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TRANSCRIPT
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
For financial professional use only. Not for distribution to the public.
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
For financial professional use only. Not for distribution to the public. 3
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
4 For financial professional use only. Not for distribution to the public.
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.
For financial professional use only. Not for distribution to the public. 5
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
6 For financial professional use only. Not for distribution to the public.
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:
For financial professional use only. Not for distribution to the public. 7
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
8 For financial professional use only. Not for distribution to the public.
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.
For financial professional use only. Not for distribution to the public. 9
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.
10 For financial professional use only. Not for distribution to the public.
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.
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12 For financial professional use only. Not for distribution to the public.
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.
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Impairments/Medical
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
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
14 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
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Risk factors
Risk factors
Risk factors
Risk factors
Typical requirements
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
Angina pectoris
Angioplasty
Arteriosclerosis
Apnea/sleep apnea
Referto CoronaryArteryDisease.
Referto CoronaryArteryDisease.
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
16 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
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Risk factors Typical requirements Likely underwriting decision
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
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
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.
18 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
For financial professional use only. Not for distribution to the public. 19
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
20 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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)
•Anyseriouscomplicationsfrom treatment
•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
For financial professional use only. Not for distribution to the public. 21
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
•Anyseriouscomplicationsfrom treatment
•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
22 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
For financial professional use only. Not for distribution to the public. 23
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
•Currentage•Dateofdiagnosisandage
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)
24 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Emphysema
Heart attack
RefertoCOPD.
RefertoCoronaryArteryDisease.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
Best case: StandardTypical case: Table2-6Worst case: Decline
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
For financial professional use only. Not for distribution to the public. 25
Risk factors
Risk factors
Risk factors
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
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
Best case: StandardTypical case: Table2-6Worst case: Decline
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.
26 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Risk factors
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
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?
RefertoCoronaryArteryDisease.
•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
For financial professional use only. Not for distribution to the public. 27
Risk factors
Risk factors
Risk factors
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
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
28 For financial professional use only. Not for distribution to the public.
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Stroke
Transient ischemic attack (TIA)
•Currentage•Dateofdiagnosisandage
at onset•Currentsymptoms/extentofneurologicaldeficit
•Causeofstroke•Treatment•Medications•Numberofstrokes•Smokinghistory•Activelifestyle•Bloodpressureand
cholesterol readings•Anyconcurrentserious
impairment
•Currentage•Dateofdiagnosisandage
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
For financial professional use only. Not for distribution to the public. 29
Risk factors Typical requirements Likely underwriting decision
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
30 For financial professional use only. Not for distribution to the public.
Impairments / non-medical
Risk factors
Risk factors
Risk factors
Typical requirements
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Likely underwriting decision
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.
For financial professional use only. Not for distribution to the public. 31
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
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
32 For financial professional use only. Not for distribution to the public.
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
Super Preferred, Preferred, Super Standard, Standard build height
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
Super Preferred, Preferred, Super Standard, Standard build height
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
For financial professional use only. Not for distribution to the public. 33
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
34 For financial professional use only. Not for distribution to the public.
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
For financial professional use only. Not for distribution to the public. 35
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
• Family history not considered for applicants aged71+
Cannotexceed:• 140/85atages20-44• 140/90atages45-64• 145/90atages65-85
• Nodeathpriortoage65of: CardiovascularDisease Breast Cancer Colon Cancer Ovarian Cancer Prostate Cancer Diabetes
• Disregardcancerofoppositesexexceptforcoloncancer
• Family history not considered for applicants aged71+
Cannotexceed:• 135/85atages20-44• 140/85atages45-64• 140/90atages65-85
36 For financial professional use only. Not for distribution to the public.
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
For financial professional use only. Not for distribution to the public. 37
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.
38 For financial professional use only. Not for distribution to the public.
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
For financial professional use only. Not for distribution to the public. 39
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.
40 For financial professional use only. Not for distribution to the public.
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
For financial professional use only. Not for distribution to the public. 41
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.
For financial professional use only. Not for distribution to the public.
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