6.3 Special Insurance Topics in Michigan
Key Takeaways
- Credit life and credit disability must be disclosed as optional; coverage cannot exceed the debt and unearned premium is refundable on early payoff.
- Accelerated death benefits pay part of the face amount early on a qualifying trigger (terminal illness, often a 12-24 month prognosis) and reduce the remaining death benefit.
- Michigan viatical settlements are governed by Act 386 of 1996; providers and brokers must be licensed by DIFS.
- A Michigan viator may rescind a viatical contract for at least 30 days after signing or 15 days after receiving the proceeds, whichever is less.
- Michigan prohibits genetic discrimination, and Stranger-Originated Life Insurance (STOLI) is barred for violating the insurable-interest requirement.
Credit Life and Credit Disability Insurance
Credit insurance repays or covers a debt if the borrower dies (credit life) or becomes disabled (credit disability/credit accident & health). The creditor is the beneficiary, and coverage decreases as the loan balance falls.
| Feature | Credit life | Credit disability |
|---|---|---|
| What it pays | Remaining loan balance at death | Scheduled monthly payments during disability |
| Beneficiary | The creditor (up to the debt) | Creditor receives the installment payments |
| Maximum benefit | May not exceed the outstanding debt | Limited to payments owed |
| Premium | Often financed into the loan | Often financed into the loan |
Consumer Protections (heavily tested)
- It must be disclosed as optional — a lender cannot require credit insurance as a condition of granting the loan.
- Coverage cannot exceed the amount of the debt (no over-insurance/profit motive).
- If the loan is paid off early, the borrower is owed a refund of unearned premium.
Exam trap: A loan officer who tells a borrower "you must buy our credit life to get the auto loan" has violated the optional-disclosure rule. The correct consumer answer is that the coverage is voluntary and the loan cannot be conditioned on it.
Accelerated Death Benefits (ADB)
An accelerated death benefit lets a living insured collect part of the policy's face amount early when a qualifying condition strikes, helping pay medical or living costs.
| Aspect | Typical rule |
|---|---|
| Trigger | Terminal illness (often a prognosis of 12-24 months), and sometimes a chronic or critical condition |
| Amount | A portion (commonly up to 50-80%) of the death benefit |
| Effect on policy | The death benefit paid to the beneficiary is reduced by the accelerated amount (plus any interest/charge) |
| Cost | May be a small fee, an interest charge, or a discount on the advanced amount |
Worked example: An insured with a $200,000 policy and a terminal diagnosis accelerates $100,000. At death the beneficiary receives the remaining $100,000 (less any accrued charge). ADB is a living benefit — distinguish it from a viatical settlement, where the policy is sold to a third party rather than paid early by the insurer.
Viatical Settlements (Michigan Act 386 of 1996)
A viatical settlement lets a terminally or chronically ill policyowner (the viator) sell an existing life policy to a third party for an immediate cash sum that is less than the death benefit. The buyer (provider/investor) becomes owner and beneficiary and pays the remaining premiums, collecting the full face amount when the insured dies.
Michigan regulates these under the Viatical Settlement Act, Act 386 of 1996, administered by DIFS (Department of Insurance and Financial Services).
| Requirement | Michigan rule |
|---|---|
| Licensing | Viatical settlement providers and brokers must be licensed by DIFS |
| Rescission window | Viator may void the contract for at least 30 days after signing, or 15 days after receiving the proceeds, whichever is less |
| Disclosures | Alternatives to viaticating, tax consequences, and effect on public-assistance eligibility (e.g., Medicaid) |
| Privacy | Medical information is protected; the viator's identity is confidential |
Exam contrast: Accelerated death benefit = insurer advances part of the same policy. Viatical settlement = the policy is sold to an outside buyer. Both put cash in the hands of a sick insured, but only the viatical transfers ownership.
Genetic Discrimination Prohibition
Michigan bars insurers from using genetics to discriminate.
| Conduct | Status |
|---|---|
| Requiring an applicant to undergo genetic testing | Prohibited |
| Using genetic test results in underwriting | Prohibited (esp. health) |
| Denying or rating coverage based on genetic information | Prohibited |
The federal Genetic Information Nondiscrimination Act (GINA) adds protections, primarily for health insurance and employment, barring use of genetic information including family medical history.
STOLI Prohibition
Stranger-Originated Life Insurance (STOLI) is an arrangement where an investor with no insurable interest induces someone to take out a policy intended from the start to be transferred to that investor.
Why Michigan Prohibits STOLI
- It violates the insurable-interest requirement — at issue, the owner must have a legitimate interest in the insured's continued life.
- It creates a moral hazard: a stranger profits from the insured's death.
- It turns life insurance into a speculative wager against public policy and may involve fraud or misrepresentation on the application.
Key distinction: Selling an existing, legitimately owned policy (a viatical or life settlement) is legal and regulated. STOLI is illegal because the policy was manufactured for a stranger-investor who never had insurable interest. The timing and intent at issuance are what separate a lawful settlement from prohibited STOLI.
Putting the Special Topics Together
These topics share one thread: protecting against profit from another's misfortune or lack of legitimate interest. Use this quick map to keep them straight on the exam.
| Topic | Core consumer protection | Common exam hook |
|---|---|---|
| Credit life/disability | Must be optional; benefit capped at debt; refund on early payoff | Lender wrongly "requires" it |
| Accelerated death benefit | Early access to own death benefit on a qualifying trigger | Reduces remaining face amount |
| Viatical settlement | DIFS licensing; rescission window; tax and Medicaid disclosures | 30-day/15-day rescission rule |
| Genetic non-discrimination | No required testing; no underwriting on genetics | GINA adds federal layer |
| STOLI | Insurable interest required at issue | "Investor funded the premium" |
When a scenario describes a sick insured needing cash, decide whether the insurer advances the benefit (accelerated death benefit) or a third party buys the policy (viatical). When a scenario describes an investor or a debt, route to STOLI or credit insurance respectively. This decision tree resolves the majority of Chapter 6 special-topics questions without further analysis.
A Michigan auto lender tells a borrower the loan will only be approved if the borrower buys the lender's credit life insurance. Why is this improper?
What is the rescission window for a Michigan viatical settlement contract under Act 386 of 1996?
Which statement best distinguishes an accelerated death benefit from a viatical settlement?
Why is Stranger-Originated Life Insurance (STOLI) prohibited in Michigan?
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