save time with the application -...
TRANSCRIPT
For financial professional use only. Not for distribution to the public.
interview to help guide your clients through the insurability questions.
insight 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
eet with your client and prepare to submit
the life insurance application.
Initiate the client email that contains the
calling the TeleApp Contact Center at
system will automatically send the client
an email with the online Part B link.
also receive copies of the reminder
emails).
Once your client has completed online
Part B and the rest of the application has
been received, the field o;ce 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
would prefer to submit the medical information
online or by scheduling a telephone interview.
TeleApp Guide (BB10268) provides step-by-step
instructions to help prepare your client.
Schedule the interview using our online
scheduling tool. Interviews may be scheduled
Submit the initial application and other
required forms (supplemental applications,
processing.
The TeleApp interviewer calls your client
at the scheduled time and completes the
insurability questions (Part B/Part II). The
copy of the completed interview responses will
be sent to you once the application is received
Deliver the policy to the client. The home
and signs both copies. One copy is attached
to the policy and remains with the client.
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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:
form at principal.com/teleapp.
When scheduling an interview, please provide
this information:
date of birth
Staying informed
advisor website at any time to monitor the status of
the TeleApp interview. Or you can call our TeleApp
Preparing your clients
being taken
medical providers
or conditions
Helpful TeleApp hints
› Immediate interviews are
› Scheduled interviews with
scheduled). If you’re not
completing an immediate
interview, it’s better to schedule
›
let us know the state in which
the application was signed.
questions.
› by the TeleApp counselor and the
date and time of the interview
should be recorded on the Field
For more information
› Go to principal.com/teleapp.
For financial professional use only. Not for distribution to the public. 11
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.
the right quote quickly and easily.
assessments 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
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 underwriter is likely to request in
addition to the routine age and
amount medical requirements
For faster decision:
include 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
the underwriting process and
limiting the need for subsequent
requirement requests.
necessary for the impairment
based on the factors and
impairments outline a best-
case scenario, typical case and
worst-case rating.
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
Alcohol abuse (Includes alcoholism and problem drinking)
Alzheimer’s disease
present alcohol
consumption declared
dependence
investigations, including
markers
consuming in moderation
group such as Alcoholics
Anonymous
including any history of
other substance abuse,
driving oOenses or
sports
job instability
medications
required
Requirements:
test, alcohol questionnaire,
inspection report selectively
For faster decision:
treatment.
care/treatment including
dates and length of treatment.
such as continued
employment, attendance in
Alcoholics Anonymous or
similar body, etc.
Requirements:
selectively
For faster decision:
such as cognitive or memory
testing
applicant’s age, time since last
use and any co-morbid factors.
Alcoholism:
Best Case:
consumption)
Worst Case:
Problem drinking:
Best Case:
and mild)
Worst Case:
All cases:
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
referrals to specialists/
hematologists (include
dates, names of tests and
doctors seen)
aneurysm
aneurysm
coronary artery disease,
hypertension,
cerebrovascular, other
peripheral vascular or
Requirements:
APS
For faster decision:
and testing to include cause
and/or source of bleeding
of the condition, including
recent complete blood count
(CBC)
Requirements:
APS
For faster decision:
ongoing surveillance
lipid control
coronary artery disease,
hypertension, cerebrovascular,
other peripheral vascular or
symptoms
anemia and assume anemia is
fully investigated and stable.
Iron deficiency anemia: Preferred possible for
best-case scenario
Hemolytic anemia: Preferred possible for
best-case scenario
Can consider on a rated basis
depending on the type of
aneurysm.
Abdominal:
No surgery: Best case is Table
last three years or since
diagnosis
If diameter >5 cm:
With surgery: Individual
consideration
Cerebral:
No surgery:if small, stable and no
complications
Large:
With surgery: Standard after
two years
Thoracic:
No Surgery:
With Surgery:two years
For financial professional use only. Not for distribution to the public.
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
surgery)
treatment
disease and/or risk factors
including hypertension,
arrhythmias
or obesity
Requirement:
APS
For faster decision:
duration of symptoms
with treatment
industrial accidents attributed
to sleepiness
Mild disease and no complications: Preferred or Super Preferred
possible
Moderate disease untreated and no complications:
Moderate disease treated and compliant with therapy: Preferred possible
Severe disease untreated and no complications:
Severe disease treated and compliant with therapy. Best case: Standard after two
years compliance with
treatment
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
asthma attacks
frequency of use
medications
disorder, alcohol abuse,
at onset
complications
non-cardiac disease
anticoagulant medication
Requirement:
APS
For faster decision:
including pulmonary
function tests
treatment
symptoms
Requirement:
APS
For faster decision:
Investigations
Minimal or mild asthma: Preferred or Super Preferred
Moderate: Standard to Table 2
Severe:
Found on examination, no investigation: Postpone
Paroxysmal Atrial Fibrillation (PAF) with infrequent attacks: Standard
Chronic Atrial Fibrillation:
Less favorable outcome for
co-morbid complications
For financial professional use only. Not for distribution to the public.
Risk factors Typical requirements Likely underwriting decision
Barrett’s esophagus
including biopsy
treatment
treatment and surveillance
hemorrhage, perforation)
Requirement:
APS
For faster decision:
including biopsy
(e.g., endoscopy)
and 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:
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
type of cancer.
For all forms of cancer: Consideration for insurance
begins once treatment has
been completed, assuming the
client is well followed.
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
basal cell carcinoma
has been removed
completely
dysplastic nevi or
dysplastic nevus syndrome
as multiple dysplastic nevi
and a propensity to
develop other skin cancers
from treatment
from treatment
Requirement:
APS
For faster decision:
post-operative
smoking)
Requirement:
APS
For faster decision:
treatment, including any
adjunct therapy
(mammograms,
bone scan, etc.)
Complete excision: Possible Preferred or Super
Preferred
Best case: Standard for carcinoma in situ
Typical case:
years after completion of
treatment (chemo or
radiation), then possible Table
depending on stage and grade
Worst case:
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: Colon
Cancer: Leukemia
tumor
that may be associated
with other types of cancer
cancer types of cancer
including colonoscopy
results
treatment
stage of cancer
secondary cancer
Requirement:
APS
For faster decision:
information
treatment
(colonoscopy and tumor
markers)
Requirements:
APS, blood testing if current
results are not available
For faster decision:
Best case: Standard after three years
Typical case:
years after completion of
treatment (chemo or
radiation), then possible Table
depending on stage and grade
Worst case:
Acute lymphoid leukemia/acute myeloid leukemia:
Best case: Standard
Typical case:
Worst case:
Chronic lymphoid leukemia/ hairy cell leukemia:
Best case:
Typical case:
Worst case:
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
of cancer
factors (e.g., smoking)
impairment (e.g.,
emphysema or chronic
bronchitis)
from treatment
current PSA
from treatment
Requirement:
APS
For faster decision:
(CT scans etc.)
Requirements:
if current results are not
available
For faster decision:
and PSA testing
Carcinoma (all types)
Stage 1:
Best case: Standard after eight years
Typical case:
Worst case:
three years since primary
treatment
Stage 2-3:
Best case: Standard after nine years
Typical case:
Worst case:
treatment
class will depend on years
since primary treatment, the
stage of cancer and Gleason
grade of the tumor.
Best case: Standard
Typical case:
Worst case:
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:
Cancer: Thyroid
of tumor
multiple dysplastic nevi
and a propensity to
develop other skin cancers
from treatment
(papillary, follicular,
anaplastic, etc.)
date(s) performed
how long
treatment
Requirement:
APS
For faster decision:
dermatology follow-up
Requirements:
APS
For faster decision:
Best case: Standard
Typical case: Standard with
Worst case:
Best case: Standard
Typical case: Standard or Standard
Worst case:
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
current tobacco use
weight loss
respiratory function
progression
biochemical abnormality
cancer, malnutrition)
at onset
(how many vessels and
which ones)
impairment
heart failure or
arrhythmia
cholesterol readings
Requirement:
APS
For faster decision:
(PFT), serial PFTs
Requirements:
APS, EKG (or TST) if current test
is not available
For faster decision:
angiogram, recent stress tests,
perfusion)
Best ratings possible with
testing including perfusion
and stress echocardiograms
within the past 12 months
Best case: Standard
Typical case:
Worst case:
months post-surgery
Best case: Standard
Typical case:
Worst case:
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
Crohn’s disease
Diabetes
steroid therapy
concurrent impairments
such as rheumatoid
arthritis or other
inflammatory disease
at onset
sugar readings
nephropathy or kidney
disease, neuropathy,
retinopathy, cardiovascular
disease
Requirement:
APS
For faster decision:
surveillance (colonoscopy)
hospital reports
Requirements:
APS, blood (if not already
required or current results not
available)
For faster decision:
at onset
(neurologist, nephrologist,
endocrinologist)
Hemoglobin A1c where
possible)
Best case: Standard
Typical case:
Worst case:
Type 1
Also known as Insulin
Best case:
Typical case:
Worst case:(complications,
poor or uncontrolled)
Type 2
Also known as Non-Insulin
Best case: Standard
Typical case:
Worst case:(complications, poor or
uncontrolled)
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
Risk factors
Risk factors
Typical requirements
Typical requirements
Likely underwriting decision
Likely underwriting decision
Epilepsy/seizure disorder
Gastric surgery for obesity
medication
activity
medical conditions
(such as diabetes,
hypertension, coronary
disease)
complications
(weight loss,
improvement of risk
factors)
For faster decision:
Requirements:
APS
For faster decision:
relating to the surgical
procedure and follow-up
Best case: Standard
Typical case:
Worst case:
months after surgery
Restrictive surgery (gastric banding or gastroplasty):
6 months to 3 years:
>3 years: Standard to Table 2
Malabsorptive surgery/bypass:
<1 year: Postpone
1-5 years:
>5 years: Standard to Table 2
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
Hepatitis B
Hepatitis C
Hypertension
infection
function)
done
medical conditions
including liver function
tests
alcohol, and if so, amount
per day
(essential or secondary to
another impairment)
treatment
history of readings for past
2 years (demonstrate
stable course)
treatment and follow-up
disease, build)
Requirement:
APS
For faster decision:
Requirement:
APS
For faster decision:
including liver function
tests
scan results
Requirements:
selectively
For faster decision:
readings
investigation
Best case: Standard
Typical case:
Worst case:
If treated with sustained viral response
Best case: Standard
Typical case:
Worst case: complications including continued
liver disease on biopsy
Untreated
Best case:
Typical case:
Worst case:
of hypertension.
Super Preferred if well-
controlled and compliant
with medication.
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
are outside the normal lab
range?
medications or
using alcohol?
condition that is causing
the elevation in liver
function?
been monitored by the
attending physician?
has not been fully
evaluated with additional
testing?
treatment
indications of dementia
treatment and follow-up
impairment
(e.g., depression)
Requirements:
APS, Hepatitis screens, all
markers, selectively
For faster decision:
being taken
for elevated liver functions
Requirement:
APS
For faster decision:
medication
lifestyle (outline Activities of
many liver function results are
outside the normal range, the
degree of elevation, any other
medical conditions, and any
diagnosis for the elevated liver
Best case: Preferred or Super Preferred
Typical case:
Worst case:
Best case: Standard
Typical case:
Worst case:
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
Peripheral artery disease (PAD)/peripheral vascular disease (PVD)
Pulmonary nodule
Rheumatoid arthritis
treatment
currently smoking this will
have a greater impact on
disease progression
treatment and follow-up
hypertension, build)
nodules
factors (e.g., smoking)
impairment (e.g.,
emphysema or chronic
bronchitis)
being taken
activities
medical condition(s)
Requirements:
For faster decision:
cardiac investigation
symptoms
score
Requirement:
APS
For faster decision:
nodule(s)
Requirement:
APS
For faster decision:
Laboratory results
Best case: Standard
Typical case:
Worst case:
Best case: Preferred possible
Typical case: Standard
Worst case:
Best case: Preferred possible
Typical case: Standard - Table 2
Worst case:
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)
at onset
cholesterol readings
impairment
at onset
cholesterol readings
impairment
Requirement:
APS
For faster decision:
Requirement:
APS
For faster decision:
Best case:
Typical case:
Worst case:
Best case: Standard
Typical case:
multiple TIAs
Worst case:
For financial professional use only. Not for distribution to the public.
Risk factors Typical requirements Likely underwriting decision
Ulcerative colitis
complications
steroid therapy)
Requirement:
APS
For faster decision:
surveillance (colonoscopy)
hospital reports
Best case: Standard
Typical case:
Worst case:
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
license held
number of flying hours
per year
established trails
Europe or elsewhere
number of suspensions
Requirement:
Aviation Statement
For faster decision:
Requirement:
Sport Statement, Foreign Travel
questionnaire, if applicable
For faster decision:
Requirement:
For faster decision:
of, and reason for suspension
Best case: Preferred or Super Preferred
possible*
Typical case: Standard*
Worst case:
*Flat extra may apply to base rating
Best case: Preferred or Super Preferred
possible*
Typical case: Standard*
Worst case:
*Flat extra may apply to base rating
Best case/typical case: Preferred or Super Preferred
for infrequent, minor violations
Worst case:
year since violation. Standard
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
Motor vehicle racing
Scuba diving
of engine
(average, highest)
Canada)
dives
open ocean, beaches)
salvage)
(e.g., search and rescue,
caves, ice)
Requirements:
Sport Statement, Foreign Travel
For faster decision:
Requirement:
(if applicable)
For faster decision:
(location, site, activities)
Best case: Preferred or Super Preferred
Typical case: Standard to Standard with
Worst case:
Best case/typical case: Preferred or Super Preferred
Worst case:
For financial professional use only. Not for distribution to the public.
Height/weight charts
Super Preferred, Preferred, Super Standard, Standard build height
Height
Super Preferred
Preferred 222
Super Standard
211
Standard 212
Super Preferred, Preferred, Super Standard, Standard build height
Height
Super Preferred
212
Preferred
Super Standard
211
Standard 211
Super Preferred, Preferred, Super Standard, Standard build height
Height
Super Preferred
221
Preferred 211
Super Standard
Standard 211
For financial professional use only. Not for distribution to the public.
Super Standard/Preferred/Super Preferred
Give clients credit for managing their health.
Super Standard/Preferred/Super Preferred classes are designed for individuals whom we
oOset one negative risk factor/knockout if
the individual has enough favorable credits.
high blood pressure and cholesterol to qualify for a
Preferred rating.
for a Preferred rating if they have routine preventative
screening tests.
The following describes our criteria for rating a case
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.
of tobacco.
How does
our program
diOer from other
programs?
Basic
guidelines
For financial professional use only. Not for distribution to the public.
Examples
Scenario
colonoscopy and PSA. All
results were normal.
Scenario
mammogram, which was
within normal limits
have been within normal limits
Scenario
noted in family history
including a colonoscopy
and mammogram within
normal limits
Our rating
Client is Super Standard due to
a Preferred knockout for
can improve the rating to
Preferred using Healthy
Lifestyle Credits (HLCs) based
on his other favorable factors
and routine physicals.
Preferred
Our rating
Client meets criteria to remain
Super Preferred/Preferred.
family history due to favorable
HLCs and regular
mammograms.
Super Preferred
Our rating
Client is Super Standard due to
a Preferred knockout for build.
Preferred using HLCs based on
her other favorable factors and
routine physicals.
Preferred
Competitor rating
Client is not allowed the
Preferred class due to
Competitor rating
Client is not allowed
the Super Preferred
class due to family
history (mother died
of breast cancer at
Competitor rating
Client is not allowed
the Preferred class
due to her build and
Male, age 68
Female, age 52
Female, age 74
For financial professional use only. Not for distribution to the public.
GuidelinesSuper Standard/Preferred/Super Preferred
Super Standard
Super Standard
Preferred
Preferred
Super Preferred
Super Preferred
Family history•
Transient Ischemic Attack
Blood pressure
Breast Cancer,
Colon Cancer,
Ovarian Cancer,
Prostate Cancer,
•
colon cancer
• Family history not
considered for applicants
•
Breast Cancer
Colon Cancer
Ovarian Cancer
Prostate Cancer
•
• Family history not
considered for applicants
•
•
•
•
Breast Cancer
Colon Cancer
Ovarian Cancer
Prostate Cancer
•
• Family history not
considered for applicants
•
•
•
For financial professional use only. Not for distribution to the public.
Super Standard
Super Standard
Preferred
Preferred
Super Preferred
Super Preferred
Cholesterol
History of
• 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.
underwriter for criteria.
• 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.
Super Standard
Super Standard
Super Standard
Preferred
Preferred
Preferred
Super Preferred
Super Preferred
Super Preferred
Foreign residency/travel
Driving2
Occupation/military/aviation/hazardous sports
•
•
permanent residents
• Not ratable for occupation and military
•
Super Standard Preferred Super Preferred
Tobacco1
• Exception – 24 or fewer cigars per year with a negative urine
•
• Exception – 24 or fewer cigars per year with a negative urine
• For Tobacco/Preferred rates
all preferred criteria must be
• No more than two moving violations in the past three years
•
•
• Exception - 12 or fewer cigars per year with a negative urine
1
negative urine specimen for nicotine qualify for non-tobacco.
For increased frequency and for other types of use (medicinal, non-smoked forms, etc.), please contact your home office
underwriter for details.
2 Subject to review of specific infractions.
For financial professional use only. Not for distribution to the public.
Financial underwriting
If net worth is less than or equal to $5 million, acceptable ratio of
premium to income is
If net worth is greater than $5 million, acceptable ratio of
premium to income is
If net worth is greater than $10 million, acceptable ratio of
premium to income is
Premium to income ratio
Face amount
Confidential financial statement
Financial underwriting supplement for life insurance
Electronic inspection report
Third party financial verification
Financial requirements
and up
Any face
amount, age
than two years
For financial professional use only. Not for distribution to the public.
Purpose of insurance Formulas and guidelines Information needed
Personal financial underwriting guidelines
Income replacement
Estate planning
was determined
pending with all carriers
was determined
1
Estate growth period
Growth
Up to
Use current
estate value
future estate value will be lost
estimated future estate value
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
and their coverage
to employer
Buy-sell and stock redemption plans
Executive Bonus/ S Owner
Deferred compensation
percent
similarly insured
formula and description of
value was determined
Principal UnderRightFast. Easy. Just Right.
Toll-free fax: 866-542-1359
access to your underwriter when you need it.
Toll-free phone: 800-654-4278
principal.com/underwriting
For financial professional use only. Not for distribution to the public.
principal.com
Plan administrative services offered by Principal Life. Principal National and Principal Life are members of the Principal Financial Group®
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.
Not FDIC or NCUA insured
Not insured by any Federal government agency