Life Insurance Basics
25%of exam
Life Policies + Annuities
20%of exam
Annuities + Taxation
12%of exam
Health Insurance
25%of exam
Tennessee Law
25%of exam
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
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
- Temporary need, low cost→Term life(No cash value)
- Mortgage protection→Decreasing term(Face declines)
- Lifetime, fixed premium→Whole life(Guaranteed cash value)
- Flexible premium→Universal life(Adjustable death benefit)
- Market growth potential→Variable life(Securities license)
- Fund children's education→Endowment(Pays at maturity)
- Two lives, estate→Survivorship(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
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
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
- Maximum lifetime income→Straight life(No refund)
- Guarantee minimum years→Life period certain(Beneficiary protected)
- Return remaining principal→Life refund(Cash or installment)
- Cover a spouse→Joint and survivor(Two lives)
- Fixed years only→Period certain(Not life contingent)
- Immediate income→SPIA(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
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
- Any provider freedom→Indemnity(Highest cost)
- Lowest cost, gatekeeper→HMO(PCP referral)
- Flexibility, no referral→PPO(Network discount)
- HMO plus out-of-network→POS(Hybrid)
- Tax-advantaged savings→HSA + HDHP(Portable)
- Employer funds only→HRA(Not portable)
- Lost group coverage→COBRA(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
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
- Insurer becomes insolvent→Guaranty Association(Up to limits)
- Existing policy terminated→Replacement notice(Written disclosure)
- Recommend an annuity→Suitability analysis(Document basis)
- Renew the license→24 CE hours(3 ethics)
- First-time applicant→Fingerprinting(IdentoGO)
- Sell LTC policy→8-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
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.Pass 70% on each section
- 2.TN life free look 10 days
- 3.Grace 31 days; contest 2 years
- 4.Guaranty life $300k, annuity $250k
- 5.Health guaranty $500k; surplus none
- 6.Commissioner appointed, not elected
- 7.CE 24 hours, 3 ethics, biennial
- 8.1994 licensees exempt from CE
- 9.MEC = LIFO; annuity gains LIFO
- 10.Death benefit income tax-free
- 11.Twisting between insurers; churning same
- 12.Medicare age; Medicaid income (TennCare)
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