Short-Term Home Health Care - goldencareagent.com · Short-Term Home Health Care ... • Marketing Ideas • Questions & Answers. ... • Full daily benefits are paid as long as confinement

3/29/2017

GTL Home Health Care 1

Short-TermHome Health Care

Guarantee Trust Life

Near Guaranteed Issue…

VERY Flexible & Powerful! (Another MUST-HAVE for Your Senior Insurance Portfolio!)

WELCOME! Simply Dial 1-866-299-7945, then 8754# when prompted.

Short-Term Home Health Care

Today’s Agenda• The Carrier

• The Product Niche – the need

• The Plan Details

• Completing the Application

• Calculating Rates

• Marketing Ideas

• Questions & Answers

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Guarantee Trust Life

Home Office Glenview, Illinois

From 2013-15, GTL posted record operating gains

• Grew surplus by over 29% • Grew assets by 35% ($496M) • Grew reserves by 36%+ ($398M) • Increased net premium to

$221M.

Current financial condition is the strongest ever in their 80 year history*May, 2015 – A.M. Best upgraded to B++

NEW STC – Home Care

Cancer * Critical Illness * Hospital Indemnity * LTC Alternative

GTL Supplemental Products

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Why Choose This Policy?• Can pay up to $450/day for 360 days – (or less!)• Benefits paid regardless of any other insurance• Almost everyone qualifies – only 2 or 3 health questions

• Currently in NH/ALF or receiving HHC?• Unable to perform ADL’s or cognitively impaired?• Expect hospital/NH/ALF/surgery or HHC services in next

60 days? (Only if top, Option C plan chosen) • Up to $120/day for 60 days for HHC Aide – no prior

hospital stay required• Built-in Prescription Drug Benefit – up to $600/year!• Built-in Restoration of Benefits• Strong Hospitalization, Critical Accident, Ambulance &

Dental/Vision Riders Available

No 90-Day Expectation

Policy Claim Triggers

Functional of Cognitive Impairment

• Cannot perform 2 or more of the 6 ADL’s without substantial assistance• Bathing, continence, dressing, eating, toileting and

transferring• Includes “hands on” or “stand by” assistance

(or)

• Cognitive Impairment (includes Alzheimer’s/dementia)

(6-Month Pre-Existing Conditions Limitation)

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Max. Benefit Period is 360 Days

“Base Plan” HHC Benefits

Combined Max. Daily: $150 $300 $450

Max. Benefit Period is 60 Days

Built-in HHC Aide Benefit

• Pays Over & Above “Base Plan” HHC Benefits

• No Prior Hospital Stay Required

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Can Greatly Reduce Net Plan Cost

Built-in Rx Benefit

• Payable without regard to eligibility for other HHC Benefits

Possibility for Multiple Claims

Built-in Benefit Restoration• Refers to both “Base Plan” and HHC Aide maximum

benefit periods• Benefits restore if:

• Covered HHC services have not been received for 180 consecutive days…

AND• Licensed Health Care Practitioner certifies that insured

has sufficiently recovered to no longer require HHC or nursing care services

• No limit to the number of times restored• Prescription Drug benefit & riders restore yearly or have

their own maximum lifetime benefit limits

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Benefits Restore After 60 Days

Optional RiderAccident & Sickness Hospitalization Rider

• Full daily benefits are paid as long as confinement was at least 24 hours

(1 time 30-Day Waiting Period)

No Restoration of Max. Benefit

Optional RiderCritical Accident Rider

• Lump-sum payments after emergency room or urgent care• Fractures to fingers, toes, ribs, coccyx or caused by

acquired disease not covered (see rider details)

(1 time 30-Day Waiting Period. Not avail. in DE or MT.)

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No Restoration of Max. Benefit

Optional RiderAmbulance Benefit Rider

• For ground service to or from a medical facility up to 4x/year

• No hospital confinement required

• Lifetime maximum of $2,500

Annual Restoration of Benefits

Optional RiderDental/Vision Rider

• Per calendar year deductible & co-pay ($100 & 20%/80%)• Limited first-year benefits (& usually half of max. above)• Prescription eyewear paid at up to $200/year• Eye exam/refraction paid at up to $50/year (no deductible)• Dental cleaning paid at up to $75/year (no deductible)

(Not available in MO.)

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Optional RiderDENTAL Details

• After 3 Mos.: One annual exam & dental cleaning at up to $75/year (no deductible)

• After 6 Mos.: Fillings or root canal treatment• After 12 Mos.: Bridges, crowns, dentures, out-patient dental

surgery, “full mouth” extractions, fluoride treatments and services/treatment relating to replacement of teeth missing prior to effective date.

• After 12 Mos.: Replacement or repair of existing bridges or dentures (if result of Injury, the 12 Mos. wait not applicable)


Optional RiderVISION Details

• After 3 Mos.: One eye exam OR One eye refraction up to $50/year (no deductible)

• After 6 Mos.: Eyeglasses or contact lenses up to $200/year (if needed as result of injury, the 6 Mos. wait not applicable)

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“Ask Mayo Clinic” Free

• 24/7 access• RN’s have average of 24 years experience

• On-demand, secure web-based tool• Private, anonymous & easy assessment for symptoms

Ask Mayo Clinic 24-Hour Nurse Line

Ask Mayo Clinic Online

• Cancer, heart attack & stroke experts available• Help w/ test results, medications, treatment options, etc.

Ask Mayo Clinic Critical Illness Support

Guided to a lower, more appropriate level of care than they originally intended to seek*

Would have sought an inappropriate level of care had they not called Ask Mayo Clinic*

Report a high level of satisfaction with Ask Mayo Clinic*

*Caller statistics from Ask Mayo Clinic, Book of Business, 2015.

Expecting Many State Approvals

16 States Approved* as of March 20th, 2017

AL, AK, AR, DE, IL, IN, IA, LA, MI, MO, MT, NE, OK, SC, WV & WY*(Awaiting more all the time!)

Note: RED states are where Kemper HHC is NOT available! No Crit. Acc. Rider in DE or MT. No Dental/Vision Rider in MO.

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Just 5 Pages in App Packet!

Completing the App.

SIMPLE Two Health Question Application (Three questions if Plan Option C)

Basic Information

App Page 1:

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Applicant Information

App Page 1:

Step 1: Base Plan Options

App Page 1:

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Step 2: First Optional Bens

App Page 2:

Step 2 (cont.): Optional Bens

App Page 2:

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Step 3: Pre-Qualification

App Page 2:

Step 3 (cont): Replacement

App Page 2:

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A & A Signature Page

App Page 3:

Agent’s Statement

App Page 4:

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Monthly EFT Approval

App Page 4:

Note:No CWA needed if

monthly EFT.

Notices & Receipt

App Page 5:

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Leave with Applicant

Info Packet:

E-Consent:

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Calculating

Rates…

Four Pages Total

• Cover

• Simple Rate Worksheet

• Monthly Rate Charts

• Annual Rate Charts

A Quick Note on Rates…

Incredibly Flexible… Ex: Female – Age 51

VERY AFFORDABLE:• Premium Only $14.22/Month• Plan A – no Extra Riders• Up to $150/Day “Base” HHC• $54,000 Max. “Base” Benefit• $40/Day HHC Aide Benefit• $2,400 Max. HHC Aide• Rx Benefit up to $300/Yr!• Restoration of Benefits

VERY ROBUST:• Premium $86.91/Month• Plan C – w/ Max. Riders• Up to $450/Day “Base” HHC• $162,000 Max. “Base” Benefit• $120/Day HHC Aide Benefit• $7,200 Max. HHC Aide• Rx Benefit up to $600/Yr!• Restoration of Benefits• $300/day for 6 Days Hosp.;

$10K Crit. Acc.; $2,500 Ambulance; $1,200/Yr D/V!

From $171/Year to $1,043/Year Premium Flexibility!

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A Quick Note on Rates…

Compared to Kemper HHC*

* Kemper AL rates shown

Simple

Worksheet

Included…

Important Agent Note:

Like Kemper’s HHC plan, rates do go up as insured’s hit new

age tiers.

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Determine Base Rate(s)

Step 1:

54.22x

Note:Let’s use a 66 Yr-old

Female as an example.

Accident & Sickness Rider

Step 2:

16.25

x

x

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Ambulance Rider ($200/trip; 4x/year; $2,500 max.)

Step 2 (cont.):

x 3.08

Critical Accident Rider

Step 2 (cont.):

x

6.50

($10K ADB; $2.5K Hip/Skull Fracture; $2K Hip Dis.; $1K Knee; $500 Other Fracture)

x 3.08

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Dental & Vision Rider

Step 2 (cont.):

x

28.25

(Limited 1st year; Includes $200 for glasses or contact lenses)

x

6.50

x 3.08

Step 3:

x

28.25

x

6.50

x 3.08

54.22x

16.25

x

x

28.25

$ 6.50

$ 3.08

$ 16.25

$ 28.25

$ 54.22

$108.30

$108.30

Include spouse if

applicable.

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Step 3 (or 3-5):

x

28.25

x

6.50

x 3.08

54.22x

16.25

x

x

28.25

$ 6.50

$ 3.08

$ 16.25

$ 28.25

$ 54.22

$108.30

$108.30

Include spouse if

applicable.

$1,299.60/yr

Calculating

Rates…

From GTL Site…Agent Portal Screen:

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Calculating

Rates…


Calculating

Rates…


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Calculating

Rates…


Calculating

Rates…


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Calculating

Rates…


Calculating

Rates…


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Calculating

Rates…


What If 2 GTL Products?

Critical Cash w/ New HHC… Female-Age 51

GTL Critical Cash:• Premium $68.16/Month• $24K Lump-Sum Diagnosis• $2,500/mos. Addn’l if ALF• $5,000/mos. Addn’l if NH• 24 Month Coverage• $432,000 Max. Benefit• Cancer, Stroke, Alzheimer’s,

Heart Attack, etc.

GTL Short-Term HHC:• Premium $34.39/Month• Up to $450/Day “Base” HHC• $162,000 Max. “Base” Benefit• $120/Day HHC Aide Benefit• $7,200 Max. HHC Aide• Rx Benefit up to $600/Yr!• Restoration of Benefits• $10K Critical Accident Rider • $2,500 Ambulance Rider

Total $102.55/Month – Strong protection & easier UW!

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GoldenCare USA ~ 800-842-7799

THANK YOU FOR ATTENDING!

www.goldencareagent.com

3/29/2017


What If 2 GTL Products?

Critical Cash w/ New HHC… Female-Age 51

Note:To show Critical Cash example used earlier at $68.16/ Month Premium.

Documents

Short-Term Home Health Care - goldencareagent.com · Short-Term Home Health Care ... • Marketing Ideas • Questions & Answers. ... • Full daily benefits are paid as long as confinement