Life Insurance, Annuities, Long-Term Care, and

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Life Insurance, Annuities, Long-Term Care, and Disability Income Insurance Contracts USE, REGULATION, AND TAXATION AUGUST 2016

American Council of Life Insurers

TABLE OF CONTENTS Executive Summary............................................................... 3 Life Insurance Industry and Product Overview..................... 4 Life Insurance........................................................................ 9 Annuities.............................................................................. 15 Long-Term Care................................................................... 20 Disability Income................................................................. 23 Conclusion........................................................................... 26

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Life Insurance, Annuities, Long-term Care, and Disability Income Insurance Contracts Use, Regulation, and Taxation

LIFE INSURERS’

EXECUTIVE SUMMARY

PRODUCTS MEET

Life insurers’ products enable families to take responsibility for their financial security by meeting personal, retirement, and business needs during all stages of life

IMPORTANT PUBLIC POLICY GOALS BY HELPING AMERICANS ACHIEVE FINANCIAL AND RETIREMENT SECURITY

75 MILLION AMERICAN FAMILIES RELY ON

n Life insurance provides funds to meet family, retirement, medical,

and financial needs following the death of a loved one n Annuities protect against the risk of outliving one’s assets through guaranteed payments of income for the life of the insured (annuitant) n Long-term care insurance pays for the cost of care for individuals who require assistance due to chronic illness or cognitive impairment n Disability income insurance replaces earnings if an insured is unable to work due to accident or illness

AND THE NEED FOR

75 million American families currently count on life insurers’ products for peace of mind, long-term savings, and a guarantee of lifetime income during retirement. This need is increasing

OUR PRODUCTS IS

n Life insurers’ products advance public policy goals of helping

OUR PRODUCTS

INCREASING

safeguard Americans during times of financial stress and providing a private sector safety net for millions of Americans n We pool individual risks among many policyholders so that the cost of protection is affordable

Only insurance companies can insure these risks and provide safeguards and guarantees to protect families and businesses Current tax rules reflect and reinforce these public policy goals and should be preserved. Supporting these public policy goals is more important than ever in this time of unprecedented financial and retirement security challenges

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OUR BUSINESS IS ABOUT PROTECTING THE FINANCIAL FUTURES OF AMERICAN FAMILIES Our products serve public policy by providing guarantees that enable individuals to manage life’s financial risks Our products help individuals take personal responsibility for their financial security by protecting against the economic burden of n Death of a loved one or income earner (life insurance) n Outliving their assets (annuity) n Becoming dependent due to chronic physical or cognitive impairment (long-term care) n Being unable to work due to an accident or illness (disability income)

thereby decreasing their reliance on government programs

Life insurers assume these risks and pay benefits when they occur Only insurance companies can insure these risks and provide safeguards and guarantees to protect families and businesses

LIFE INSURERS’ PRODUCT COVERAGE FOR AMERICANS IN 2014 Americans have more than $20.1 trillion of life insurance coverage. 50% of all life insurance policyholders have children under 18 years old. 13% of Americans’ long-term savings is in annuities. 6.9 million Americans covered by long-term care policies. 70 million Americans covered by disability income insurance policies.

LIFE INSURERS’ BENEFIT PAYMENTS TO AMERICANS IN 2014 $68 billion to beneficiaries of life insurance policies. $71 billion in annuity payments. $9.5 billion in long-term care insurance benefits. $18 billion in disability income insurance benefits. Source: 2015 Life Insurers Fact Book

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Life Insurance, Annuities, Long-term Care, and Disability Income Insurance Contracts Use, Regulation, and Taxation

THE NEED FOR LIFE INSURERS’ PRODUCTS IS INCREASING Across America, managing life’s unpredictable events is made more difficult by inadequate savings and an aging population Only life insurers’ products can tip the balance

1

Nearly one-third of American children in households with one month or less worth of savings have no protection to weather a personal financial crisis, such as the death of a breadwinner.

2

More and more Americans are entering retirement with defined contribution plan and IRA nest eggs. They have the challenge of managing their assets to cover their needs in retirement while faced with the risk of outliving their savings.

3

The need for long-term care is skyrocketing. By 2050, the number of people 85 and older is projected to triple.*

4

During our working years, the probability of becoming disabled is greater than the probability of death.

Life Insurance

Annuities

Longterm Care

Disability Income

Source: ACLI calculations based on 2013 Survey of Consumer Finance data * Washington Post, February 9, 2016

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LIFE INSURERS PROVIDE FINANCIAL SECURITY IN MANY KEY MARKETS Life insurers offer policy options for each product that provide tailor-made solutions for all markets Personal insurance market—We offer policies that provide financial security during the lifetimes of individuals and families n Term and permanent life insurance n Long-term care insurance n Disability income insurance

Retirement market—We offer solutions to provide lifetime income during retirement through annuities Individual arrangements n Non-qualified annuities n IRAs

Employer-sponsored arrangements n 401(k), 403(b), and 457(b) plans n Pension plans

Business market—We offer solutions to address small business and corporate needs n Employee benefits: group life insurance, annuities, disability income,

and long-term care insurance n Life insurance: business continuation funding, succession planning

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Life Insurance, Annuities, Long-term Care, and Disability Income Insurance Contracts Use, Regulation, and Taxation

POLICIES ARE GENERALLY

WE KEEP OUR PROMISES BY PRICING OUR CONTRACTS TO ACCOUNT FOR INSURANCE AND INVESTMENT RISKS

UNDERWRITTEN

We assume and manage long-term risks

INDIVIDUAL INSURANCE

BASED ON THE

n Premiums and fees are set at issue n Investments are made over the life of the contract

MEDICAL, FINANCIAL,

n Benefits are paid upon future claims

AND LIFESTYLE

The underwriting process considers several factors to assess the insured’s risk profile and need

CHARACTERISTICS OF THE INSURED

n Medical—Family and personal health history; age; gender; weight n Lifestyle—Occupation; hobbies; alcohol/drug use; tobacco use n Financial—Insurable interest; coverage amount; insurance needs

GROUP POLICIES ARE UNDERWRITTEN BASED

Premiums and guarantees are determined using long-term assumptions about n Expected mortality or morbidity based on underwriting

ON THE GENERAL

n Investment return over the life of the contracts

CHARACTERISTICS OF

n Expenses

THE GROUP

n Regulatory and capital requirements

n Premium taxes and corporate income taxes n Risk management

Different risk factors vary in importance for different products We pool individual risks among many policyholders so that the cost of protection is affordable

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SUBSTANTIAL FINANCIAL AND CONSUMER PROTECTION REGULATIONS ARE IN PLACE TO ENSURE LIFE INSURERS MEET LONG-TERM PROMISES TO POLICYHOLDERS FINANCIAL REGULATION: COMPREHENSIVE AND STATE BASED

State Insurance Departments

a

a

Consumer Protection

Financial Regulation Statutory Accounting Principles

n

Risk-Based Capital Standards

n Suitability

Exams and Audits

Insurable Interest Rules

n

Nonforfeiture Rights Required Disclosure & Illustrations n Unfair Claims Practices n Complaint Assistance n

a

a Company Licensing

Product Regulation

Market Conduct

STATE REGULATION AND STANDARD-SETTING ORGANIZATIONS The National Association of Insurance Commissioners (NAIC), an organization of state insurance commissioners, which, in consultation with Society of Actuaries and American Academy of Actuaries, coordinates with state legislators, and federal and international regulators, to establish accounting principles and capital standards.

FEDERAL TAX RULES IMPOSE ADDITIONAL REQUIREMENTS ON LIFE INSURERS’ PRODUCTS Tax rules for life insurance contracts ensure that a contract’s primary purpose is to provide a death benefit. Multilayered requirements for annuity contracts encourage accumulation of retirement savings and use of benefits for retirement. Limitations imposed on long-term care preserve benefits for the care of the chronically ill. Rules for disability income insurance provide parity between different types of policies.

Additional federal rules apply Variable products, treated as securities, are subject to SEC and FINRA rules. Retirement products, like 401(k) plans and IRAs, are subject to comprehensive Department of Labor oversight. ERISA and HIPAA rules apply to disability income and long-term care insurance. Insurance groups that include savings and loan holding companies, or that have been designated as a systemically important financial institution (SIFI) are subject to Federal Reserve Board (Fed) oversight.

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Life Insurance, Annuities, Long-term Care, and Disability Income Insurance Contracts Use, Regulation, and Taxation

Life Insurance LIFE INSURANCE PROVIDES PEACE OF MIND, FINANCIAL SECURITY, AND DIGNITY AT A TIME OF SIGNIFICANT PERSONAL AND EMOTIONAL LOSS Life insurance provides a death benefit that can pay for n Income and retirement savings replacement n Mortgage, education, and other major financial obligations n Special needs and other dependent care funding n Final expenses n Other uses l

Business continuation funding Legacy and charitable giving l Estate planning/liquidity l

LIFE INSURANCE COVERAGE IN 2014 Total life insurance coverage in the United States was $20.1 trillion. There were approximately 278 million policies in force.

INDIVIDUAL AND GROUP LIFE INSURANCE PAYMENTS TO AMERICANS IN 2014 Individual life insurance protection in US totaled $11.8 trillion. Beneficiaries of these policies received $46 billion in death benefits. Group life insurance protection in US totaled $8.2 trillion. Beneficiaries of these policies received $21 billion in death benefits.

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Life Insurance BASIC AND OPTIONAL POLICY FEATURES OFFER ADDITIONAL BENEFITS TO MEET CRITICAL NEEDS Life insurance may also provide a source of funds during a lifetime that can pay for n Medical and other emergency expenses n College education n Retirement supplement n Loss of employment n Other significant life events

Spouse and Child Term Coverage Accelerated Death Benefit Critical Illness

Right to Purchase Additional Coverage

Waiver of Premium or Unemployment or Disability

Base Insurance Policy

No Lapse Guarantees

Accidental Death Coverage

Withdrawals and Policy Loans Long-Term Care Benefits

10 Life Insurance, Annuities, Long-term Care, and Disability Income Insurance Contracts Use, Regulation, and Taxation

Life Insurance LIFE INSURANCE COVERAGE IS AVAILABLE THROUGH BOTH TERM AND PERMANENT POLICIES

TERM AND PERMANENT GROUP LIFE INSURANCE

Term life insurance provides coverage for a specified period of time

ARE PROVIDED TYPICALLY TO EMPLOYEES

Provides the benefit when death occurs during the policy term

DURING THEIR TERM OF

n No cash surrender value

EMPLOYMENT, OR ARE

n Term insurance can often be converted to permanent life insurance

AVAILABLE THROUGH

Individual

AFFINITY GROUPS

n Typically purchased when coverage is needed for a specific period of

time (e.g., dependent children, term of mortgage)

Permanent life insurance provides lifetime coverage Provides protection for as long as the insured lives, supported by cash value accumulation n Individual l l



May cover one or two lives Whole life, universal life, fixed or variable u Premiums can be fixed or flexible u Cash values are based on mortality charges, expenses, and guaranteed or variable returns u Policies may pay policyholder dividends or additional amounts

Term and permanent life insurance differ in the level of premiums and duration of coverage Permanent life insurance lasts for the life of the insured

Illustrative, not based on actual company pricing Sample Relative Premiums for $500,000 Policy Purchased at Age 35

PREMIUMS

Term life provides coverage for a specific duration

le

Whole life, paid up at age 65

y

all

Whole life, paid up at age 90

u nn

w

ne

re

ab

,a

rm Te

Term life, 30-year level premium Term life, 20-year level premium

35

65

55

90

100

AGE

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Life Insurance A POLICY’S CASH VALUE SUPPORTS PERMANENT LIFE INSURANCE PROTECTION What does the cash value support? n The payment of increasing cost of protection as the insured ages n Level premiums n A variety of policy features during the life of the contract

Where does the cash value come from? n Periodic premium payments plus interest or investment earnings n Premiums that exceed the cost of protection, primarily paid in the

early years n Withdrawal of cash value generally results in a reduction of insurance

coverage

Cash value supports life-long coverage 1200  

1000  

800  

Premium  

DOLLARS

Cash  Value  

600  

Defined  Benefit   Cumula