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CI Market in Canada
Challenges still present in Canada: Lack of claims experience Product was developed on statistics Desire to preserve premium rate guarantees Aggressive product features How will advances in medical science affect
CI?
Munich Re March 2004
Bright Future
Long-term sustainable productGreater awareness, availability of the product
with innovative enhancementsInitial claims are within expected limitsLearning from other countries’ ‘growing pains’
and avoiding some major pitfalls
Munich Re March 2004
Policy Series 2004 Heart Attack
Heart Attack means the acute presentation of heart symptoms accompanied by the death of a portion of heart muscle as a result of inadequate blood supply and as evidenced by:
a) new electrocardiographic (ECG) changes indicative of a myocardial infarction; and
b) the elevation of cardiac markers to levels considered diagnostic for acute myocardial infarction in accordance with standardized laboratory values for the accredited hospital in Canada or the U.S. performing the test and with criteria published by one of the following:
the Canadian Cardiovascular Society the American Heart Association; or the American College of Cardiology,
or a successor organization to any of the above.
Heart Attack does not include: Elevated cardiac markers after coronary angioplasty unless
there are diagnostic changes of new Q wave infarction on the ECG.
Policy Series 2004 Stroke
Stroke means a cerebrovascular event producing neurological sequelae lasting more than 30 days and caused by intracranial thrombosis or haemorrhage, or embolism from an extra-cranial source.
There must be evidence of measurable, objective neurological deficit.
For greater certainty, findings on imaging studies, such as lacunar infarcts, which are not compatible with clinical neurological signs due to a cerebrovascular event do not satisfy the definition of Stroke.
Stroke does not include transient ischemic attacks.For the purposes of this definition, transient ischemic attack means a neurological event caused by focal brain or retinal ischemia with measurable objective evidence of neurological sequelae lasting less than 24 hours with or without imaging study changes.
Policy Series 2004 Parkinson’s DiseaseParkinson’s Disease means permanent primary idiopathic Parkinson’s disease, resulting in significant neurological impairment or in loss of cognitive function.
The degree of neurological impairment or loss of cognitive function must be sufficient to cause an inability to perform, 2 or more of the following 6 activities of daily living while participating in a generally accepted drug treatment program:
• dressing – the ability to put on, remove, fasten and unfasten all necessary clothing, braces, artificial limbs or surgical appliances.• toileting — the ability to get to and from the toilet and complete related personal hygiene;• transferring — the ability to move yourself into or out of a bed, chair, or wheelchair;• feeding — the ability to get food from a plate into the mouth; • driving — the ability to legally operate a motorized vehicle; and• mobility — the ability to walk 10 metres without aid.
The Diagnosis must include a current physical assessment from an occupational therapist who is not related by blood or marriage to the Insured or the Owner, and is not in a business relationship with the Insured or the Owner.
Policy Series 2004 Loss of Speech
Loss of Speech means the total and irreversible loss of the ability to speak due directly to damage to the speech organs (commonly known as the “voice box”) vocal cords as the result of injury or disease.
New Covered Conditions
Aplastic Anemia– means the complete and irreversible bone marrow failure resulting
in anemia, neutropenia and thrombocytopenia.
– Most common in adolescents and young adults
– Potentially life threatening - people who could not receive a bone transplant may have not been previously covered
Bacterial Meningitis– It is a bacterial infection of the fluid in a person's spinal cord and
fluid that surrounds the brain. – Particularly adding value for LifeAdvance Child rider
RMC Management Meeting 2004
Rate Increases by Plan Type
* Approximate overall rate increase for Base Plans
** Ignores the impact of removing the built-in ROP from the Lifetime plan
0
5
10
15
20
25
T75/65 T75 T10 Lifetime **
Percentage Increase
Improved Illness Assist Benefit
$250,000 $275,000Canada LifeCompany A Company B
$250,000
10% to max $25,00025% to max $50,00010% to max $15,000
Example $250,000 lump-sum benefit
More Improvements with LifeAdvance Illness Assist –
Waiting period has been removed Does not reduce premium payback benefit
More Improvements with LifeAdvance Illness Assist –
Waiting period has been removed Does not reduce premium payback benefit
$250,000CI Lump-sum
$25,000 Illness Assist$25,000 Illness Assist
$250,000CI Lump-sum
$50,000 Illness Assist$50,000 Illness Assist
$250,000CI Lump-sum
$25,000 Illness Assist$25,000 Illness Assist
New Surgery AdvanceExample $250,000 lump-sum benefit
Canada LifeCompany A Company B
10% to max $15,00010% to max $10,000Not Applicable
CI Lump-sum
Illness AssistIllness Assist
Illness AssistIllness Assist
CI Lump-sum
Surgery AdvanceSurgery Advance
CI Lump-sum
Illness AssistIllness Assist
Advance BenefitAdvance Benefit
Canada Life continues its trendsetting pace
1 in 4.6 men and 1 in 7.8 women will develop both heart disease and cancer during their lifetime.*
*Based on Heart and Stroke, 2004 and National Cancer Institute of Canada: Canadian Cancer statistics 2004 During their lifetime, the probability of developing cancer is 1 in 2.6 for women and 1 in 2.3 for men and the probability of developing heart disease is 1 in 3 for women and 1 in 2 for men. The probability of developing both cancer and heart disease is calculated assuming the conditions are independent,
Second Event Rider
Heart Attack or Stroke Life-Threatening Cancer
Life-Threatening Cancer Heart Attack
If the insured received a critical illness benefit before his or
her 65th birthday for:
The second event coverage will be the lesser of 50% of the benefit amount selected for the basic policy and $50,000.
Second Event Rider In Action
30 days 12 months
1st Event
Second event rider coverage continues until the earlier of 11 years or age 75
2nd Event
Elimination period
$50,000
$250,000
Lifetime Permanent (T100 Paid up at age 100)
Ideal for wealthy client
Who want to quick pay
Option AIt’s also ideal for middle income
clients.
Option Byounger clients and
those who would like the most affordable
premium payback offer.
Option C
Premium Payback at Withdrawal Request T100
Issue Ages18-65
100%Year 15
50%Year 10
Option A
100%Year 20
75%Year 15
Option B
100%Year 25
50%Year 15
Option C
Note: Optional withdrawal dates available at each year After the first option date.
Price Comparisons With ROP – T100 Option A
Existing Plan New Plan – Option A
Age 35 $1,088
$1,980
% increase
44%
Age 40 $1,489
Age 45 $2,145
Age 50 $3,024
$1,564
$2,918
$4,281
33%
36%
41%
Note: T100 plan, $100,000 coverage with ROPD and ROP option A
Price Comparisons With ROP – T100 Option B
Existing Plan New Plan – Option B
Age 35 $1,088
$1,779
% increase
32%
Age 40 $1,489
Age 45 $2,145
Age 50 $3,024
$1,438
$2,581
$3,728
20%
21%
23%
Note: T100 plan, $100,000 coverage with ROPD and ROP option B
Price Comparisons With ROP – T100 Option C
Existing Plan New Plan – Option C
Age 35 $1,088
$1,162
% increase
25%
Age 40 $1,489
Age 45 $2,145
Age 50 $3,024
$1,360
$2,340
$3,444
11%
9%
14%
Note: T100 plan, $100,000 coverage with ROPD and ROP option C
Partial WithdrawalsReduced Paid-up Pay-up all future premiums by reducing coverage Options begins once PPB reaches 100% Each 5 year interval Rate card will be available
Receive eligible premiums when surrendering a portion of coverage Remaining coverage stays inforce with premium payback
Built-in Options
T100 Option A in action… Example
Proposal
Prospect: Non-Smoker Male Age 50 yrsPlan: Term 100 (Permanent level)Optional Benefits: - Second Event
- PPB at Death- PPB at Widthdrawal (Option A)
Face Amount: $250,000.00Annual Premium $10,103.89
75
Premium Payback
$50,519
Premium Payback
$151,558
50% Partial Withdrawal at age 65Face Amount $125,000Partial Premium Payback $ 70,398
Paid-Up FeatureAt age 75
Premium Payback $251,885Result
$250,000 Paid-Up PolicyPlus
$64,365 Premium Payback
Age 50
Option A - T100 (Permanent)
Level Term to 75 Premium Payback Options
Issue Ages18-49
100%Year 15
50%Year 10
Option 1
100%Age 65
50%Age 60
Option 2
100%Age 75
0%At Expiry
Issue Ages 18-60
Note: Optional withdrawal dates available at each year After the first option date on option 1 and option 2.
Issue Ages18-60
T75 with PPB Cost CompareT75
With PPB(Option 1)
T75With PPB(Option 2)
T75With PPBXAt Expiry
Male, Age 40, Non-SmokerBenefit Amount: $100,000
Annual Premium $1,902 $1,586<16% A
$1,443<23% A, <8% B
Total PremiumsPaid
$66,557 $55,478 $50,480
PPB at 10th
Anniversary$9,509 $0.00 $0.00
PPB at 15th
Anniversary$28,526
100% return$0.00
50% age 60100% age 65
$0.00100% Expiry
Note: The premium payback benefit amount will vary from the amount illustrated – upward or downward – if the policy is modified at the request of the owner by, example, the addition or removal of optional riders/benefits.
Level Term to age 75
40 yrs 45 yrs 50 yrs 55 yrs 60 yrs 65
Monthly Investment $1,000.00
Assume 6% annually
$679,581
Asset Protection Strategy
$583,733
Monthly Investment $1,000.00
*Less CI Monthly Premium $ 141.04
Net Monthly Investment $ 858.96
Issue ages 18-49 *CI Plan Level T75 – S100,000, 2nd Event, PPB/D/W/E
In 15 yrs $100,000 are required To cover expenses incurredDue to a Critical Illness
$410,953
Opportunity Cost
After 46% marginal tax rate
$ 53,536
$ 28,909
$1,156Annual opportunity cost ………………………………
Before tax opportunity cost
Annual LifeAdvance Premium $1,692.48 versus
Example Cont’d
ROP Benefit available at age 65* $ 42,312
Invest $1,000 per month at 6% over 25 years $679,581
Invest $858.96 per year at 6% over 25 years $583,733
+
10yrs R&C with Premium Payback Riders100%
Year 15
50%Year 10
Issue age 50 >PPBW
100%Age 65
50%Age 60
Issue age < 50
PPBW
Note: Optional withdrawal dates available at each year After the first option date on PPBW.
Issue Ages18-60
100%Age 75
0%At Expiry
PPBX
Premium Payback Summary
Permanent, paid up at 100 plan
Level premium term to 75 plan
10-year renewable term to 75, convertible to 65 plan
Available for all to 75 plans
Available for all plans
Option A, Option B, Option C
Option 1, Option 2
Premium Payback at Withdrawal or Expiry Benefit
Premium Payback at Expiry
Premium Payback on Death
Applications dated on or before December 31, 2004 and received in Head Office by January 10, 2005 - clients may apply for existing policy series (22 critical illnesses plus illness assist benefit) or new November 2004 policy series (24 critical illnesses plus illness assist benefit) by specifying on application.
.
Transition Rules
Applications dated on or after January 1, 2005 or received in Head Office after January 10, 2005 - will be issued as new November 2004 policy series only.
“It’s Not the Strongest of the Species That Survives, nor the Most Intelligent,
but Rather the One Who Is Responsive to Change.”
“It’s Not the Strongest of the Species That Survives, nor the Most Intelligent,
but Rather the One Who Is Responsive to Change.”
Charles Darwin
1934 Depression 1935 Spanish civil war 1936 Economy still struggling 1937 Recession 1938 War clouds gather 1939 War in Europe 1940 France falls 1941 Pearl Harbor 1942 Wartime price controls 1943 Industry mobilizes 1944 Consumer goods shortages 1945 Postwar recession predicted 1946 Dow tops 200 – market too high 1947 Cold war begins1948 Berlin blockade 1949 Russia explodes A-bomb 1950 Korean War 1951 Excess profits tax1952 U.S. seizes steel mills 1953 Russia explodes H-bomb 1954 Dow tops 300 – market too high 1955 Eisenhower illness1956 Suez crisis
1957 Russia launches Sputnik 1958 Recession 1959 Castro seizes power in Cuba 1960 Russia downs U-2 plane 1961 Berlin Wall erected 1962 Cuban missile crisis 1963 Kennedy assassinated 1964 Gulf of Tonkin 1965 Civil rights marches 1966 Vietnam War escalates 1967 Newark race riots 1968 USS Pueblo seized 1969 Money tightens – markets fall 1970 Cambodia invaded – Vietnam War 1971 Wage/price freeze 1972 Largest U.S. trade deficit ever 1973 Energy crisis 1974 Nixon resigns 1975 Clouded economic prospects 1976 Economic recovery slows 1977 Market slumps 1978 Interest rates rise 1979 Oil prices skyrocket
1980 Interest rates at all-time high 1981 Steep recession begins1982 Worst recession in 40 years 1983 U.S. Embassy, Marine barracks bombed 1984 Record federal deficits1985 Economic growth slows 1986 Dow nears 2000 – market too high 1987 Record-setting market decline 1988 Junk bond scandal 1989 October “Mini-Crash” 1990 Persian Gulf crisis 1991 Recession 1992 Riots sweep Los Angeles 1993 Bombing of World Trade Center 1994 Rising U.S. interest rates 1995 Oklahoma City bombing 1996 U.S. government shutdown 1997 Collapse of Thailand economy 1998 President impeachment proceedings1999 Y2K 2000 Internet stocks plummet 2001 September 11 terrorist attacks 2002 WorldCom accounting scandal 2003 SARS/Blackout/War in IRAQ2004 US Election
Reasons Not to Invest