Life & Viatical Settlements, 3rd Edition

Table of Contents

 

Chapter 1 Understanding the Product

1

 

  Viatical Funding Firms

1

 

How do Viatical Settlements Work?

2

 

  Purchasing Partial Policies

2

 

  The Difference between a Broker & Provider

2

 

  Viatical Participant Confidentiality

2

 

  Paying the Viator

3

 

  Buyer’s Remorse

3

 

  When Death Occurs Soon After Selling a Life Contract

3

 

  Following Payment for the Life Policy

3

 

  Checking Health Status through Physicians

4

 

  Extra Policy Benefits

4

 

  Other Available Options

5

 

  What Every Policy Owner should be Aware of

5

 

Viatical History

6

 

    Viaticum

6

 

  Medical Underwriting

7

 

  Insurance Underwriting

7

 

    Stranger-Originated Life Insurance

9

 

    Spin-Life

9

 

    The terms Viatical Settlements & Life Settlements

9

 

  Policy Ownership Transfer

10

 

  Policy Premium Payments

10

 

    Example

11

 

    Premium determination & several factors

12

 

  Outstanding Policy Loans

13

 

  Additional Investment Fees

13

 

  Escrow Trust Accounts

14

 

Viatical & Life Settlement Disclosures 1- 9

15

 

Viatical & Life Settlement Disclosures 10

16

 

    Additional disclosures 1 – 5

16

Chapter 2 Viatical Investing

17

 

  Viatical Settlement Participants

18

 

The Viatical Contract

19

 

    Basic criteria to be followed 1 – 3

20

 

Contract Standardization

20

 

Viatical Settlement Terminology

21

 

    Irrevocable beneficiaries

23

 

    Who should be involved?

24

 

    Length of time a life insurance policy must be supported

25

 

    Rescission fees

25

 

    Maturity Risk & Cancellation Risks

26

 

  Securities

27

 

  Important questions investors should ask themselves

27

 

  It is Important to Remember

29

 

Accelerated Benefits

30

 

Application Clean Sheeting

30

 

Wet Ink Policies

31

 

Contestability Period

31

 

  Insured’s Life Expectancy

31

 

Cases of Fraud

32

 

  Repercussions for the Industry

33

 

  Investor Risks

33

 

    Recommendations for investing in life insurance 1 – 2

33

 

    Recommendations for investing in life insurance 3 - 9

34

 

  Understand the Product

35

 

  Maturity Risk

36

 

    Clinical, Statistical, Multi-Disciplinary

37

 

    Minimizing Investment Risk Through Knowledge

37

 

A New Issue:  Viator Fraud

39

 

  Viator Tracking

40

 

Life Insurance Contracts

40

 

  Basic Concepts

41

 

  Insurance Companies Measure Risk

41

 

Types of Life Insurance

42

 

What Will the Insurance Cost?

43

 

Term Insurance

44

 

    Reentry renewable level term

46

 

    Level decreasing term

47

 

Permanent Insurance

48

 

    Example

50

 

  Universal Life Insurance Policies

51

 

  Universal Life Policies Compared to Traditional Plans

52

 

Premiums

55

 

Policy Options

55

 

  Nonforfeiture Options

55

 

  Dividend Options

56

 

  Settlement Options

57

 

State Required Provisions

58

 

  Incontestability

59

 

  Misstatements in the Application

59

 

  Deferment Clause

60

 

  Nonforfeiture

60

 

  Loan Values

60

 

  Grace Periods & Reinstatement

61

 

Allowed Policy Provisions

62

 

  Suicide, Aviation, War

62

 

General Provisions

62

 

  Deduction of Indebtedness & Premium Refund

63

 

  Change of Beneficiary

63

 

  Assignment

63

 

Beneficiary Designations

64

 

Policy Payments

66

 

  Cash Values

66

 

  Dividends

67

 

  Proceeds

67

 

  Special Clauses

68

Chapter 3 Life & Viatical Benefits

70

 

Life Insurance Termination

70

 

About the Viatical Industry

71

 

Tax Issues

72

 

  Viators with Less than Two Year Life Expectancy

73

 

  Two to Five Year Life Expectancy Estimate

73

 

Life & Viatical Settlements

74

 

Client Qualifications

75

 

  Requirement #1

75

 

  Requirement #2 & #3

76

 

  Illness Creates a Need for Cash

76

Chapter 4 NAIC Viatical Model Act

78

 

Model Act Table of Contents

78

 

Section 1. Short Title

79

 

Section 2. Definitions

79

 

A.    Advertising

79

 

B.     Business of viatical settlements

79

 

C.     Chronically ill

79

   

D.    Commissioner

79

 

E.     (1) Financing entity

79

 

  E.   (2) Financing entity does not include

80

 

F.      Fraudulent viatical settlement act

80

 

G.    Life insurance producer

81

 

H.    Person/Policy/Related provider trust/Special purpose entity

82

 

I.        Policy

82

 

J.       Related provider trust

82

 

K.    Special purpose entity

82

 

L.     Terminally ill

82

 

M.   Viatical settlement broker

82

 

N.    (1) Viatical settlement contract means

82

 

N.    (2) Viatical settlement contract includes:

83

 

  N.  (3) Viatical settlement contract does not include:

83

 

  O. Viatical settlement investment agent

84

 

  P. (1) Viatical settlement provider means

84

 

  P. (2) Viatical settlement provider does not include

84

 

  Q.  Viatical settlement purchase agreement

85

 

  R. (1) Viatical settlement purchaser means

85

 

  R. (2) Viatical settlement purchaser does not include

85

 

  S. Viaticated policy

85

 

  T. (1) Viator

85

 

  T. (2) Viator does not include:

86

 

Section 3. License and Bond Requirements

86

 

Section 4. License Revocation & Denial

89

 

Section 5. Approval of Viatical Settlement Contracts & Disclosure Statements

90

 

Section 6. Reporting Requirements & Privacy

90

 

Section 7. Examination or Investigations

91

 

A.    Authority, Scope, and Scheduling of Examinations

91

 

  B. Record Retention Requirements

92

 

  C. Conduct of Examinations

92

 

  D. Examination Reports

93

 

  E. Confidentiality of Examination Information

94

 

  F. Conflict of Interest

96

 

  G. Cost of Examinations

96

 

  H. Immunity from Liability

96

 

Section 8. Disclosure to Viator 1-7

97

 

      Disclosure to Viator 8-11

98

 

Section 9. Disclosure to Insurer

102

 

Section 10. General Rules

102

 

Section 11. Prohibited Practices

105

 

Section 12. Prohibited Practices & Conflicts of Interest

106

 

Section 13. Advertising for Viatical Settlements & Purchase Agreements

107

 

Section 14. Fraud Prevention & Control

112

 

  A. Fraudulent Viatical Settlement Acts

112

 

  B. Fraud Warning Required

112

 

  C. Mandatory Reporting of Fraudulent Viatical Settlement Act

112

 

  D. Immunity from Liability

112

 

  E. Confidentiality

113

 

  F. Other Law Enforcement or Regulatory Authority

114

 

  G. Viatical Settlement Antifraud Initiatives

114

 

Section 15. Injunctions; Civil Remedies; Cease-and-Desist

115

 

Section 16. Unfair Trade Practices

117

 

Section 17. Authority to Promulgate Regulations

117

 

Section 18. Severability

118

 

Section 19. Effective Date

118

 

    CHART KEY

118

 

    CHART

119-123

 

History of NAIC Viatical Model Act

124

 

Section 1. Short Title

125

 

Section 2. Definitions

125

 

  Section 2D Continued

127

 

  Section 2E Continued

128

 

  Section 2K Continued

130

 

  Section 2 Continued

131

 

  Section 2M Continued

133

 

  Section 2N Continued

134

 

  Section 2R Continued

136

 

Section 3. License Requirements

137

 

Section 4. License Revocation & Denial

140

 

  Section 4 Continued

141

 

Section 5. Approval of Viatical Settlement Contracts & Disclosure Statements

142

 

Section 6. Reporting Requirements & Confidentiality

143

 

  Section 6B Continued

144

 

Section 7. Examination

145

 

Section 8. Disclosure

145

 

  Section 8A Continued

147

 

  Section 8B Continued

150

 

Section 9. General Rules

152

 

  Section 9A Continued

153

 

  Section 9C Continued

155

 

Section 10. Prohibited Practices

156

 

Section 11. Advertising for Viatical Settlements

157

 

Section 12. Fraud Prevention & Control

158

 

  Section 12 Continued

159

 

Section 13. Injunctions; Civil Remedies; Cease and Desist

160

 

Section 14. Unfair Trade Practices

160

 

Section 15. Authority to Promulgate Regulations

161

 

  Section 15D Continued

162

 

Section 17. Effective Date

163

 

The Bottom Line

164

Chapter 5 National Conference of Insurance Legislators (NCOIL)

166

 

NCOIL Note

166

 

Definitions

167

 

     Stranger-Originated Life Insurance (STOLI)

173

 

Licensing Requirements

174

 

License Suspension, Revocation or Refusal to Renew

176

 

Contract Requirements

177

 

Reporting Requirements and Privacy

178

 

Examination

179

 

  Conduct of Examinations

179

 

  Examination Reports

181

 

  Confidentiality of Examination Information

181

 

  Conflict of Interest

181

 

  Immunity from Liability

182

 

  Investigative Authority of the Commissioner

182

 

  Cost of Examinations

182

 

Advertising

183

 

Disclosures to Owners

183

 

Disclosure to Insurers

186

 

General Rules

187

 

Authority to Promulgate Regulations; Conflict of Laws

190

 

  Conflict of Laws

190

 

Prohibited Practices

190

 

Fraud Prevention & Control

192

 

  Fraud Warning Required

192

 

  Mandatory Reporting of Fraudulent Life Settlement Acts

192

 

  Immunity from Liability

192

 

  Confidentiality

193

 

  Other Law Enforcement or Regulatory Authority

193

 

  Life Settlement Antifraud Initiatives

194

 

Injunctions; Civil Remedies; Cease and Desist

194

 

Penalties

195

 

Unfair Trade Practices

196

 

Effective Date

196

Chapter 6 Stranger-Oriented Life Insurance & Insurable Interests

197

 

Defining STOLI

197

 

     Establishing an Insurable Interest

199

 

     Lincoln National Life Insurance Company vs. Inzlicht-Sprei

199

 

     Estate of Malkins vs Wells Fargo Bank

200

 

Growth of Life & Viatical Settlements

201

 

Actuarial Life Expectancies

202

 

State Legislation

202

 

Life Settlement Participants

204

 

    STOLI / four basic steps

206

 

Policy Transfers & Insurable Interest

207

 

  Connecticut Mutual Life Insurance Company vs. Schafer

208

 

  Grigsby vs Russell

208

 

  Warnock vs Davis

209

Chapter 7 Life & Viatical Ethics

210

 

Ethic Violations Turn into Law Creation

210

 

STOLIs Present the Greatest Danger

211

 

    Cleaning Sheeting Insurance Applications

212

 

    Dirty Sheeting

212

 

Fraud Committed against Investors

213

 

    Life Expectancy Fraud

214

 

Ethics are Complicated

215

 

      ICERD

216

 

Relevance & Circumstances Affect Ethical Views

217

 

Insurance Underwriting Discrimination & Viatical Settlements

218

 

Genetic Discrimination During Underwriting

219

 

Misidentifying STOLI Policies

220

 

    Example

222

 

Ethical Goals

222

 

    Obligation

224

 

    Accountability

224

 

Promoting Ethical Activity

225

 

Following the Law

226

 

Financial Ethics

226

 

  Defining Ethics for Life & Viatical Settlements

226

 

    1. Ethics: The Principles of honor and morality.

226

 

    2. Ethics: accepted rules of conduct.

226

 

    3. Ethics: the moral principles of an individual.

226

 

Some Actions are Always Wrong

227

 

The Same by Any Other Name

227

 

Our Past Continues into our Future

228

 

     Virtues

230

 

Companies Set Guidelines

232

 

Looking for Safety in Life & Viatical Settlements

234

 

What Promotes Unethical Insurance Behavior?

238

 

    Example

238

 

Promoting Ethical Behavior

239

 

    Ethical Decisions: Four Basic Issues

239

 

Self Interest in Financial Settlement Transactions

241

 

    Egoism

241

 

  Is it possible to teach ethical behavior to others?

242

 

  What is the scope of ethics in life & viatical settlements?

243

 

  What does it take to be a moral person?

244

 

Quality of Work

244

 

  Poor Images & Bad Publicity has Impacted Life Settlements

244

 

Ethics Start at the Top

245

 

All Individuals in Settlement Transactions have a Moral Obligation

245

 

Life & Viatical Settlement Representatives Must be Ethical

247

 

    Example

247

 

Maintaining an Ethical Code in a Difficult World

248

 

Mores – Seeking Out Industry Professionals

250

 

    Customs

251

 

The Professional

252

 

Due Diligence

252

 

A Recap of Life & Viatical Settlements

253

 

    Moral Understanding

255

 

 

 

 

 

United Insurance Educators, Inc.

PO Box 1030

Eatonville, Washington 98328

 

Telephone: (253) 846-1155

FAX: (253) 846-7536

 

Email: mail@uiece.com