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What Does Having a Pre-Existing Condition Mean for Your Life Insurance?
Executive Summary
It’s a common misconception that having a pre-existing condition means that you automatically do not qualify for life insurance. The good news is this is not always the case and armed with a good life insurance agent, many individuals with pre-existing conditions get approved for insurance. The path to being insured just may look a little different for someone with a medical condition.
What You Need to Know
Work with a Broker – There are many life insurance carriers in Canada and each company has a different set of underwriting guidelines and level of flexibility. It is crucial to reach out to a number of companies when trying to get a pre-existing condition covered. Working with a broker is the most efficient way to research companies as most life insurance brokers have the ability to work with any company they choose. This also means they will have knowledge of which companies work best for hard-to-insure clients.
Understand Traditional Underwriting vs Non-Medical Underwriting – Many companies now offer non-medical underwriting. This usually means that applicants will be asked a number of medical questions and if the questions satisfy the insurance company, then the insurance will be approved. If they don’t, the application will be rejected. This can work in the favor of someone with a pre-existing condition if the questions either:
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- do not ask bout that particular condition
- the question asked about that condition is forgiving (example: you are diabetic, but the application only asked if you are an insulin dependent diabetic).
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However, sometimes traditional underwriting can be the best option for someone with a pre-existing condition. Traditional underwriting can allow you the opportunity to make a case for a well-managed pre-existing condition through in person exams and doctors statements. If the applicant doesn’t qualify for non-medical insurance because of a condition, there is usually no wiggle room with the insurer.
Manageable Condition vs Severe Condition – Not all pre-existing conditions are treated the same by insurers. Life insurance companies put each applicant through an underwriting process that uses in person medical exams, claim histories, and underwriting guides to determine whether or not they will insure someone. There is a big difference to an insurance company between someone with a manageable condition and someone with a severe condition.
For example, having high blood pressure is considered to be a pre-existing condition. However, it is a condition that can often be managed by medication and lifestyle choices. Therefore, an insurer may look at someone with high blood pressure and determine that their condition is well under control and be willing to make an offer to insure.
Conversely, someone who has been diagnosed with a terminal cancer would be considered to have a severe and unmanageable condition that would cause the insurer to reject the application.
Guaranteed Acceptance Products – Many companies offer guaranteed acceptance life insurance products and sometimes this is the only option for applicants with a pre-existing condition. These products are typically offered with high premiums and small face amounts. As well as higher premiums, they usually contain a deferred provision. This means that the insured is expected to pay premiums for two years before the insurer will pay out the death benefit. In the event the insured dies within the first two years, the premiums are most often paid back to the beneficiary. This can be a good option for those who are otherwise uninsurable but would like to have something to cover final expenses.
The Bottom Line
Knowledge is power when it comes to getting approved for life insurance and so is having a good advisor to guide you along the way. Be sure to bring a complete list of medical conditions and any medications you are on when meeting with a life advisor so that they can help you sort through companies and products to find the best fit for you.
Dealing with Dementia
Executive Summary
Dealing with dementia with financial services and investment clients will become increasingly complicated over time. The number of people who are aging, the ever-extending length of their lives, and the activity that they display well into retirement, coupled with the complexity of capital markets and products can produce a difficult situation for many.
The boundaries of the Boomer generation has them aged from 55 to 75 in 2024. Advances in all types of medical diagnostic and treatment regimens has increased the life expectancy well into the 80s for both men and women in Canada and the United States.
The legislation and regulation regarding clients with dementia will continue to evolve, but it squarely falls under the Know Your Client area. As you suggest or receive investment recommendations and choices to or from your clients, you must feel confident that they are capable of making decisions on their behalf.
And as much as Advisors may feel that Compliance can make their lives miserable at times, this is one situation where involving Compliance will be the smartest decision to make. It is paramount that you maintain your clients’ interests above all else and if you embark on this journey too quickly, without guidance, and, frankly, as the friend and trusted advisor who is now discussing potentially personal and emotional issues, the relationship could be irreparably damaged.
Involve a third-party like Compliance, branch or regional management to assist with each case.
If one of your clients displays the following characteristics, it may be time to act.
- Rapidly forgetting items and details, and the inability to retain new information
- Difficulty performing familiar tasks
- Forgetting words or using words out of context
- Disorientation in time and space by not knowing the day or a familiar place
- Impaired judgment with the inability to analyze and act on a situation
- Problems with abstract thinking like telling time or performing mathematics
- Misplacing items or putting them in unlikely places
- Severe mood swings from easy-going to anger
- Changes in personality
- Loss of initiative and interest in friends, family and favourite activities
If you see several of these activities and conditions in a client, especially when they haven’t been previously present, it is time to act.
Each situation is different since each of us are individuals. But several steps are common to every situation:
- Review the Power of Attorney documentation on file
- If family members are involved, encourage your client to include them in your next meeting or conversation
- Discuss your concerns with your branch or regional management to receive the latest direction from your firm’s legal and compliance departments
The sources of dementia are many; they range from strokes, sleep disorders, nutritional deficiencies, thyroid conditions, Parkinson’s disease, Huntington disease, mental illness and the most discussed cause, Alzheimer’s Disease.
The source of the dementia will determine the appropriate course of treatment, naturally. In nearly every case, as a percentage of the total, the reversal of symptoms is almost always impossible to achieve.
Canada, along with the rest of the G7 countries, has some of the best dementia diagnostic and treatment in the world. As developed nations the life expectancy is consistent, and the incidence of dementia is similar across the seven countries. In 2023 the number of cases is estimated at nearly 14 million, or 30% of all dementia cases worldwide.
Each province and territory has a well-developed system of provincial, regional, and local dementia and Alzheimer’s societies. Each provide educational and support resources for individuals and families.
If your practice is skewing toward older clients, and this is an area of interest to you, volunteer opportunities are plentiful on the fundraising and care dimensions. Special areas have been established in many care facilities where well-mannered and tempered dogs are brought in to provide later stage dementia patients with comfort, for example.
Key Factors to Know
Dementia, whether it is Alzheimer’s or another source, will touch almost every family. Globally almost 50 million people have been diagnosed, with a new case identified every 3 seconds according to the Alzheimer’s Society in the United Kingdom.
The cost of dementia globally is estimated at $818 billion USD for 2015. A significant amount of healthcare resources are being poured into this area since it has a debilitating effect on those directly and indirectly afflicted.
Memory loss and diminished mental abilities, like reduced joint flexibility and endurance, are a normal part of aging. According to the Alzheimer’s Society of Ontario the symptoms typically follow a pattern of increased frequency of forgetfulness, and the forgetfulness of increasingly important and personal details of one’s life.
Normal Aging | Dementia |
Not being able to remember details of a conversation or event that took place a year ago | Not being able to recall details of recent events or conversations |
Not being able to remember the name of an acquaintance | Not recognizing or knowing the names of family members |
Forgetting things and events occasionally | Forgetting things or events more frequently |
Occasionally have difficulty finding words | Frequent pauses and substitutions when finding words |
You are worried about your memory but your relatives are not | Your relatives are worried about your memory, but you are not aware of any problems |
The Bottom Line
Stay attuned to your client’s personal situation and stay in-contact closely enough to understand if any physical or mental abilities are being impaired.
The best pre-emptive steps are to include multiple generations in your client base and include multiple generations in your discussions for family financial planning. Obtain consent to discuss your client’s situation with their adult children.
And don’t assume that the older generation, who may be losing some mental acuity, and may be experiencing dementia, does not realize this and want assistance.
What Happens If You Overcontribute to Your TFSA?
Executive Summary
The amount deposited into a Tax Free Savings Account (TFSA) is subject to a yearly contribution limit. For 2024, the annual limit has been set at $7,000. The lifetime maximum contribution has grown to $95,000.
If an over-contribution is made Canada Revenue Agency will levy penalties.
What You Need to Know
CRA will inform you when an over contribution on the account has been made and request an immediate withdrawal. Once you have made the correcting withdrawal, you must submit Form RC243 (https://www.canada.ca/content/dam/cra-arc/formspubs/pbg/rc243/rc243-19e.pdf) and its Schedule A (https://www.canada.ca/content/dam/cra-arc/formspubs/pbg/rc243-sch-a/rc243-sch-a-17e.pdf) to calculate the penalty.
As a rule, CRA charges 1% per month on the excess contribution. The 1% penalty will be charged against the highest amount of excess during a month until the excess amount is withdrawn. The CRA does not pro-rate this penalty. If an over-contribution exists at any time during a calendar month, the CRA treats it as an entire month. If you correct your mistake on the first or second day of the month, you will be penalized the same 1% as you would if you corrected your error on the 31st.
To make the necessary withdrawal of funds, you will need to contact your financial institution and request the withdrawal be made.
Two common scenarios lead to most over-contribution errors:
- TFSA Management
- If you have multiple TFSA’s, especially when spread across several financial institutions, it can be difficult to correctly track all of your contributions. This becomes more difficult as time passes and the balances in each TFSA reflect its current market value, not the sum of its contributions.
- Withdrawal Management
- TFSA withdrawals are tax-free and, unlike RRSPs, your contribution room never goes away. However, the contribution room is not returned to you until the following calendar year begins. If you have contributed your maximum lifetime amount to your TFSA you must wait until the following January before contributing to your TFSA or incur the wrath and penalties of the CRA.
The Bottom Line
TFSAs are relatively simple but require some fundamental monitoring. Proper planning with this tax-saving advice can also avoid penalties.
What is a Financial Plan?
Executive Summary
A financial plan is like a roadmap to achieving the financial future you envision. It starts by identifying where you are financially and provides directions for getting to where you want to go. There are many areas that make up your finances: your assets and liabilities, investment portfolio, cash flow, tax situation, retirement income, insurance and estate plan (or lack thereof).
Your lifestyle also plays a role. For a financial plan to be effective, each one of these areas must be addressed in a coordinated way to provide a personalized, comprehensive financial solution.
What You Need To Know
As with any goal or strategy, a financial plan must have objectives. How do you see yourself five, ten or 20+ years in the future? After determining your current financial state in the areas mentioned above, you will need to establish a clear vision to start creating and implementing a plan. This includes what your retirement lifestyle will be, because only then can you determine needs for investments and income. If you have children, it may also include funding for their education or other endeavors.
Once you’ve clarified your current financial situation and understand your vision for the future, calculations can then be made to determine how your assets need to grow to reach those goals. This will determine the investment plan that you’ll need to produce the necessary returns from your assets.
A comprehensive financial plan must also consider the tax ramifications of your finances and identify strategies to minimize your tax liabilities. Additionally, your financial plan should mitigate risk and protect your wealth using tools such as insurance products. The use of insurance can also be beneficial in your estate plan, as there are ways to minimize taxation and maximize the wealth of your estate.
If all this sounds a bit complex or outside of your comfort zone, consider working with a financial advisor. Find someone who understands the implications that each area of your financial plan has on achieving the goals you’ve set. He or she may need to liaise with other professionals, such as your lawyer or accountant, to do a complete and thorough job.
Bottom Line
A proper financial plan is more than managing your investments, creating tax minimization strategies or planning for your retirement. It is all these things plus others, including risk management (insurance) and estate planning.
A comprehensive financial plan requires the coordination of all these areas to maximize the wealth potential from your current financial situation. It begins with setting clear financial goals and working through all the aforementioned areas. This is generally best done by working with a capable financial advisor, as all these areas must be addressed in a coordinated way to create an effective, holistic financial plan.
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