasaprimarycarephysician and evidence of routine physical within thelast24months.

• ForNon-TobaccoPreferred,notobaccousewithinthepast24months.

•Tobaccouseincludesanytobaccoornicotineproduct (i.e., cigar, patch, gum & marijuana)

• Noparentorsiblingdeathfromcardiovasculardisease,strokeordiabetespriortoage60.

•Noparentorsiblingdeathfrombreast,colon,ovarianorprostatecancerpriortoage60.*

• Nohistoryofbankruptcyinthepastfiveyears.

• Nomarijuanausewithinthepastfiveyears.

• NohistoryofDUIorrecklessdrivingwithinfiveyears, or more than two moving violations in the past three years.

• Participationinaviationorhazardoussportsactivities may qualify subject to activity details gathered during the TeleApp.

• Nohistoryoffelonyconvictioninthelasttenyears.

• Nolife,healthordisabilityinsurancehasbeenrated, ridered or declined.

• NopriorinformalrequesttoPrincipalwithinthelast24months.

• Ifexamrequirementsorlabshavebeencompleted in the prior 12 months for life or DIcoverage,we’llrequesttheresultsofthoserequirements.SeetheQ&Aforadditionaldetails.

• OnlinePartBorTeleAppinterviewhasbeencompleted by client.

*Disregardcancerofoppositesexexceptforcoloncancer.Disregardcancerifitpertainstoonlyonefamilymember, and insured has regular check-ups targeted at early diagnosis.

Eligibility requirements


Ages18-44Height Weight Height Weight4’8 79–129 5’9 119–1974’9 81–134 5’10 122–2024’10 84–139 5’11 126–2084’11 87–144 6’0 130–2145’0 90–149 6’1 133–2205’1 93–154 6’2 137–2265’2 96–159 6’3 141–2325’3 99–164 6’4 144–2395’4 102–169 6’5 148–2455’5 106–174 6’6 152–2515’6 109–180 6’7 156–2585’7 112–185 6’8 160–2645’8 116–191 6’9 164–271

Ages45-60Height Weight Height Weight4’8 79–132 5’9 119–2004’9 81–136 5’10 122–2064’10 84–141 5’11 126–2124’11 87–146 6’0 130–2185’0 90–151 6’1 133–2245’1 93–156 6’2 137–2305’2 96–161 6’3 141–2365’3 99–167 6’4 144–2435’4 102–172 6’5 148–2495’5 106–177 6’6 152–2565’6 109–183 6’7 156–2625’7 112–188 6’8 160–2695’8 116–194 6’9 164–276

Alcohol abuse and/or treatment Drugabuseand/ortreatment Melanoma

Atrial Fibrillation Epilepsy/Seizure MultipleSclerosis(MS)

Barrett’s Esophagus Gastric Bypass/Lap Band Parkinson’sDisease

BipolarDisorder HeartDisease/Surgery–allformsPeripheralArteryDisease(PAD/PeripheralVascularDisease(PVD))

Cancer(exceptions:BasalCellandSquamous Cell Carcinomas)

Hepatitis RheumatoidArthritis(RA)

Chronic Obstructive Pulmonary Disease(COPD/Emphysema)

Hypertension (diagnosed within sixmonths)

Sleep Apnea

Crohn’sDisease KidneyDiseaseStroke/Transient Ischemic Attack (TIA)

Diabetes/GestationalDiabetes SLE/Lupus Ulcerative Colitis (UC)

Underwriting build chart

Note:Advanceddiagnostictesting,biopsies,cardiactestingandothermedicalhistorymayrequireanattendingphysician’sstatement.Whenattendingphysician’sstatementsareordered,wewillrequiretraditionalunderwriting.

Note:Traditionalunderwritingisrequiredforbuildsthatareoffthechart.

NO major medical conditions, such as:


How it worksGive clients a rating boost. Our Automatic Standard Approval Program (ASAP)isdesignedtohelpeliminatelowsubstandardratings.Whilesomecompanies have eliminated their program or changed their guidelines, Principal still supports ASAP.

How does our program differ from other companies?Principaldoesnotlimitorexcludecancerorcoronaryheartdisease.Manycompetitorsusethesamecriteria,buttheyexcludecancerorcoronary.Also,ourHealthyLifestyleCredit(HLC) program can be used in conjunction with ASAP. The combination of HLC and ASAP providesanopportunityinsomecasestomovesomebodyoutsideaTable3toStandard.Forexample,whenwerateapersonaTable5anduseHLCtogetthemtoaTable3,wecanthenuse ASAP to get to a Standard rating.

Automatic Standard Approval Program

ASAP guidelines

› Upto$5millionfaceamount

› UptoTable3orflatextrato$7.50/$1,000

› Permanent products only* (both lives are eligible for Survivorship UL Protector II)

› Applicablethroughage70

› Medicalratingsonly[nodriving,hazardoussports,aviationor lifestyle cases (drug/alcohol use)]

› Can be used with Healthy Lifestyle Credits

› CannotbeusedwithacomboofTableRating+FlatExtra


What are the benefits?Our ASAP eliminates the low, substandard ratings that can be the most challenging to present to your client. Consequently, you can present an offer to a client that has a greater chanceofbeingplaced.ThegreatestbenefitisthecompetitiveStandardratereceivedbyyour client without a reduction in the compensation paid to you.

Proposed insured

Product type Medicalcondition Underwriting offer

Ben,age55,6ft,265lbs

UL •ModeraterheumatoidarthritisusingHumira•Highbloodpressureandhigh cholesterol, both controlled with medication•Normalstresstestwithinthreeyears•AnnualexamswithDREandPSA

Standard using Healthy Lifestyle Credits and ASAP together

Mark,age68

SUL

•Diabetes,goodcontrol•Proteinuria,mild•Hypertensionandcholesterol,well-controlled•Table3risk

Standard on both lives using ASAPRuth,age70 •MildCADinseveralvessels

•Favorablestresstests,well-controlled CV risk factors•OSA,moderate,compliantwithCPAP•Table3risk

For product-specific eligibility, contact your home office underwriter.

ASAP in action

Unlike many of our competitors, Principal does not excludecancerorcoronaryarterydiseasefromour

Automatic Standard Approval Program.


Proposed insured Original rating (based on medical history)

Improved rating with HLCs

Marksuffersfromdepression Table5 Table3Sue has asthma Table4 Table 2

Brian’s build falls outside the guidelines Table 2 StandardBetty has high blood pressure Preferred Super Preferred

1 Earnuptotwotablesofcreditthatoffsettableratingsthathavebeenassessed.Ratingsforcardiovasculardisease,diabetesandflatextrasareexcludedfromtheHLCprogram.ToimprovecasesthatareStandardriskorbetter,theymusthaveonlyoneknockoutforbuild,bloodpressure or cholesterol and have enough favorable factors for improvement.

Healthy Lifestyle Credits

How do HLCs help your clients?Ourunderwritersreviewanapplicant’sriskprofilefactorsandassignpositiveornegativepoints.Whenfinished,theyusetheapplicant’sresultstodeterminethefinalunderwritingrating.Thisallowsustoreduceoreliminate a table rating or even improve Standard or better risks for the proposed insured.1 Favorable HLCs can help your clients earn up to two tables of credit that offset table ratings that have been assessed and may even improve Standard or better risks up to one class if they have enough favorable credits. Our Automatic Standard Approval Program, which is designed to help eliminate low substandard ratings, can also be used in conjunctionwithHLCs.HereareafewguidelinestokeepinmindwithHLCs:

• Ratingsforasthma,anxiety,depression,colitis,sleepapnea,bodybuildandbloodpressureareexamplesofcoveredconditions.(Thislistingisnot all inclusive of covered conditions.)

• Temporaryflatextrasof$5per$1,000orlesscanbeimprovedwithenough HLCs for qualifying medical conditions, such as some cancers.

• Afewconditionsareexcluded,includingratingsforcardiovasculardisease,diabetesandpermanentflatextras.Flatextrasarealsoexcludedfor non-medical ratings such as driving, aviation or alcohol and drugs.

• Availableforages20-85onallproducts.

Examples

HLC risk profile factors

› Blood pressure

› Cholesterol

› Pulse

› Weight

› Family history

› Preventive cancer screening tests

› Preventive heart screening tests

› Routinephysicals

A scoring system is used for each factor, with positive points for favorable factors and negative points for less favorable factors. If a factor is considered neutral, ascoreofzeroisgiventoreflectthe neutral result. These factors combine to make up an insured’s Healthy Lifestyle Credit score.

What are Healthy Lifestyle Credits?

All applicants should be given credit for doing the right things to take care of themselves.

Because of this philosophy, we use Healthy Lifestyle Credits (HLCs) as an underwriting tool to help clients get the most favorable rating possible. The underlying basis of our HLCs is an evaluation of several coronary and cancer risk factors of a client as follows.


Whenitcomestimetosubmitthelifeinsuranceapplication,useouronlinePartBorTeleAppphoneinterview to help guide your clients through the insurability questions.

Whetherit’sonlineorbytelephone,ourreflexivequestionsprovidetheunderwriterswithadditionalinsight into medical impairments that the traditional application process doesn’t allow. That means less back and forth between your client and underwriting trying to clarify vague paper application medical questions, fewer routine requirements and reduced APS ordering.

Save time with the application

Meet with your client and prepare to submit the life insurance application.

TouseonlinePartB,notifyPrincipalvia:

• eApp —Select“Yes”TeleAppscheduled,thenintheconfirmationlineadd“Online.”

• Paper app —Comment“OnlinePartB”onthecoverletterorontheProducerReport.

Initiate the client email that contains the onlinelinkusingthePartBRequestForm.Youcanalsoinitiatetheemaillinkbycalling the TeleApp Contact Center at 888-835-3277,mainoption1,suboption4.

Oncewereceivethenotification,oursystem will automatically send the client an email with the online Part B link.

•Follow-upreminderemailswillbesenttoclientsat5and10days(fieldofficecontactsoriginallylistedontheapplication/PartBRequestFormwillalso receive copies of the reminder emails).

•IftheonlinePartBisn’tcompletewithin30days,thelinkwillexpire.

•Once your client has completed online Part B and the rest of the application has been received, the field office contact that was provided on the application will receive an email with a copy of the completed Part B attached.

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Complete Part A (Part I) of the application, and obtainPartCsignatures.Determineiftheclientwould prefer to submit the medical information online or by scheduling a telephone interview. Explaintheinterviewprocesstoyourclient.TheTeleApp Guide (BB10268) provides step-by-step instructions to help prepare your client.

Schedule the interview using our online scheduling tool. Interviews may be scheduled from7a.m.to10p.m.CT,MondaythroughThursday,and7a.m.to7p.m.CT,Friday.

Submit the initial application and other required forms (supplemental applications, illustrations,bloodconsentandFieldOfficeReport)toyourNewBusinesscoordinatorforprocessing.

The TeleApp interviewer calls your client at the scheduled time and completes the insurability questions (Part B/Part II). The averageinterviewtakes20-25minutes.Adraftcopy of the completed interview responses will be sent to you once the application is received inthehomeoffice.

Deliver the policy to the client. The home officeprovidestwocopiesofthecompletedapplication.Yourclientreviewstheinformationand signs both copies. One copy is attached to the policy and remains with the client. Returntheentirepacket,alongwiththesignedapplication(PartD),tothehomeoffice.

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Here’s how it worksTeleApp Online Part B

Scheduling the TeleApp interviewYou can choose to have your client complete an immediate interview or you can schedule a future date and time when it is most convenient for your client using the following options:

• Toimmediatelycompletetheinterview,call888-TeleApp(888-835-3277),option0.

• Toscheduleaninterview,useouronlineschedulingform at principal.com/teleapp.

When scheduling an interview, please provide this information:

• Producer’snameandphonenumber

• Client’sname,SocialSecuritynumberand date of birth

• Productsandtotalamountsappliedfor

• Signaturestate(thesigningstate)

• Client’stelephonenumberandtimetocall

Staying informedYoumayaccessyourpendingbusinessreportontheadvisor website at any time to monitor the status of the TeleApp interview. Or you can call our TeleApp departmentanytimeyouhavequestions,888-TeleApp(888-835-3277),option1.

Preparing your clientsByhelpingclientsknowwhattoexpect,wecanmoreefficientlycompletetheinterviewandbuildapositivecustomerexperience.Onaverage,interviewstake20-25minutesandcoverthefollowingtopics:

• Generalactivitiesandhealthhabits

• Annualincomeandnetworthinformation

• Foreigntravelhistoryforthelastfiveyears

• Namesanddosagesforallmedicationscurrently being taken

• Names,addressesandphonenumbersof medical providers

• Approximatedatesofanyinjuries,surgeries,emergencyroomvisits,hospitalizations,illnesses or conditions

Helpful TeleApp hints

› Immediate interviews are fastandeasy.888-TeleApp (888-835-3277),option0.

› Scheduled interviews with aspecificdateandtimehavean 80percentfirst-callcompletionrate(35percentwhennotscheduled). If you’re not completing an immediate interview, it’s better to schedule aspecificdayandtime.

› Whenschedulinganinterview, let us know the state in which the application was signed. Wecanthentailortheinterviewtothestate-specificapplicationquestions.

› Theconfirmationnumberprovidedby the TeleApp counselor and the date and time of the interview should be recorded on the Field OfficeReportforLifeapplicationsortheProducer’sReportfor Disabilityapplications.

For more information

› Go to principal.com/teleapp.



The impairment information on the following pages has been provided to help give you a general idea of potential underwriting outcomes based on medical and non-medical life insurance underwriting.

Byinitiallyobtainingspecific,detailedinformation,yourunderwriterwillbeabletoprovidethe right quote quickly and easily.

Descriptionsofpossibleunderwritingoutcomesrepresenttentative,non-bindingassessments based on hypothetical parameters using our underwriting guidelines at the time of publication. Actual underwriting outcomes may possibly be more favorable than illustrated using available Healthy Lifestyle Credits and our Automatic Standard Approval Program (ASAP).Wereservetherighttoapplyindividualconsiderationtoanycase.Allcasesaresubjecttofullunderwriting,andassessmentsaresubjecttochangebasedonactualfilereview.Formoreinformation,contactyourhomeofficeunderwriter.

The impairments table is set up as follows:

Impairments

Risk factors Typical requirements Likely underwriting decision

ImpairmentThe name of the impairment, including a short description. Conditions are listed alphabetically.

The criteria the underwriter uses to classify the risk

Medicalrequirementstheunderwriter is likely to request in addition to the routine age and amount medical requirements

For faster decision:Thesearethespecificdetailstoinclude in your application package to enable the underwriter to quickly and easily provide the right quote. This information may be used to determine appropriate APS acquisition,therebyexpeditingthe underwriting process and limiting the need for subsequent requirement requests.

Theriskclassificationorratingnecessary for the impairment based on the factors and requirementspresented.Manyimpairments outline a best-case scenario, typical case and worst-case rating.


Impairments/Medical

Risk factors

Risk factors

Typical requirements


Likely underwriting decision


Alcohol abuse (Includes alcoholism and problem drinking)

Alzheimer’s disease

•Currentage•Amountofpastand

present alcohol consumption declared

•Anydiagnosisofabuseordependence

•Pasthistoryoftreatment•Resultsofall

investigations, including liverenzymesandalcoholmarkers

•Howlongabstinentorconsuming in moderation

•Anyrelapses•Memberofaself-help

group such as Alcoholics Anonymous

•Treatmentwithmedication•Anyco-morbidconditions,

including any history of other substance abuse, driving offenses or participationinhazardoussports

•Anyhistoryofmaritalorjob instability

•Anymedicalcomplications

•Currentage•Ageatonsetofsymptoms•Treatment,includingany

medications•Activitiesofdailyliving•Livingindependently•Typeofassistance,if

required•Judgmentintact•Stablecourse

Requirements:APS,medicalexam,MVR,bloodtest, alcohol questionnaire, inspection report selectively

For faster decision:•Providedetailsofmedical

treatment.•Documentanyresidential

care/treatment including dates and length of treatment.

•Outlineanyfavorableaspectssuch as continued employment, attendance in Alcoholics Anonymous or similar body, etc.

Requirements:APS,InspectionReportselectively

For faster decision:•Anyneuropsychiatrictesting

such as cognitive or memory testing

•Activitylevels•ADLsaffected•IADLsaffected

Ratingsdependprimarilyonapplicant’s age, time since last use and any co-morbid factors.

Alcoholism:Best Case: Standard(>sixyearssincelastconsumption)Worst Case: Decline

Problem drinking:Best Case: Table2-4(overage30 and mild)Worst Case: Decline

All cases: Decline


Risk factors

Risk factors





Anemia

Aneurysm

•Typeofanemia•Severity/degreeofanemia•Causeofanemia,ifknown•Treatment•Bloodtestresults•Detailsoftestingdoneand

referrals to specialists/hematologists (include dates, names of tests and doctors seen)

•Medications•Anyconcurrentimpairment

•Precisediagnosis•Typeorlocationof

aneurysm•Dateofdiagnosis•Cause•Sizeandstabilityof

aneurysm•Currentlypresent•Treatment•Smokinghistory•Presenceofassociated

coronary artery disease, hypertension, cerebrovascular, other peripheral vascular or renaldisease,orCOPD

•Bloodpressurecontrol

Requirements:APS

For faster decision:•Resultsofallinvestigations

and testing to include cause and/or source of bleeding

•Detailsoftreatment•Detailsofongoingsurveillance

of the condition, including recent complete blood count (CBC)

Requirements:APS

For faster decision:•Alltestsanddetailsof

ongoing surveillance•Detailsofanylifestyle modifications

•Detailsofbloodpressureandlipid control

•Presenceofassociatedcoronary artery disease, hypertension, cerebrovascular, other peripheral vascular or renaldisease,orCOPD

•Smokinghistory•Presenceorabsenceof

symptoms

Ratingsdependontypeofanemia and assume anemia is fully investigated and stable. DecisionscanrangefromPreferredtoDecline.Iron deficiency anemia: Preferred possible for best-case scenarioHemolytic anemia: Preferred possible for best-case scenario

Can consider on a rated basis 6to12monthspost-opdepending on the type of aneurysm.

Abdominal:No surgery: Best case is Table 6provideddiameter<5cm,withnoincreaseinsizewithinlast three years or since diagnosisIf diameter >5 cm:DeclineWith surgery: Individual consideration

Cerebral:No surgery:$7.50per$1,000if small, stable and no complicationsLarge:DeclineWith surgery: Standard after two years

Thoracic:No Surgery:DeclineWith Surgery:Table4aftertwo years


Risk factors

Risk factors

Risk factors

Risk factors









Angina pectoris

Angioplasty

Arteriosclerosis

Apnea/sleep apnea

Referto CoronaryArteryDisease.



•Currentage•Typeofapnea(obstructive,centralormixed)

•Severity•Treatment(CPAPor

surgery)•Compliancewith

treatment•Dateoflastsleepstudy•Currentheight/weight•Presenceofcardiovascular

disease and/or risk factors including hypertension, arrhythmias

•Anyassociatedoverweightor obesity

•Smokinghistory

Requirement:APS

For faster decision:•Type,frequency,severity,and

duration of symptoms •Resultsofsleepstudyincluding,apneaindexanddegreeofoxygendesaturation

•Treatmentandcompliancewith treatment

•Anyassociatedimpairments•Historyofmotorvehicleor

industrial accidents attributed to sleepiness

Mild disease and no complications: Preferred or Super Preferred possible

Moderate disease untreated and no complications: Table2-3

Moderate disease treated and compliant with therapy: Preferred possible

Severe disease untreated and no complications:Decline

Severe disease treated and compliant with therapy. Best case: Standard after two years compliance with treatment


Risk factors

Risk factors





Asthma

Atrial fibrillation

•Currentage•Dateofdiagnosis•Currentsymptoms•Frequencyandseverityof

asthma attacks•Typeofmedicationand

frequency of use•Compliantwith

medications•Hospitalizationsor ERvisits

•Limitationstoactivities•Smokinghistory•Occupationalorenvironmentalexposure

•ConcurrentimpairmentssuchasCOPD,psychiatricdisorder, alcohol abuse, CAD

•Dateofdiagnosisandageat onset

•Ageofapplicant•Frequencyofattacks•Associatedsymptomsand

complications•Riskfactorsforstroke•Exercisetolerance•Underlyingcardiacand

non-cardiac disease•Fullcardiacevaluation•Paroxysmalvs.Chronic•Treatmentincludinguseof

anticoagulant medication

Requirement:APS

For faster decision:•Resultsofinvestigations

including pulmonary function tests

•Frequencyofsymptoms•Durationandintensityof exacerbations

•Treatmentandresponsetotreatment

•Frequencyofnight-timesymptoms

•Smokinghistory•Timeoffwork•Levelofactivity

Requirement:APS

For faster decision:•Typeofatrialfibrillation•Detailsoftreatment•Copiesofallcardiac

Investigations•Currentlevelofactivity

Minimal or mild asthma: Preferred or Super Preferred

Moderate: Standard to Table 2

Severe: Table6toDecline

Found on examination, no investigation: Postpone

Paroxysmal Atrial Fibrillation (PAF) with infrequent attacks: Standard

Chronic Atrial Fibrillation: Table2-6

Less favorable outcome for co-morbid complications



Barrett’s esophagus

•Currentage•Ongoingriskfactors•Resultsofallinvestigations

including biopsy•Stablecourse•Medication/treatment•Responsetomedication

treatment•Compliantwithmedical

treatment and surveillance•Complications(e.g.,

hemorrhage, perforation)

Requirement:APS

For faster decision:•Resultsofallinvestigations

including biopsy•Detailsofongoingfollow-up

(e.g., endoscopy)•Detailsoflifestylemodification(stopsmokingand alcohol use)

Best case: Preferred or Super Preferred if no dysplasia and good follow-up done on a regular basis

Typical case: Standard to Table 2

Worst case: Decline

Risk factors

Risk factors

Risk factors







Blood pressure

Bypass surgery

Cancer

RefertoHypertension.

RefertoCoronaryArteryDisease.

Refertospecificorganortype of cancer.

For all forms of cancer: Consideration for insurance begins once treatment has been completed, assuming the client is well followed.


Risk factors

Risk factors





Cancer: Basal Cell Carcinoma/Squamous Cell Carcinoma

Cancer: Breast

•Dateofdiagnosis•Pathologyreportsincludingconfirmationofbasal cell carcinoma

•Typeoftreatment•Datetreatmentcompleted•Confirmationthattumor

has been removed completely

•Familyhistoryofatypical/dysplastic nevi or dysplastic nevus syndrome

•Detailsofregularfullbodysurfaceskinexaminations

•Anyrecurrenceorspread•Ongoingriskfactorssuch

as multiple dysplastic nevi and a propensity to develop other skin cancers

•Anyseriouscomplicationsfrom treatment

•Dateofdiagnosis•Typeandstageofcancer•Sizeoftumor•Typeoftreatment•Datetreatmentcompleted•Anyrecurrenceorspread•Anyseriouscomplications

from treatment

Requirement:APS

For faster decision:•Pathologyreportincluding

post-operative•Detailsofongoingfollow-up•Detailsoflifestylemodification(sunscreen,stopsmoking)

Requirement:APS

For faster decision:•Pathologyreport•Stageandgradeoftumor•Detailsanddate(s)of

treatment, including any adjunct therapy (e.g.,Tamoxifen)

•Hospitalreports•Detailsoffollow-up

(mammograms, bone scan, etc.)

Complete excision: Possible Preferred or Super Preferred

Best case: Standard for carcinoma in situ after2-3yearssincetreatment

Typical case: Unabletoconsideruntil2-3years after completion of treatment (chemo or radiation), then possible Table ratingand/oraflatextradepending on stage and grade

Worst case: Decline


Risk factors

Risk factors





Cancer: Colon

Cancer: Leukemia

•Dateofdiagnosis•Stageandgradeofthe

tumor•Anyhereditarysyndrome

that may be associated with other types of cancer

•Familyhistoryofcoloncancer types of cancer

•Whattreatment•Lengthofremission•Ongoingfollow-up

including colonoscopy results

•Anyrecurrence•Anycomplicationsfrom

treatment

•Currentage•Dateofdiagnosis•Typeofleukemiaand

stage of cancer•Treatment•Datetreatmentcompleted•Anyrecurrenceor

secondary cancer

Requirement:APS

For faster decision:•Pathologyreportandstaging

information•Detailsanddate(s)of

treatment•Hospitalreports•Detailsoffollow-up

(colonoscopy and tumor markers)

Requirements:APS, blood testing if current results are not available

For faster decision:•Pathologyreports•Evidenceofregularfollow-up•Hospitaltreatmentreports

Best case: Standard after three years

Typical case: Unabletoconsideruntil2-3years after completion of treatment (chemo or radiation), then possible Table ratingand/oraflatextradepending on stage and grade

Worst case: Decline

Acute lymphoid leukemia/acute myeloid leukemia:Best case: StandardTypical case: StandardwithaflatextraWorst case: Decline

Chronic lymphoid leukemia/ hairy cell leukemia:Best case: Table4Typical case: Table8–DeclineWorst case: Decline


Risk factors

Risk factors





Cancer: Lung

Cancer: Prostate

•Currentage•Dateofdiagnosis•Typeofcellandstage

of cancer•Typeoftreatment•Datetreatmentcompleted•Anyrecurrenceorspread•Reduced/eliminatedrisk

factors (e.g., smoking)•Anyconcurrent

impairment (e.g., emphysema or chronic bronchitis)


•Currentage•Dateofdiagnosis•Typeoftreatment•Datetreatmentcompleted•StageandGleasonGrade•Anyrecurrenceorspread•SerialPSAlevelsincluding

current PSA•Anyseriouscomplications

from treatment

Requirement:APS

For faster decision:•Pathologyreportandstaging•Treatmentandhospitalreport•Evidenceofregularfollow-up

(CT scans etc.)

Requirements:APS,bloodprofiletoincludePSAif current results are not available

For faster decision:•Pathologyreports•Typeoftreatment•Evidenceofregularfollow-up

and PSA testing•CopiesofPSAtests

Carcinoma (all types)Stage 1:Best case: Standard after eight yearsTypical case: StandardwithaflatextraWorst case: Declineiflessthanorequaltothree years since primary treatment

Stage 2-3:Best case: Standard after nine yearsTypical case: StandardwithaflatextraWorst case: Declineiflessthanorequaltofiveyearssinceprimarytreatment

Ifclientisunderage70,rateclass will depend on years since primary treatment, the stage of cancer and Gleason grade of the tumor.

Best case: Standard

Typical case: Standardwithaflatextra

Worst case: Decline


Risk factors

Risk factors





Cancer: Malignantmelanoma

Cancer: Thyroid

•Dateofdiagnosis•Typeofcancer/tumor•Depthandthickness

of tumor•Typeoftreatment•Datetreatmentcompleted•Anyrecurrenceorspread•Detailsofregularfullbodysurfaceskinexaminations

•Ongoingriskfactorslikemultiple dysplastic nevi and a propensity to develop other skin cancers


•Typeofthyroidcancer(papillary, follicular, anaplastic, etc.)

•Pathology•Ageofapplicant•Typeoftreatmentand

date(s) performed•Anyremissionandfor

how long•Anyrecurrence•Anycomplicationsfrom

treatment

Requirement:APS

For faster decision:•Pathologyreport•Evidenceofregular

dermatology follow-up•Hospitaltreatmentreports

Requirements:APS

For faster decision:•Pathologyreport•Treatmentandhospitalreport•Evidenceofregularfollow-up

Best case: StandardTypical case: Standard with aflatextraWorst case: Decline

Best case: Standard Typical case: Standard or Standard withaflatextraWorst case: Decline


Risk factors

Risk factors





Chronic obstructive pulmonary disease (COPD)

Coronary artery disease

•Currentage•Smokinghistoryand

current tobacco use•Build,anycurrent

weight loss•Severityofsymptoms•Degreeofimpaired

respiratory function•Speedofdisease

progression•Alpha-1antitrypsindeficiencyorotherbiochemical abnormality

•Anyconcurrentimpairment(e.g.,CAD,cancer, malnutrition)

•Anyhospitalization•Anytreatmentwithoxygenisadecline

•Currentage•Dateofdiagnosisandage

at onset•Severityofthedisease

(how many vessels and which ones)

•Currentsymptoms•Treatment•Medications•Smokinghistory•Anyconcurrentserious

impairment•Anyhistoryofcongestive

heart failure or arrhythmia

•Activelifestyle•Bloodpressureand

cholesterol readings•Familyhistory

Requirement:APS

For faster decision:•Pulmonaryfunctiontests

(PFT), serial PFTs•Detailsoflifestylemodification

•Levelofactivity

Requirements:APS, EKG (or TST) if current test is not available

For faster decision:•Cardiactestresults(e.g.,

angiogram, recent stress tests, perfusion)

•Detailedlistofmedications•Copiesoflipidtesting•Detailsofanylifestylechange.

Best ratings possible with testing including perfusion and stress echocardiograms within the past 12 months

Best case: StandardTypical case: Table2-8Worst case: Decline

Unabletoconsideruntilsixmonths post-surgeryBest case: StandardTypical case: Table2-8Worst case: Decline


Risk factors

Risk factors





Crohn’s disease

Diabetes

•Currentage•Severityofthedisease•Frequencyofflareups•Severityofsymptoms•Medication–ongoingoral

steroid therapy•Hospitalization•Surgery•Weightstableorloss•Testingandfollow-up•Complicationsor

concurrent impairments such as rheumatoid arthritis or other inflammatory disease


at onset•Typeofdiabetes•Treatment•Medication•Degreeofcontrol–blood

sugar readings•Complications–

nephropathy or kidney disease, neuropathy, retinopathy, cardiovascular disease

•Currentheightandweight•Bloodpressure

Requirement:APS

For faster decision:•Pathologyreports•EvidenceofregularGI

surveillance (colonoscopy)•Detailsofhospitalizationand

hospital reports•Stableweight•Activelifestyle

Requirements:APS, blood (if not already required or current results not available)

For faster decision:•Typeofdiabetesincludingage

at onset•Copiesofspecialistreports

(neurologist, nephrologist, endocrinologist)

•Historyofbloodsugarcontrol–copiesofbloodtests(incl.Hemoglobin A1c where possible)

•Detailsofriskfactormodification

•Activelifestyle

Best case: StandardTypical case: Standard–Table5Worst case: Table6–Decline

Type 1Also known as Insulin DependentDiabetesMellitus(IDDM)Best case:Table3-4Typical case: Table5-8Worst case:Decline(complications, poor or uncontrolled)

Type 2Also known as Non-Insulin DependentMellitus(NIDDM)orAdultOnsetDiabetesBest case: StandardTypical case: Table2-4Worst case:Decline(complications, poor or uncontrolled)


Risk factors

Risk factors





Emphysema

Heart attack

RefertoCOPD.


Risk factors

Risk factors





Epilepsy/seizure disorder

Gastric surgery for obesity

•Ageonset•Compliancewith

medication•Controlofseizures•Reasonfortheseizure

activity•Anyalcoholuse•Anyothersignificant

medical conditions

•Pre-operativeweight•Currentweight•Anyco-morbidconditions

(such as diabetes, hypertension, coronary disease)

•Dateofsurgery•Typeofsurgery•Anysurgical

complications•Outcomeofsurgery

(weight loss, improvement of risk factors)

For faster decision:•Typeofepilepsy•Agediagnosed•Durationofhistory•Dateoflastseizureandnumberofseizuresperyear

Requirements:APS

For faster decision:•Supplyallmedicalreports

relating to the surgical procedure and follow-up

•Currentweight


Unabletoconsideruntil6months after surgery

Restrictive surgery (gastric banding or gastroplasty):6 months to 3 years:Table3>3 years: Standard to Table 2

Malabsorptive surgery/bypass:<1 year: Postpone1-5 years: Table4>5 years: Standard to Table 2


Risk factors

Risk factors

Risk factors







Hepatitis B

Hepatitis C

Hypertension

•Dateofdiagnosis•Isthisacuteorchronic

infection•Laboratoryresults(liver

function)•Ifchronic,wasabiopsy

done•Anyalcoholusageorother

medical conditions

•Durationofthedisease•Laboratoryresults,

including liver function tests

•Hasabiopsybeendone•Doestheclientuse

alcohol, and if so, amount per day

•Currentage•Dateofdiagnosis•Typeofhypertension

(essential or secondary to another impairment)

•Medication/treatment•Responsetomedication

treatment•CurrentBPreadingsand

history of readings for past 2 years (demonstrate stable course)

•Compliantwithmedicaltreatment and follow-up

•Anyconcurrentimpairment(e.g.,CAD,stroke,kidneydisease, build)

Requirement:APS

For faster decision:•Laboratoryresults•Sonograms,CTs,biopsyresults

Requirement:APS

For faster decision:•Laboratoryresults,

including liver function tests

•Biopsyresults•Sonogramand/orCT

scan results

Requirements:APS,paraormedicalexam,selectively

For faster decision:•Recordofbloodpressure

readings•Copiesofanycardiac

investigation•Detailsofriskfactormodification

•Activelifestyle


If treated with sustained viral responseBest case: StandardTypical case: StandardtoTable3Worst case: Decline-withcomplications including continued elevatedliverenzymesormoderateliver disease on biopsy

UntreatedBest case: Table3-4Typical case: Table5-8Worst case: Decline

Ratingdependsonseverityof hypertension.

MayqualifyforPreferredorSuper Preferred if well-controlled and compliant with medication.


Risk factors

Risk factors

Risk factors







Liver function test

Myocardial infarction

Parkinson’s disease

•Howmanyliverfunctionsare outside the normal lab range?

•Isclienttakinganymedications or using alcohol?

•Isthereamedicalcondition that is causing the elevation in liver function?

•Howlonghasthisfindingbeen monitored by the attending physician?

•Isthisanewfindingwhichhas not been fully evaluated with additional testing?


•Currentage•Dateofdiagnosis•Medication/treatment•Responsetomedication

treatment•Severityofthedisease•Historyoffallingor

indications of dementia•Compliantwithmedical

treatment and follow-up•Anyconcurrent

impairment (e.g., depression)

Requirements:APS, Hepatitis screens, all markers, selectively

For faster decision:•Alllaboratorytests•Anysonograms•Detailsofmedications

being taken•Amountofalcoholused•Resultsofanyinvestigations

for elevated liver functions

Requirement:APS

For faster decision:•DetailsoftypeofParkinson’s•Typeoftreatment•Complianceandresponseto

medication•Severityofthedisease•Activeandindependent

lifestyle (outline Activities of DailyLiving)

Decisionwilldependonhowmany liver function results are outside the normal range, the degree of elevation, any other medical conditions, and any diagnosis for the elevated liver functionfinding.

Best case: Preferred or Super Preferred

Typical case: StandardtoTable4

Worst case: Decline

Best case: Standard

Typical case: Table2-4

Worst case: Table5–Decline


Risk factors

Risk factors

Risk factors







Peripheral artery disease (PAD)/peripheral vascular disease (PVD)

Pulmonary nodule

Rheumatoid arthritis

•Currentage•Dateofdiagnosis•Medication/treatment•Responsetomedication

treatment•Smokingstatus–if

currently smoking this will have a greater impact on disease progression

•Compliantwithmedicaltreatment and follow-up

•Anyconcurrentimpairment(e.g.,CAD,CVD,diabetes,hypertension, build)

•Currentage•Dateofdiagnosis•Sizeandnumberof

nodules•Anytreatment•Datetreatmentcompleted•Benignpathology•Reduced/eliminatedrisk

factors (e.g., smoking)•Anyconcurrent

impairment (e.g., emphysema or chronic bronchitis)

•Severityofsymptoms•Whatmedicationsare

being taken•Anylimitationsofdaily

activities•Noothersignificant

medical condition(s)

Requirements:APS,medicalexam,insurancebloodprofile,EKG–selectively

For faster decision:•Copiesofanyvascularand

cardiac investigation•Detailsofanyongoing

symptoms•Ankle-brachialindex(ABI)

score•Detailsofriskfactormodification

•Activelifestyle

Requirement:APS

For faster decision:•Copiesoftests•Detailsoffollow-up•Demonstratedstabilityof

nodule(s)

Requirement:APS

For faster decision:Laboratory results

Best case: Standard

Typical case: Table2-4

Worst case: Table5–Decline

Best case: Preferred possible

Typical case: Standard

Worst case: Decline

Best case: Preferred possible

Typical case: Standard - Table 2

Worst case: Decline


Risk factors

Risk factors





Stroke

Transient ischemic attack (TIA)


at onset•Currentsymptoms/extentofneurologicaldeficit

•Causeofstroke•Treatment•Medications•Numberofstrokes•Smokinghistory•Activelifestyle•Bloodpressureand

cholesterol readings•Anyconcurrentserious

impairment


at onset•Anyneurologicaldeficit•Numberofepisodes•Treatment•Medications•Smokinghistory•Testresults•Activelifestyle•Bloodpressureand

cholesterol readings•Anyconcurrentserious

impairment

Requirement:APS

For faster decision:• Neurologyworkup(carotidduplex,MRI)

•Currentfunction(howactive)•Lifestylemodifications

Requirement:APS

For faster decision:•Neurologyworkup(carotidduplex,MRI)

•Currentfunction(howactive)•Lifestylemodifications

Best case: Table4

Typical case: Table4withaflatextra

Worst case: Decline

Best case: Standard

Typical case: Table2-3forsingleTIA, Table4withaflatextraformultiple TIAs

Worst case: Decline



Ulcerative colitis

•Currentage•Ageofonset•Severityofthedisease•Frequencyofflare-ups•Severityofsymptoms•Dateoflastepisode•Extra-colonic

complications•EffectonADLs•Medication(ongoingoral

steroid therapy)•Hospitalization•Surgery•Weightstableorloss•Testingandfollow-up

Requirement:APS

For faster decision:•Pathologyreports•EvidenceofregularGI

surveillance (colonoscopy)•Detailsofhospitalizationand

hospital reports•Stableweight•Activelifestyle

Best case: Standard

Typical case: StandardtoTable5

Worst case: Table6toDecline


Impairments / non-medical

Risk factors

Risk factors

Risk factors







Aviation

Climbing and mountaineering

Driving

•Currentage•Pilotexperience•Flightratingsandtypeof

license held•Medicalhistory•Lifestyle•Wheretheyfly•Typeofaircraftflown•Typeofflying•Purposeofflightsand

number of flying hours per year

•Medicalhistory•Lifestyle

•Currentage•Frequency•Typeofterrain:

established trails•Altitude/heights•Location:NorthAmerica/

Europe or elsewhere•Medicalhistory•Lifestyle

•Currentage•Typesofinfractions•Frequencyofinfractions•DWI(Multiple)•Othersuspensionsand

number of suspensions•Accident(atfault)•Risk-takingavocations

Requirement:Aviation Statement

For faster decision:•Overallexperience•Hoursflownperyear•Pilotexperience•Flightratings•Aircraft•Detailsofspecializedflying

Requirement:Sport Statement, Foreign Travel questionnaire, if applicable

For faster decision:•Overallexperience•Frequency•Typeofterrain•Difficultyofclimbs

Requirement:MVR

For faster decision:• Numberandtypesofviolations•Dateoflastviolation•Dateoflastsuspension,length

of, and reason for suspension

Best case: Preferred or Super Preferred possible*

Typical case: Standard*

Worst case: AviationExclusionRiderifavailableorDecline

*Flat extra may apply to base rating

Best case: Preferred or Super Preferred possible*

Typical case: Standard*

Worst case: HazardousSportsExclusionRiderifavailableorDecline

*Flat extra may apply to base rating

Best case/typical case: Preferred or Super Preferred for infrequent, minor violations

Worst case:Decline

NOTE:AsingleDUIcanbeconsideredwithaflatextra0-1year since violation. Standard isavailableafter2-3years.


Risk factors

Risk factors





Motor vehicle racing

Scuba diving

•Currentage•Typeofvehicle/size

of engine•Typeoffuel•Frequency•Speedsattained

(average, highest)•Typeofcourse•Location(outsideU.S.or

Canada)•Concurrentavocations

•Currentage•Experienceincludingcertification

•Depthsandfrequencyofdives

•Medicalhistory•Lifestyle•Divelocation(e.g.,lake,

open ocean, beaches)•Divesites(e.g.,wreck,

salvage)•Divingactivities

(e.g., search and rescue, caves, ice)

•Commercialdiving

Requirements:Sport Statement, Foreign Travel Questionnaire(ifapplicable)

For faster decision:•Typeofracingandfrequency•Speedsattained

Requirement:AvocationQuestionnaire,ForeignTravelQuestionnaire (if applicable)

For faster decision:•Typeofdiving

(location, site, activities)•Experience•Frequency

Best case: Preferred or Super Preferred

Typical case: Standard to Standard with aflatextra

Worst case: Decline

Best case/typical case: Preferred or Super Preferred

Worst case: Decline


Height/weight charts

Super Preferred, Preferred, Super Standard, Standard build height

Age20-44maleandfemale

Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9

Super Preferred 129 134 139 144 149 154 159 164 169 174 180 185 191 197 202 208 214 220 226 232 239 245 251 258 264 271

Preferred 138 143 148 153 159 164 170 175 181 186 192 198 204 210 216 222 229 235 242 248 255 262 269 276 283 290

Super Standard 147 152 158 163 169 175 180 186 192 198 205 211 217 224 230 237 244 250 257 264 271 279 286 293 301 308

Standard 162 168 174 180 186 193 199 206 212 219 226 233 240 247 254 261 269 276 284 292 299 307 315 323 332 340


Age45-64maleandfemale

Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9

Super Preferred 132 136 141 146 151 156 161 167 172 177 183 188 194 200 206 212 218 224 230 236 243 249 256 262 269 276

Preferred 140 146 151 156 161 167 172 178 184 189 195 201 207 213 220 226 232 239 246 252 259 266 273 280 287 294

Super Standard 152 157 163 168 174 180 186 192 198 204 211 217 224 230 237 244 251 258 265 272 280 287 295 302 310 318

Standard 167 173 179 185 192 198 205 211 218 225 232 239 246 253 261 268 276 284 292 300 308 316 324 332 341 349


Age65&upmaleandfemale

Height 4’8” 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9

Super Preferred 134 139 144 149 154 159 164 169 175 180 186 192 197 203 209 215 221 228 234 240 247 253 260 267 273 280

Preferred 143 148 153 158 164 169 175 181 187 192 198 204 211 217 223 230 236 243 250 256 263 270 277 284 292 299

Super Standard 156 162 167 173 179 185 191 198 204 210 217 224 230 237 244 251 258 266 273 280 288 295 303 311 319 327

Standard 167 173 179 185 192 198 205 211 218 225 232 239 246 253 261 268 276 284 292 300 308 316 324 332 341 349


Super Standard/Preferred/Super PreferredGive clients credit for managing their health.

Super Standard/Preferred/Super Preferred classes are designed for individuals whom we expecttohavelowerorbettermortalitythanindividualsratedStandard.

• OurHealthyLifestyleCreditsallowusto offset one negative risk factor/knockout if the individual has enough favorable credits.

• Weallowindividualstakingmedicationfor high blood pressure and cholesterol to qualify for a Preferred rating.

• Preferredratingsareavailablewithaviation/sportsexclusions.

• Individualswithanimperfectfamilyhistorymaystillqualifyfor a Preferred rating if they have routine preventative screening tests.

The following describes our criteria for rating a case PreferredorSuperPreferred:

• Preferredages=20to85; SuperPreferredages=20to80

• Principalusesaknockoutsystem.Knockoutsareprovidedonpages26and27.

Healthy Lifestyle Credits can improve the rating up to one class if they have enough favorable credits and only one knockout for build, blood pressure or cholesterol.

• Tobaccouse:

– SuperPreferredclassrequiresnotobacco useforprior60months.

– PreferredNon-Tobaccoclassrequiresnotobaccouseforprior24months(prior36monthsforages71to85).

– PreferredTobaccoclassincludesallforms of tobacco.

How does our program

differ from other programs?

Basic guidelines


Examples

Scenario• BloodPressure=130/87• 6’0”and210pounds• Pulse=74andregular• Cholesterol/HDL=6.2• EKG=normal• Familyhistory:fathersufferedaheartattackatage62

• Lastcompletephysicalwas18monthsago,includingacolonoscopy and PSA. All results were normal.

Scenario• BloodPressure=128/76• 5’5”and135pounds• Pulse=72andregular• Cholesterol/HDL=3.2• EKG=normal• Familyhistory:motherdiedofbreastcanceratage65

• Lastcompletephysicalwas9monthsagoincludingmammogram, which was within normal limits

• Mammogramslast10yearshave been within normal limits

Scenario• Bloodpressure=145/80• 5’1”and181pounds• Pulse=72andregular• Cholesterol/HDL=5.8• EKG=normal• Familyhistory:bothparentsdiedintheir90s

• Noheartdiseaseorcancernoted in family history

• Lastexamwas12monthsago,including a colonoscopy and mammogram within normal limits

Our ratingClient is Super Standard due to a Preferred knockout for cholesterol/HDLratio.We can improve the rating to Preferred using Healthy Lifestyle Credits (HLCs) based on his other favorable factors and routine physicals.

• Finalrating: Preferred

Our ratingClient meets criteria to remain Super Preferred/Preferred. Whenlookingattheoverallriskprofile,weareabletooffsetfamily history due to favorable HLCs and regular mammograms.

• Finalrating: Super Preferred

Our ratingClient is Super Standard due to a Preferred knockout for build. WecanimprovetheratingtoPreferred using HLCs based on her other favorable factors and routine physicals.

• Finalrating: Preferred

Competitor ratingClient is not allowed the Preferred class due to highcholesterol/HDL.

Competitor ratingClient is not allowed the Super Preferred class due to family history (mother died of breast cancer at age65).

Competitor ratingClient is not allowed the Preferred class due to her build and cholesterol/HDLratio.

Male, age 68

Female, age 52

Female, age 74


GuidelinesSuper Standard/Preferred/Super Preferred

Super Standard

Super Standard

Preferred

Preferred

Super Preferred

Super Preferred

Family history• Includes:parents&siblings• Cardiovasculardefinedas:CoronaryArteryDisease,PeripheralVascularDisease,Stroke,and

Transient Ischemic Attack

Blood pressure• Useexamaverageifnohypertensiontreatment• Use12monthaverageifhypertensionhistory

• Uptoonedeathpriorto age60of:CardiovascularDisease, Breast Cancer, Colon Cancer, Ovarian Cancer, Prostate Cancer, Diabetes

• Disregardcancerofoppositesexexceptforcolon cancer

• Family history not considered for applicants aged71+

Cannotexceed:• 145/90atages20-64• 150/90atages65-85

• Nodeathpriortoage60of: CardiovascularDisease Breast Cancer Colon Cancer Ovarian Cancer Prostate Cancer Diabetes

• Disregardcancerofoppositesexexceptforcoloncancer


Cannotexceed:• 140/85atages20-44• 140/90atages45-64• 145/90atages65-85

• Nodeathpriortoage65of: CardiovascularDisease Breast Cancer Colon Cancer Ovarian Cancer Prostate Cancer Diabetes

• Disregardcancerofoppositesexexceptforcoloncancer


Cannotexceed:• 135/85atages20-44• 140/85atages45-64• 140/90atages65-85


Super Standard

Super Standard

Preferred

Preferred

Super Preferred

Super Preferred

Cholesterol• Medicationmaybedisregarded•Weassesstheratiowithinthecontextoftheentirelipidprofile

History of• Alcoholabuse •Drugabuse •Cancer •Diabetes

Cannotexceed:• Totalcholesterol300, cholesterol/HDLof6.5 atages20-64

• Totalcholesterol300, cholesterol/HDLof7.0 atages65-85

• Norating

Cannotexceed:• Totalcholesterol270,cholesterol/HDLof5.5 atages20-64

• Totalcholesterol280,cholesterol/HDLof6.0 atages65-85

• No personal history of alcohol or drug abuse within 10 years

• No personal history of diabetes or cancer ever

• Exception – Basal and Squamous Cell

• Personal history of certain cancers will be allowed. Consultyourhomeofficeunderwriter for criteria.

Cannotexceed:• Totalcholesterol240,cholesterol/HDLof4.5 atages20-64

• Totalcholesterol260,cholesterol/HDLof5.0 atages65-85

• No personal history of alcohol or drug abuse, diabetes or cancer ever

• Exception – Basal and Squamous Cell


Super Standard

Super Standard

Super Standard

Preferred

Preferred

Preferred

Super Preferred

Super Preferred

Super Preferred

Foreign residency/travel

Driving2

Occupation/military/aviation/hazardous sports

• ApplicantmustbeaU.S.citizenorpermanentU.S.resident• TraveltohazardousareamaydisqualifyforSuperStandard,PreferredandSuperPreferred• ConsultwithyourhomeofficeunderwriterforapplicantswhoarenotU.S.citizensor

permanent residents

• Norating

• Not ratable for occupation and military• Foraviationandhazardoussportsrisk,refertoyourhomeofficeunderwriter

Super Standard Preferred Super Preferred

Tobacco1

• Tobaccouseincludesanytobaccoornicotineproduct(i.e.,cigar,patch,gum&marijuana)

• Notobaccousefor: oneyear,ages20-70 threeyears,ages71-85

• Exception – 24 or fewer cigars per year with a negative urine

• Notobaccousefor: twoyears,ages20-70 threeyears,ages71-85

• Exception – 24 or fewer cigars per year with a negative urine

• For Tobacco/Preferred rates all preferred criteria must be metexcepttobaccouse

• No more than two moving violations in the past three years• Nodrivingundertheinfluenceorrecklessdrivinginfiveyears

• Notobaccousefor: fiveyears,ages20-80

• Exception - 12 or fewer cigars per year with a negative urine

1 Tobaccodefinitions: • Tobacco:Currentorpastuseintheprior12monthsofanytobaccoincludingcigarettes,cigars,pipe,chew,snuffornicotineaids.(For

ages71-85,aclientwillbeclassifiedastobaccoiftheyhaveusedanytypesoftobaccointhelast3years.) • Non-tobacco:Notobaccouseinanyformcurrentlyorintheprior12months. • Exceptiontonon-tobacco:Twenty-fourorfewercigarsintheprior12monthswithadmitteduseontheapplication(orTeleApp)anda

negative urine specimen for nicotine qualify for non-tobacco. • Marijuana:Arecreationaluserofmarijuanawithamaximumuseof1-2timespermonth,mayqualifyfornon-tobaccorates.

For increased frequency and for other types of use (medicinal, non-smoked forms, etc.), please contact your home office underwriter for details.

•InNewJersey,marijuanaonlyusers(notobaccouse)areconsiderednon-tobacco.

2 Subject to review of specific infractions.


Financial underwritingWearecommittedtomaintainingmarket-leadingunderwritingandservice,andwewantyoutobefamiliarwithourfinancialunderwritingrequirementsandguidelineswhensubmittingcasestous.

If net worth is less than or equal to $5 million, acceptable ratio of premium to income is upto25percent.

If net worth is greater than $5 million, acceptable ratio of premium to income is upto40percent.

If net worth is greater than $10 million, acceptable ratio of premium to income is upto60percent.

Premium to income ratio

Face amount

Confidential financial statement

Financial underwriting supplement for life insurance

Electronic inspection report

Third party financial verification

Financial requirements

$2,000,000to$4,999,999

$5,000,000

$5,000,001to$10,000,000

$10,000,001and up

Any face amount, age 70+,trustlessthan two years

XX

(forages70+at$2,500,001&up)

X(forages70+)

X X(forages70+)X

X XX

X X X

X(forages70+)

X

X X XX


Purpose of insurance Formulas and guidelines Information needed

Personal financial underwriting guidelines

Income replacement

Estate planning

•Grossannualincome•Howamountofinsurance

was determined•Othercoverageinforceor

pending with all carriers

•Estateanalysis•Networth•Howinsuranceamount

was determined•Riskamounts

Maximumcoverage

Ages: Multiply incomeby:

18-35 3036-45 2546-55 2056-60 1561-65 1066-70 571+ 1

Estate growth period

Ages: Growth assumption:

Up to age70

75%oflifeexpectancynottoexceedupto20years

71-80

75%oflifeexpectancynottoexceedupto10years

81+ Use current estate value

•Estimategrowthfactor upto8%

•Assume50%ofestimatedfuture estate value will be lost toestatetax

•Insuranceamount=50%ofestimated future estate value

Note:Ifyouhavequestionsregardingjuvenile,charitableinsuranceorcreditorinsurance,pleasecontactyourhomeofficeunderwriter.


Purpose of insurance Formulas and guidelines Information needed

Business financial underwriting guidelines

Key executive •Verificationofincome•Listofotherkeyexecutives

and their coverage•Explanationoflayrole

to employer

•Upto10timesannualincome•Businessownerandbeneficiary

Note:Ifyouhavequestionsregardingcreditorinsurance,pleasecontactyourhomeofficeunderwriter.

Buy-sell and stock redemption plans

Executive Bonus/ S Owner

Deferred compensation

Businessfinancials:•Balancesheet•Incomestatement•Listofowners/ownership

percent•Confirmationallpartnersare

similarly insured

•Verificationofincome

•Deferredcompensationplanformula and description of insurancebenefit

•Verificationofcompensation

•Percentofownership= Xvalueofcompany

•Crosspurchase–partnersareownersandbeneficiaries

•Entitypurchase–businessisownerandbeneficiary

•Valueofbusinessandhowthevalue was determined

•Insuranceamount=amultipleoftheexecutive’sincome

•Insuranceamount=amultipleoftheexecutive’sincome

Principal UnderRightSM

Fast. Easy. Just Right.

Applicationsacceptedelectronicallyorbyfax (1035Exchangepaperworkneedswetsignature). Toll-free fax: 866-542-1359

Dedicatedhomeofficecasemanagersplus access to your underwriter when you need it. Toll-free phone: 800-654-4278

Underwritinginformationavailable24/7. principal.com/underwriting


principal.com

PrincipalNationalLifeInsuranceCompanyandPrincipalLifeInsuranceCompany,DesMoines,Iowa50392-0001

InsuranceproductsissuedbyPrincipalNationalLifeInsuranceCo.(exceptinNY)andPrincipalLifeInsuranceCo.,DesMoines,Iowa50392.Plan administrative services offered by Principal Life. Principal National and Principal Life are members of the Principal Financial Group®,DesMoines,IA50392.


Principal, Principal and symbol design and Principal Financial Group are trademarks and service marks of Principal Financial Services, Inc., a member of the Principal Financial Group.

BB10009-11|10/2018|659259-112018|©2018PrincipalFinancialServices,Inc.

Not FDIC or NCUA insured May lose value • Not a deposit • No bank or credit union guarantee

Not insured by any Federal government agency

life insurance underwriting that’s fast, easy and just right€¦ · • no life, health or...

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