RGA University 2
Financial Underwriting: Case Studies
Mike Hesse
September 14, 2018
Vice President, Chief Underwriter
Financial UnderwritingCase Studies
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Agenda
Estate Planning
Older Age
Business Valuation
Key Person
Does the Sale Make Sense?
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Estate PlanningWealth Transfer, Preservation, and Other Needs
Purpose: Indemnify heirs for expenses expected / estimated to be incurred at death of an insured
Guideline: Net worth with projection• Growth rate 5-7%
• Duration up to 75% life expectancy / 20 years
Disappearing estate taxes: high-level exemption federal; eliminate state Other costs: legal, admin, settlement costs average 6-8% Reduced survivor benefits: Social Security, pension, annuities Increased life expectancy: medical and long-term-care costs high last 2 years of life Inherited wealth Charitable legacy
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Wealth Transfer: G2 and G3
Generation skipping trusts• Varying levels of planning
• No consistent underwriting philosophy within US market
Wealth transfer from G1 to G2/G3 is gifting premium to GST • G2/G3 nominal personal wealth
• Surrogate insurance?
Low COI at younger age• Premiums purchase large coverage amounts
• Investment large risks not adequately covered by premium collected
• Reputational risk
Push to premium finance juveniles
Wealth Transfer or Surrogate Insurance?
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Estate Planning
Purpose: six generation 2 lives – ages 20-40 Financial background: Gen 1- two brothers - sold family business in 2010 for $450M
• Family office and dynasty trust established
• Approximately $40M of total wealth transferred Gen 2
• Inheritance via GRAT each Gen 2 - family A - 2 children 25%, family B - 4 children 12.5%
• Insurance to cover proportionate share of estate interest for Gen 2
• Premium financed - $2M per PI budgeted
Estate tax: project 6% / 20 years x full expected inherited amount - held in family trust Underwriting challenges: Gen 2 – uninsurable - family A: 1 of 2, family B: 1 of 4 Implications: dramatically different amounts of insurance on Gen 2
Wealth Transfer and Preservation
What questions do you have?
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Estate Planning
Purpose: cover multiple needs - applying for $1.5M of permanent coverage• Current $250K in force - rated table 2/150% due to rheumatoid arthritis
• May replace with 1035 exchange - $85K cash value - with favorable offer
Financial background:• Income: earned $20K, unearned $60K; net worth $1.5M, debt $0
• Sources of income: Social Security, pension, annuities, qualified investments
• Premium: 10-pay - $50K
• Supplemental riders: waiver of premium, LTC, chronic illness, critical illness
• Pension / Social Security survivor benefits will reduce by 50% at spouse’s death - no life insurance in force
Plan for Other Expenses – Female, 62, Retired - Husband Uninsurable
• What questions do you have?• What financial documentation would you require?
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Older Age Financial Underwriting
Affordability – can the client afford the premium?
Adult children as owner of the policy – when does this make sense?
Does the client fully understand the need for their existing and applied-for coverage?
Ultimate goal should be estate preservation, not wealth creation.
Managing Risks
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Older Age Financial Underwriting
Excessive amounts of life insurance coverage
Unusual owner or beneficiary
Lack of insurable interest / need
Recent elderly immigrants with little to no verifiable U.S. assets
Premium exceeding 20-25% of income
Premium financing
Material misrepresentation of any type
Red Flags
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M/88
Face amount $1M Attorney, AI $167,000, unearned income $650,000, net worth $24M Annual premium $57,000 Admits to no inforce on application but ISR notes inforce $7.75M Owner is child living at different address Beneficiary is spouse History of selling policy 2013 as he was advised he was over insured. He used the money to purchase real estate.
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F/82
Retired, unearned income of $700,000, net worth of $15M
Owner is a residuary trust, trustee is a CPA in FL; client resides in WI
Single premium of $1.3M, death benefit of $2M
No inforce coverage
Medically table 2 - history of pacemaker due to tachy-bradyand third-degree heart block
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M/87
Face amount of $550,000
Retired, income of $40,000; net worth of $3M: $200,000 cash, $400,000 stocks & bonds, $170,000 IRA, $2.3M of non-qualified annuities
No insurance inforce
Initial premium $250,000, then $50K per year thereafter
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F/81
Face amount of $115,000
Owner and beneficiary is a charity
Over the past 17 years, has donated $19,785 to the charity
Agent is the proposed insured’s son
GUG 30 seconds, clock hour slightly off
Severe osteoporosis, no falls
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Business Valuation
Ownership percentage - controlling interest? Value of business - how was FMV determined?
• Multiple of: revenue, EBITDA, discounted cash flow
• Premium for goodwill?
• Comps?
Business structure: sole proprietor, S-Corp, C-Corp; private vs. public Industry: competition, capital needs, profit margins Life cycle of business: start-up, growth, IPO, mature Business financials: balance sheet, income statement, cash flow statement Business tax returns: limitations - minimize taxes, assets at cost vs. market value
Amount Willing Buyer Will Pay
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Key Person
Who is key person? • Founder• Source of revenue • Special skills, experience-• Relationships: customer, investor, lender • Goodwill value
Economic loss• Lost revenue, loans callable, high replacement cost
Guidelines used for key person• 5-10 times total compensation - is compensation ‘market value?’• Percentage of debt - 75% - overlap with key person replacement cost - don’t stack• Percentage capital invested by outside investor or private equity firm
What is Economic Loss?
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Key Person
Application: Income of $20K, net worth of $3M• Household income of $170K• Annual premiums of $111K-• Illustration: 10-pay $92.2K/k - $700K IUL base + $2.8M ART
BFS: 2015 - sales of $1.3M, net income of $312K 2016 - $2.4M/$658K• Wife is 100% owner - FMV of $3M ($1M business insurance recently issued)• PI is principal of construction business - runs day-to-day operations
2015- 1120/K1 - business tax return• Sales of $1.3M, margin is $1.2M• Wages are $210K, depreciation is $183K, • General business expenses/deductions of $400K; business income is $312K
Personal tax returns not submitted
Family Construction Business - Male 49 $3.5M Key Person
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Key Person
Application: Salary of $110K, personal net worth of $1M
Company website: 30 years biotech research, established small business, R&D company, multiple NIH grants, 40 peer-reviewed publications, holds several patents
Third-party financials: margin 2016 $227K, 2017 $693K, book value $67K
Pro Forma: 2018- revenue $2.3M, net cash flow $484K
Negotiating: $2M credit line, $1M equity investment of 20% - FMV is $5M
Customer pipeline: Market $100M+, 3-year/$1.8-3.2M development contract, 14 years/$10M funding-develop proprietary tech to produce nanomaterials for medical device applications
President of Tech Company - Male 50 - $5M Key Person - Private Equity Funding
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Key Person
Application: Salary of $359K, personal net worth is $43M
Purpose: Charitable endowment fund – PI is high-profile individual – face amount charity
Third-party financials: Confirms personal net worth - related cases $15M each - hedge fund principals - personal net worth $1B+- principal funders of charity
Funding: Premium financing
Three individuals being covered now: Will consider similar coverage on other lives as part of funding strategy
Charitable Foundation- Male 37 $15M Key Person- Indexed UL
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