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Cheat sheet

Tennessee Life & Health Cheat Sheet

Life Insurance Basics

25%of exam

Insurance PrinciplesContract LawTerm LifeWhole LifeUniversal LifePolicy Provisions

Life Policies + Annuities

20%of exam

RidersNonforfeitureDividend OptionsSettlement OptionsAnnuity TypesGroup Life

Annuities + Taxation

12%of exam

Annuity PhasesPayout OptionsLife TaxAnnuity TaxMECQualified Plans

Health Insurance

25%of exam

Managed CareCDHP AccountsDisability IncomeLong-Term CareMedicareGroup Health

Tennessee Law

25%of exam

TDCI LicensingCE RulesTN ProvisionsReplacementUnfair PracticesGuaranty Association

Quick Facts

Exam
TN Life, Accident & Health
Items
~150 (general + state)
Time
2 hr 30 min
Pass
70% each section
Fee
$59 center / $49 OnVUE
Vendor
Pearson VUE
Regulator
TDCI (Title 56)
Pre-license
Not mandated

TN Life Time Limits

10 free look | 31 grace | 2yr contest

Free look: 10 daysGrace: 31 daysIncontestability: 2 yearsSuicide: 2 years

Term vs Whole Life

Term

  • Temporary
  • No cash value
  • Lowest premium

Whole life

  • Permanent
  • Guaranteed cash value
  • Level premium

Pure protection vs permanent

Life Product Picker

  1. Temporary need, low costTerm life(No cash value)
  2. Mortgage protectionDecreasing term(Face declines)
  3. Lifetime, fixed premiumWhole life(Guaranteed cash value)
  4. Flexible premiumUniversal life(Adjustable death benefit)
  5. Market growth potentialVariable life(Securities license)
  6. Fund children's educationEndowment(Pays at maturity)
  7. Two lives, estateSurvivorship(Pays second death)

Insurance Principles

Pure risk
Loss or no loss
Speculative risk
Not insurable
Adverse selection
Bad risks seek coverage
Law of large numbers
Predicts losses
Insurable interest
Required at application
Indemnity
Restore, no profit
Reinsurance
Insurer's insurance

Contract Characteristics

Aleatory
Unequal value exchange
Adhesion
Take it or leave
Unilateral
Only insurer promises
Conditional
Conditions must be met
Utmost good faith
Honest disclosure both sides
Representation
Believed-true statement
Warranty
Guaranteed-true statement
Concealment
Hiding material fact

Life Policy Types

Term
Temporary, no cash value
Whole life
Permanent, fixed premium
Universal life
Flexible premium, adjustable
Variable life
Subaccounts, securities license
VUL
Flexible plus subaccounts
Endowment
Pays at maturity
Decreasing term
Mortgage protection
Return of premium
Refunds paid premiums

Standard Life Provisions

Free look
Return for refundTN 10 days
Grace period
Late premium, stays activeTN 31 days
Incontestability
No contest after 2 years
Suicide clause
Excluded first 2 years
Reinstatement
Restore lapsed policy
Misstatement of age
Benefit adjusted, not voided
Entire contract
Policy plus application
Automatic premium loan
Cash value pays premium

Nonforfeiture Options

Cash | Reduced paid-up | Extended term

Cash: surrender valueReduced paid-up: smaller policyExtended term: same face

Common Life Riders

Waiver of premium
Disability waives premium
Accidental death
Pays multiple of face
Guaranteed insurability
Buy more, no exam
Accelerated benefit
Terminal illness advance
Term rider
Adds temporary coverage
Child rider
Covers all children
Return of premium
Refunds at term end
Payor benefit
Juvenile, payer dies

Nonforfeiture + Dividends

Cash surrender
Take cash, end policy
Reduced paid-up
Smaller paid policy
Extended term
Same face, limited time
Cash dividend
Check to owner
Reduce premium
Lowers next payment
Paid-up additions
Buys more coverage
Accumulate at interest
Left with insurer
Dividends
Return of premium, untaxed

Settlement Options

Lump sum
Full amount, tax-free
Interest only
Insurer holds principal
Fixed period
Set years, varying amount
Fixed amount
Set amount, varying time
Life income
Paid for lifetime
Life with period certain
Guaranteed minimum payout
Joint and survivor
Pays two lives

Annuity Classification

Immediate
Payout within one year
Deferred
Accumulation then payout
Fixed
Guaranteed minimum rate
Variable
Subaccounts, securities license
Indexed
Tied to market index
Single premium
One lump deposit
Flexible premium
Varying deposits
Accumulation phase
Money grows tax-deferred

Annuity Tax Order

LIFO out | gains ordinary income

Gains taxed firstOrdinary income ratePre-59½: 10% penalty

MEC vs Non-MEC

MEC

  • Fails 7-pay
  • LIFO taxed
  • Pre-59½ penalty

Non-MEC

  • Passes 7-pay
  • FIFO basis first
  • Tax-favored loans

Overfunded loses tax breaks

Annuity Payout Picker

  1. Maximum lifetime incomeStraight life(No refund)
  2. Guarantee minimum yearsLife period certain(Beneficiary protected)
  3. Return remaining principalLife refund(Cash or installment)
  4. Cover a spouseJoint and survivor(Two lives)
  5. Fixed years onlyPeriod certain(Not life contingent)
  6. Immediate incomeSPIA(Single premium)

Annuity Payout Options

Straight life
Highest income, no refund
Life with period certain
Guaranteed minimum years
Life refund
Balance to beneficiary
Joint and survivor
Two annuitants
Period certain
Fixed years only
Annuitization
Convert to income
Exclusion ratio
Tax-free principal portion

Qualified vs Nonqualified

Qualified

  • Pre-tax dollars
  • All distributions taxed
  • RMDs apply

Nonqualified

  • After-tax dollars
  • Only gains taxed
  • No RMDs

Funding source drives tax

Life + Annuity Taxation

Death benefit
Income tax-free
Cash value growth
Tax-deferred inside
MEC
Fails 7-pay test
MEC distribution
LIFO, taxed first
1035 exchange
Tax-free policy swap
Annuity gains
Taxed as ordinary income
Annuity LIFO
Gains withdrawn first
Premature penalty
10% before 59½

Qualified Plans + IRAs

Qualified
Pre-tax, IRS approved
Nonqualified
After-tax contributions
Traditional IRA
Deductible, taxed later
Roth IRA
After-tax, tax-free out
401(k)
Employer salary deferral
RMD age
Begins age 73
412 / SEP / SIMPLE
Small employer plans

Disability Definitions

Own occ easier | any occ stricter

Own occ: your jobAny occ: any jobResidual: partial loss

HMO vs PPO

HMO

  • PCP gatekeeper
  • Referrals required
  • In-network only

PPO

  • No referral
  • Out-of-network allowed
  • Higher cost

Control vs flexibility

Health Plan Picker

  1. Any provider freedomIndemnity(Highest cost)
  2. Lowest cost, gatekeeperHMO(PCP referral)
  3. Flexibility, no referralPPO(Network discount)
  4. HMO plus out-of-networkPOS(Hybrid)
  5. Tax-advantaged savingsHSA + HDHP(Portable)
  6. Employer funds onlyHRA(Not portable)
  7. Lost group coverageCOBRA(18 months)

Health Plan Types

Indemnity
Fee-for-service, any provider
HMO
Network, PCP gatekeeper
PPO
Network, no referral
POS
HMO with out-of-network
EPO
Network only, no referral
Copay
Flat fee per service
Coinsurance
Shared percentage
Stop-loss
Out-of-pocket maximum

Cancelable vs Renewable

Cancelable

  • Insurer ends anytime
  • Rate changes
  • Least secure

Guaranteed renewable

  • Must renew
  • Class rate change
  • Insured controls

Insurer power vs insured

Consumer-Directed Accounts

HSA
Needs HDHP, portable
HRA
Employer funded only
FSA
Use it or lose
HDHP
High deductible plan
MSA
Archer, self-employed
HSA triple tax
In, grow, out free

Medicare vs Medicaid

Medicare

  • Age 65 or disabled
  • Federal program
  • Not income-based

Medicaid

  • Low income
  • State + federal
  • TennCare in TN

Age vs financial need

Disability + LTC

Elimination period
Waiting before benefits
Own occupation
Can't do your job
Any occupation
Can't do any job
Residual benefit
Partial disability income
Benefit period
How long paid
LTC ADLs
Triggers benefits
LTC free look
30 days in TN
Partnership LTC
Medicaid asset protection

Medicare + Government

Part A
Hospital, mostly premium-free
Part B
Doctor, monthly premium
Part C
Medicare Advantage
Part D
Prescription drugs
Medigap
Standardized A-N plans
Medicaid
TennCare in Tennessee
Medigap open enroll
6 months at 65
Plans C and F
Pre-2020 eligibles only

Group + Federal Rules

COBRA
18 months continuation
COBRA disability
29-month extension
HIPAA
Portability, privacy
ACA EHB
Ten essential benefits
Guaranteed issue
No health denial
Noncontributory
Employer pays all
Conversion
Group to individual

TN Guaranty Limits

Life 300 | Annuity 250 | Health 500

Life death: $300kAnnuity PV: $250kHealth: $500kSurplus lines: none

Twisting vs Churning

Twisting

  • Misrepresent to replace
  • Different insurer
  • Deceptive comparison

Churning

  • Same insurer
  • Repeated replacement
  • Commission driven

Both harm replacement client

TN Rule Picker

  1. Insurer becomes insolventGuaranty Association(Up to limits)
  2. Existing policy terminatedReplacement notice(Written disclosure)
  3. Recommend an annuitySuitability analysis(Document basis)
  4. Renew the license24 CE hours(3 ethics)
  5. First-time applicantFingerprinting(IdentoGO)
  6. Sell LTC policy8-hour training(Then 4/24mo)

TN Licensing + Regulator

TDCI
Regulates Tennessee insurance
Commissioner
Appointed by Governor
Title 56
Tennessee Insurance Code
Pearson VUE
Administers state exam
Fingerprinting
IdentoGO, first-time applicants
Apply via NIPR
$50 filing fee
Age requirement
At least 18
Retake
10 then 30 days

TN CE Rule

24 hours | 3 ethics | 2 years

Total: 24 hoursEthics: 3 hoursBirth-month renewal1994: exempt

TN Continuing Education

Total CE
24 hours biennially
Ethics
3 hours required
Renewal
Last day birth month
Non-type specific
Any approved subject counts
1994 exemption
Continuously licensed exempt
Carryover
12 hours maximum
LTC training
8 hr, then 4/24mo
Annuity training
One-time 4-hour course

TN Required Provisions

Free look life
10 days
Free look LTC
30 days
Grace period
31 days
Incontestability
2 years
Suicide clause
2 years
Medigap open enroll
6 months
LTC pre-existing
6-month look-back
Replacement contestability
New 2-year period

TN Prohibited Practices

Misrepresentation
False policy statements
Rebating
Unfiled premium inducement
Twisting
Misrepresent to replace
Churning
Excessive replacement, commissions
Defamation
False insurer statements
Unfair discrimination
Same class, different rate
Coercion
Force a purchase
Commingling
Mixing premium funds

TN Guaranty Limits

Life death benefit
$300,000 per life
Cash surrender value
$100,000 per policy
Annuity present value
$250,000 per contract
Health benefits
$500,000 per individual
Disability income
$300,000 per individual
Long-term care
$300,000 per individual
Surplus lines
Not covered
Sales inducement
Prohibited use

Common Traps

Representation vs warranty

Representation believed true Warranty guaranteed true

Term vs whole life

Term no cash value Whole builds cash value

MEC distribution order

MEC is LIFO Non-MEC is FIFO

Own vs any occupation

Own occ pays easier Any occ pays stricter

Medicare vs Medicaid

Medicare by age Medicaid by income

Twisting vs churning

Twisting between insurers Churning same insurer

Commissioner selection

TN appointed by Governor Not elected by voters

Guaranty as a pitch

Coverage exists Sales use prohibited

Last Minute

  1. 1.Pass 70% on each section
  2. 2.TN life free look 10 days
  3. 3.Grace 31 days; contest 2 years
  4. 4.Guaranty life $300k, annuity $250k
  5. 5.Health guaranty $500k; surplus none
  6. 6.Commissioner appointed, not elected
  7. 7.CE 24 hours, 3 ethics, biennial
  8. 8.1994 licensees exempt from CE
  9. 9.MEC = LIFO; annuity gains LIFO
  10. 10.Death benefit income tax-free
  11. 11.Twisting between insurers; churning same
  12. 12.Medicare age; Medicaid income (TennCare)
Same family resources

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