Due Diligence in Sales

Table of Contents

 

Chapter 1 - Agent Ethics

1

 

“Suitable” defined

1

 

Adequate Communication Skills

2

 

Investment Vehicles

3

 

Why is Ethical Conduct Necessary?

3

 

Is it possible to teach ethical behavior?

4

 

  Psychological Egoism

5

 

What is the scope of ethics?

7

 

What does it take to be a moral person?

8

 

    Provide quality work & services

9

 

    Creating a legacy

9

 

  Example #1

11

 

  Example #2

11

 

  Example #3

12

 

  Example #4

13

 

What are our responsibilities to other moral persons?

14

 

Required Continuing Education

15

 

 

 

Chapter 2 - Ethical Client Contact

18

 

Insurance Producer Qualifications

19

 

Setting Appointments

20

 

At the Door

21

 

Adequately Explaining Policy Benefits & Limitations

23

 

      Minimizing misunderstandings

24

 

Policy Replacement

25

 

Product Misconceptions

27

 

When Premiums Seem too High to the Consumer

28

 

Client Signatures

29

 

Keeping in Touch Following the Sale

29

 

Commingling Insurance Funds

31

 

 

 

Chapter 3 - Ethical Product Selection

32

 

Term Versus Cash Value Life Products

32

 

Amount of Coverage

33

 

What Length of Term Insurance?

33

 

Permanent Life Insurance Policies

34

 

Annuities

34

 

    Example

35

 

Sales Practices

37

 

      Product Replacement

37

 

      Deceptive Sales Practices

38

 

      Full Disclosure

38

 

      Product Knowledge

38

 

      Identifying Suitability Issues

38

 

      It is Not a Liquidity Issue but Rather a Suitability Issue

39

 

A Comprehensive Financial Plan

40

 

    Laddering investments

41

 

      Example

41

 

      Basic Information Requirements

42

 

 

 

Chapter 4 - Product Costs

43

 

Adverse Selection

44

 

Purpose of the Insurance

47

 

Risk Categories

47

 

Life Insurance Death Proceeds

48

 

The Terms “Insurance” and “Assurance”

48

 

      Term Insurance

48

 

      Permanent Life Insurance

49

 

      Whole Life Insurance

49

 

      Universal Life Insurance

49

 

Life Insurance Surrender Charges

51

 

Taxation

53

 

Viatical Settlements

53

 

Annuity Costs

54

 

      Annual Variable Annuity Costs

54

 

      Less Risk – Lower Yields

55

 

      No-Load & Front Load Commissions

55

 

      Mortality Fees

55

 

      Investment Advisory Fees

56

 

      Implicit Interest Rate (i%)

56

 

      Delaying Annuitization when Interest Rates are Low

57

 

Equity Indexed Annuity Costs

58

 

      Participation Rates

58

 

      Averaging

59

 

      Caps

59

 

      Spreads, Margins, and Administrative Fees

60

 

Annuity Surrender Values and Penalties

60

 

      Education Funding

61

 

      Ethical Responsibility

61

 

 

 

Chapter 5 - The Application

63

 

Need for Insurance

64

 

Completing the Application

65

 

      Sample Application

66

 

Agent’s or Broker’s Report

70

 

Temporary Life Insurance Agreement and Receipt

72

 

Fair Credit Reporting Act Disclosure Statement

73

 

Fair Credit Reporting Act Disclosure Statement Sample

75

 

      Consumer Rights

76

 

Read and Understand Your Policy

78

 

 

 

Chapter 6 - Beneficiary Designations

79

 

    Spendthrift Clauses

82

 

Competence Required

83

 

Minors as Beneficiaries

83

 

Primary Beneficiaries

83

 

    Community Property States

84

 

Secondary/Contingent Beneficiaries

85

 

Naming Multiple Beneficiaries

85

 

Beneficiary Changes

88

 

Divorce

87

 

Beneficiary Payout

88

 

    Updating Beneficiary Designations

89

 

    Example

89

 

Insurable Interest

90

 

A Company’s Insurable Interest

91

 

 

 

Chapter 7 - The Issued Product

93

 

      The Insurer, The Insured, Insurance Contract

93

 

Underwriting & Rating

94

 

Financial Institutions

95

 

A Public Interest

95

 

Annuities

96

 

    Joint and Survivorship Annuities

97

 

    Guaranteed and Life-Time-Certain Annuities

97

 

    Level Annuities

98

 

    Capital-Back Guaranteed Annuities

98

 

    Escalating Annuities

98

 

    Inflation-Linked Annuities

99

 

    Enhanced Annuities

99

 

Annuity Terminology

99

 

Choosing Between Fixed and Variable Annuities

104

 

Lifetime versus Term Annuity Payout

104

 

      Annuitization Options

105

 

Financial Strength of the Insurer

107

 

Premium Protection

107

 

Cost of Living Protection

107

 

Principal Protection

107

 

Tax Efficiency

108

 

Supplementing Other Retirement Income

108

 

Reasons to Buy an Annuity

108

 

Reasons to Avoid Buying Annuities

109

 

Making the Right Annuity Choices

111

 

Fixed Rate Annuities

112

 

    How Fixed Period Annuities Work

112

 

Variable Annuities

114

 

    Funding Variable Annuities

115

 

    Variable Annuity Fees

115

 

    Variable Annuity Death Benefits

115

 

    Surrender Fees

115

 

    Gains in Variable Annuities are Taxed

116

 

Equity-Indexed Annuities

116

 

Determining Need for Life Insurance

116

 

Policy Provisions

117

 

The Insurance Contract

118

 

Basic Instruments

118

 

Policy Ownership

119

 

Preventing Money Laundering Activities

119

 

Terrorism Produces Insurer Risk

120

 

       Financial Action Task Force recommendations

120

 

Legal Requirements Adopted

121

 

Broker-Dealer Requirements

123

 

Anti-Money Laundering (AML) Program Requirements

124

 

Know Your Consumer (KYC)

126

 

       Compliance

127

 

       Suspicious Activity Reports Filing Requirements

127

 

A Change in Thinking

128

 

      A Global Problem

129

 

Covered Products

131

 

      Nine Identified Money Laundering (ML) Methods

132

 

Money Laundering Indicators Not Unique to Insurance Products

135

 

Policyholder Characteristics and Behaviors

136

 

      A Known Criminal or Criminal Associate or Relative

137

 

      Erratic or Abnormal Use of Policies

137

 

      High Premiums Compared to Verifiable Income

138

 

      Lack of Concern for Charges or Costs

138

 

      Undue Interest in Payout Options

138

 

      Repeated or Unusual Changes in Beneficiary Designations

139

 

      Insurance on Assets that Appear Inconsistent with Income

139

 

      Early or Suspicious Claims

139

 

Product Characteristics and Maintenance

141

 

Customer Due Diligence (CDD)

142

 

Policy Features and Provisions

144

 

Premiums

145

 

Policy Options

145

 

      Nonforfeiture Options

145

 

      Dividend Options

145

 

      Settlement Options

146

 

State Required Provisions

148

 

      Incontestability

148

 

      Misstatements in the Application

149

 

      Deferment Clause

149

 

      Nonforfeiture

150

 

      Loan Values

150

 

      Grace Periods and Reinstatement

151

 

Allowed Policy Provisions

151

 

      Suicide

151

 

      Aviation

151

 

      War

152

 

General Provisions

152

 

      Deduction of Indebtedness and Premium Refund

152

 

      Assignment

152

 

      Beneficiary Designations

153

 

Policy Payments

153

 

      Cash Values

153

 

      Dividends

154

 

      Proceeds

154

 

      Special Clauses

155

 

Contract Use

156

 

Group Insurance Principles

156

 

Eligible Groups

157

 

      Single Employer Groups

157

 

      Multiple Employer Trusts (MET)

157

 

      Unions, Associations, and Other Groups

157

 

      Creditor-Debtor Groups

158

 

Group Underwriting Advantages

158

 

Keeping Current with Business Needs

159

 

The Informed Consumer

160

 

Providing a Quote

160

 

Key Person Insurance

162

 

Buy-and-Sell Agreements

163

 

The Key Person Principle

164

 

      Insurable Interest for Life Insurance

164

 

  Example

165

 

      Disability Insurance on Key Employees and Owners

166

 

The Small Company’s Exposure

168

 

      Loss of the Small Business Owner

168

 

Planning for Death or Disability

172

 

Private Insurers

172

 

Types of Coverage

173

 

      Property and Liability Insurance

173

 

Government Insurance

174

 

      Voluntary Government Insurance

174

 

      Compulsory Government Insurance

174

 

Mutual Companies

175

 

      Assessment Mutuals

175

 

      Non-Assessable Mutuals

178

 

      Conversions

178

 

Reciprocal or Inter-Insurer Associations

178

 

Stock and Mutual Underwriting

180

 

Factory Mutuals

180

 

 

 

Chapter 8 - The Agent’s Role

182

 

The Sale is Completed

183

 

Policy Delivery

184

 

Customer Service Representatives

185

 

Types of Insurance Jobs

187

 

Claim Denial

188

 

Annual Coverage Reviews

190

 

Reviewing Disability Coverage

193

 

      Group Disability Plans

195

 

      Short Term Disability or Long-Term Disability

195

 

      Individual Disability Benefits

196

 

Reviewing Long-Term Care Insurance

196

 

Yearly Client Contact

198

 

 

United Insurance Educators, Inc.

PO Box 1030

Eatonville, WA  98328

 

(253) 846-1155

 

www.uiece.com