welcome to standard life and accident

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Welcome to Standard Life and Accident

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Welcome to Standard Life and Accident. Why sell Cancer Insurance? Who is the right client? What types of plans are available? What type of plan is best? How does the Resolutions Cancer plan work?. A recent quote from the Associated Press - PowerPoint PPT Presentation

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Page 1: Welcome to Standard  Life and Accident

Welcome toStandard Life and Accident

Page 2: Welcome to Standard  Life and Accident

• Why sell Cancer Insurance?

• Who is the right client?

• What types of plans are available?

• What type of plan is best?• How does the Resolutions Cancer

plan work?

Page 3: Welcome to Standard  Life and Accident

A recent quote from the Associated Press “Costly illnesses trigger about half of all personal bankruptcies, and most of those who go bankrupt because of medical problems have health insurance, according to findings from a Harvard University study. The study said 38 percent had lost coverage at least temporarily by the time they filed for bankruptcy, with illness frequently leading to the loss of both a job and insurance”.*

*Associated Press updated 2/2/2005

Page 4: Welcome to Standard  Life and Accident

Study done in 2009 by KaiserFoundation found the following:1. High cost-sharing, caps on benefits and

lifetime maximums leave cancer patients vulnerable to high out of pocket health care costs.

2. People who depend on their employer for health insurance may not be protected from catastrophically high health care costs if they become too sick to work.

3. Cancer patients and survivors are often unable to find adequate and affordable coverage in the individual market.

Page 5: Welcome to Standard  Life and Accident

4. While high-risk pools are designed to help cancer patients and others who are uninsurable, they are not available to all cancer patients and some find the premiums difficult to afford.

5. Waiting periods, strict restrictions on eligibility, or delayed application for public programs can leave cancer patients who are too ill to work without an affordable insurance option.

Page 6: Welcome to Standard  Life and Accident

For an affordable premium, many clients can have supplemental individual coverage to help pay for the expensive treatment of cancer.

Page 7: Welcome to Standard  Life and Accident

Who is a typical prospect for supplementalCancer Insurance?Everyone is at risk to some degree of being diagnosedwith cancer during their lifetime.

One in 2 men and one in 3 women will bediagnosed with cancer at some point in their lives.

Although the risk to children is much less than adults, family plans make adding children’s coverage very affordable.

Page 8: Welcome to Standard  Life and Accident

Who can qualify for supplementalCancer Insurance? Anyone who has not already been diagnosed with Cancer or has been treatment free for over 5 years or has not been diagnosed with HIV or AIDS.

Page 9: Welcome to Standard  Life and Accident

• Two basic types of coverageare available:– Lump Sum– Expense reimbursement

Page 10: Welcome to Standard  Life and Accident

• Lump Sum coverage can be in the form of Critical Illness coverage covering more than just Cancer.It usually pays a specified amount ranging anywhere from $5,000 to $500,000 upon the first diagnosis of major critical illnesses like Cancer, Heart Attack and Stroke.

• It can also be in the form of Cancer only coverage.

Page 11: Welcome to Standard  Life and Accident

• Either way, once the lump sum benefit is paid out for cancer, the coverage for Cancer ends.

• The advantage to this type of coverageis that it is simple to understand and the client has a specified amount of money to use for any expenses they wish.

Page 12: Welcome to Standard  Life and Accident

• The disadvantage is that since Cancer can be a long term illness, once the lump sum is paid out, expenses may continue, leaving the insured without ongoing coverage.

• Another disadvantage is that it is unsuitable for Section 125 Cafeteria Plans as the benefits could be considered taxable to the insured.

Page 13: Welcome to Standard  Life and Accident

Treatment for Cancer is constantly changing as new drugs and procedures are developed. Often, experimental and other treatments are not covered by traditional health insurance.

This can leave holes in a patients coverage resulting in high out of pocket costs.

The Resolutions Cancer Plan was developed to fill some of those holes.

Page 14: Welcome to Standard  Life and Accident

• Ambulance: actual charges are paid• Anti-Nausea Medication Expense: $150 per month• Attending Physician Expense: $40 per day

• Bone Marrow Donor Expense – Applies if the Daily Hospital Confinement Rider is also selected and covers the Daily Room Benefit for the donor (donor does not have to be included in the policy)

• Bone Marrow or Stem Cell Transplant: $15,000 lifetime• Colony Stimulating Factor: $1,000 per month• Convalescent Care Facility: $100 per day• Hairpiece Expense: $150

Page 15: Welcome to Standard  Life and Accident

• Home Health Care: $75 per day

$450 per year for medicine and supplies $300 for services of a nutritionist

• Hospice Care: $100 per day

• Inpatient Blood, plasma and platelets: $300 per day

• Inpatient Oxygen - $300 per confinement

• Inpatient Private Duty Nurse: $150 per day

• Lodging: $75 per day for adult companion to the patient

Page 16: Welcome to Standard  Life and Accident

• Medical Imaging, treatment planning: $1,000 per year

• Mental Health Consultation: $50 per session• National Cancer Institute Evaluation: $750

– Also covered is transportation to the facility: $350

• Outpatient blood, plasma and platelets: $300 per day

• Outpatient hospital or ambulatory surgical center: $350 per day

• Outpatient Private Duty Nursing: $150 per day

• Physical, speech and audio therapy: $1,000 per year

Page 17: Welcome to Standard  Life and Accident

• Positive Diagnosis Benefit: $300 for a test to confirm diagnosis

• Prosthesis Expense Benefit: – Surgically implanted: $3,000 per implant

– Non-surgically implanted: $2,000 per device

• Medical Equipment Expense: $1500 per year

• Second and Third surgical opinion: actual charges

• Transportation Expense: actual charge for airfarefor both the patient and donor

Page 18: Welcome to Standard  Life and Accident

• Tutorial Benefit: $20 per session for education tutoring for a child receiving treatment

• Waiver of Premium

• Wheelchair accessible home modifications: $1,000 lifetime benefit

Page 19: Welcome to Standard  Life and Accident

• Annual Cancer Screening Benefit: $25 - $125

• Radiation, Chemotherapy, Experimental Treatment (Annual or Daily Options)– Daily $200 - $1,000

– Annual $2500 - $20,000

Page 20: Welcome to Standard  Life and Accident

• First Occurrence: $500 - $10,000• First Occurrence Building Benefit: $100 - $600 per year • Hospital Intensive Care: $100 - $1,000 per day• Specified Disease: $1500 - $4500• Surgical Schedule: $500 - $10,000• Daily Hospital Confinement: $100 - $600• Initial Hospitalization: $1,500 - $4,500

Page 21: Welcome to Standard  Life and Accident

Annual and Daily Radiation,Chemotherapy, Immunotherapy and Experimental Riders– Chemotherapy, Radiation, etc can be

very expensive treatments. Experimental treatment may not be covered byprimary health insurance

– The insured can choose between Daily or Annual limits. The Daily limit may not cover the cost of the treatment versus a total annual expense with no limit on each treatment.

Page 22: Welcome to Standard  Life and Accident

– On the other hand, the Insured may not feel the total annual benefitis sufficient for treatment costs and would prefer to have a benefit for each treatment.

Annual Cancer Screening Benefit: $25 - $125– Works well for younger applicants.

Covers the new HumanPapillomavirus Vaccine

Page 23: Welcome to Standard  Life and Accident

Daily Hospital Confinement Rider– Important if the client is concerned about donor benefits

– Benefit is doubled after 30 days in the hospital

Hospital Intensive Care Rider– Pays benefits for confinement in an

intensive care unit for any illness and double the benefit if the confinement is due to Cancer or a travel related injury. Good for clients that have limited primary health coverage.

Page 24: Welcome to Standard  Life and Accident

First Occurrence Benefit– For clients who like the idea of a lump sum

payment upon diagnosis

First Occurrence Building Benefit– Can be added to the First Occurrence

Benefit to protect against the rising costs of cancer treatment

Page 25: Welcome to Standard  Life and Accident

Surgical Benefit Rider– For clients who have limited surgical coverage

on their primary health insuranceSpecified Disease Rider

– For clients who want additional protection against other types of less common critical illnesses such as Lyme Disease, Reye’sSyndrome, Nile Virus, etc.

Page 26: Welcome to Standard  Life and Accident

Rates are easy to calculate:

• Individual

• One Parent Family

• Two Parent Family

• Based on the Primary Insured’s age

• No male/female or smoker/non-smoker distinctions

Page 27: Welcome to Standard  Life and Accident

• 35 year old with spouse and 2 children

• Base Plan: $121.90• Riders: $242.90

– $50 Annual Screening– $5,000 First Occurrence– $5,000 Surgical Schedule– $200 Daily Confinement– $200 Daily Chemotherapy

• Total monthly premium: $30.28

Page 28: Welcome to Standard  Life and Accident

• 45 year old with 2 children

• Base Plan: $139.90

• Riders: $184.40– $50 Annual Screening

– $5,000 First Occurrence

– $200 Daily Hospital Confinement

– $5000 Annual chemotherapy

• Total monthly premium: $26.92

Page 29: Welcome to Standard  Life and Accident

• 55 year old Individual

• Base Plan: $210.40

• Riders: $344.70– $5,000 First Occurrence

– $1,000 Surgical

– $200 Daily Hospital Confinement

– $500 Daily Chemotherapy

• Total monthly premium: $28.61

Page 30: Welcome to Standard  Life and Accident

American Alliance for Personal Financial Independence (AAPFI)

Applicants must be at least bronze members to apply

Bronze: $1.00 monthlyVision, Vitamins, Car Rental

Silver: $2.50 monthlyMail Order Drugs, FitnessClubs, UPS and Office Depot

Gold: $4.00 monthlyLong distance and internet

Page 31: Welcome to Standard  Life and Accident

• 10+ lives

• Issue Ages: 17 – 99 (Composite Rate)

• Producer works with Employer to design plan and rider options based on what the employees can afford

• List Billing

Page 32: Welcome to Standard  Life and Accident

For further information call

800.514.2080