How Do Professional Group Term Contracts Stack Up

If you’re a professional, chances are you’ve looked at group term rates through a professional association. For example, many CPAs have their term insurance through the American Institute of CPAs (AICPA) which has served many people well over the years. However, I like to say that there is a difference between having something done and having it done as well as it can be. Being informed can pay off.

What do I mean? I’ve spent a lot of time reviewing fellow professionals’ various association term (ATerm) programs and I have come to some conclusions. While there are some “cells” where it makes sense, by and large, if you’re a reasonably healthy individual, you are much better served going to the market, being underwritten and owning your own contract.

The Appeal of Groups

The reason for this is self-evident once you understand what association term is. I’ll focus on the AICPA program as it’s what I run across most frequently. Some of the appeal of ATerm policies is the lack of a medical exam. Some people are needle phobic, some don’t want to hassle with it and I am sure there are other reasons. It’s also convenient that an envelope shows up in your mailbox and you don’t have to deal with a salesperson or even leave your house to complete the process. Some people go for it because they know or believe they cannot qualify for individually underwritten coverage. There are health questions but they are much more liberal than an exam. Depending on age, there may be multiple classes. The CPA program has two different levels of non-med contracts and a more competitive level if you’re amenable to an exam and qualify.

Not Competitive

What do we know about “group” anything? Generally it’s about making it easy to participate and spreading the risk. Group coverage is simply not competitive because the healthy individuals are subsidizing the less healthy individuals. If you’re a diehard socialist and don’t mind paying more for the coverage of an unhealthy person you don’t know, there’s nothing preventing you from doing so. I’m sure you are also making the car payments for a Cadillac while you drive a Chevy.

I find that almost everyone thinks that the group they belong to is inherently healthier than other groups so the rates must be very competitive. Well, they’re wrong. My Dad was a member of an association of physicists and thought the same thing. I’m not discounting the value of this. In fact, if it’s what got him coverage to protect his family, it was a great service and value.

Back to socialism. If the healthy have to support the unhealthy, then the healthy have to pay more than they otherwise would have. It’s the way it works. If you can carve yourself out of the herd and qualify for better, then that’s your right and you’ll be rewarded for doing so. This is no different from buying merchandise on sale, using coupons for groceries or comparing contractors when you need a new roof.

Comparing the Numbers

Let’s talk about the numbers. First, group coverage numbers can be attractive if (1) you’re unhealthy but can qualify for association coverage, or (2) you’re very young or youngish and want coverage for a short period. There, we covered it.

Outside of that, you’re flushing money down the crapper. Most association programs charge you a higher rate and then offer a refund at the end of the year based on experience so checks are passing in the mail. For CPAs and their spouses, depending on age, the refunds ranged from 36 percent to 55 percent in 2016. For the life of me I haven’t been able to figure out why they need to charge twice as much only to send back half of it. Is there any likely scenario in which so many CPAs would die in a given year to drive claims up that much? I’m not sure if the national CPA convention is a terrorist target but that might be a contingency. Maybe they are counting on making money on the float.

While other term plans are available, a vast majority of plans I see are for the program with five year premium steps. This means every five years your premium increases. I tend to get calls from people whose current age ends in a four or a nine when they see the pending increase.

For purposes of comparing numbers I’m going to only quote net numbers, after refund (actual 2016 refunds), for ATerm coverage. I am also assuming preferred non-smoker for individually underwritten policies. This is the second best level of underwriting and obtainable by many people. Also, all numbers are for $1 million of coverage. Finally, I’m just quoting male rates for now. Female rates follow the same trend.

If an individual couldn’t qualify for preferred individually underwritten Term (ITerm) then he prob-ably couldn’t qualify for the better of the non-med association term (ATerm) anyway and we would compare apples to apples at standard rates for both ITerm and ATerm. If someone was healthy enough to qualify medically for the best underwritten ATerm, then I’m going to assume they could qualify for the best rates of ITerm. We need to limit the numbers for this piece so feel free to call me for any calculation which you would be interested in seeing.

In the accompanying table you can see that for a 30-year old individual, a 10 or even 20 year term is very inexpensive though for a 30-year duration the last 10 years of ATerm are more ex-pensive with the last five being double the premium of ITerm.

Interestingly, with ATerm, there’s no preferred or underwritten option while there is with ITerm. ITerm at better rates, which are reasonably obtainable, lowers the ITerm rate by a couple hun-dred dollars a year.

Looking at a 40 year old, you can really start seeing the divergence for 20-year term and with 30-year term the difference is off the charts.

For a 50 year old ATerm isn’t even an attractive option if there’s a 10-year need and it gets worse for a longer term.

For a 60 year old the numbers fall apart laughably.

ATerm vs ITerm

 

Heaven help you if you’re a 70 year old and still need insurance. $1,000,000 of coverage will run about $15,000 for five years (ATerm coverage cut in half at age 75 and terminates at age 80). ITerm is $9,600 for 10-year term.

Now you see why 44, 49, 54, 59, 64 and 69 year olds start calling to look at options. It’s difficult to accept the “social good” of socialized life insurance when the premiums start unnecessarily emptying your pockets.

Other Considerations

  • There are coverage limitations on ATerm
  • Refunds can vary meaningfully year to year
  • ATerm coverage is portable only if you maintain AICPA membership
  • Conversion options are shockingly subpar

More people should care about these points than probably will. They never seem to be important until they are. What if you are a 50 year old breadwinner and you become uninsurable? You may not have thought about the benefits of permanent coverage but now you might be evaluating things differently. Your spouse may not be working and your kids may still be in the house and the college horizon is still long and daunting.

The AICPA plan doesn’t even allow you to convert without terminating membership in the AICPA (per conversations with AICPA representatives). If it came to that and you needed to convert, the only option is conversion to some archaic policy kept on the shelves for the only purpose of hosing people who are backed into a corner and have no other option. (In their defense, this is the necessary result to cover people long term who didn’t have to get out of bed to qualify for their coverage.) No one in their right mind would ever go to the market and choose the policy the insurance carrier offers for conversion. By the way, the carrier offering the AICPA coverage also has an entire portfolio of competitive, modern products available but you’re excluded.

Example

Let’s say a 60 year old comes to the conclusion he needs to convert his $1,000,000 of term to a permanent product. An individually underwritten lifetime guaranteed premium and death benefit policy may be available for as low as $15,000/year while the association conversion would be about $40,000/year. For a 40 year old the numbers might be $5,000 vs. $15,000. Why put yourself in that position?

Bottom Line

For the very young participants and the youngish with short term needs, the numbers alone may look appealing. 20-year term and longer for a 40 year old and up and a 10 year term and longer for a 50 year old and up seem to be where the ATerm tends to get very costly. Layer in the afore mentioned contractual features and it could be argued the ATerm is never a good idea if you’re otherwise insurable at decent rates but I’m sure many will disagree with me. For some it will be an attractive temptation to purchase the low cost ATerm when the rates are beneficial and then go to the market for competitive ITerm when they become the more attractive option. However, a certain percentage of participants won’t be able to do so at that point and will be locked into quickly and dramatically escalating rates. This is another reason the young and short term rates can be competitive. The actuaries know that a given group of participants will be forced to pay above market rates when their insurability changes which is why the plan locks them in. It’s a bit diabolical.

Looking at what it costs for ATerm on professionals in their 20s and 30s, where ATerm has only one class into which every participant is placed, relative to individually underwritten term even at the very best class, I have come to a conclusion. Not only are the healthy subsidizing the less healthy, the older are subsidizing the younger. My guess is that the very low non-medical rates offered through the association on the younger professionals are artificially low to lure in participants who will then pay obscene rates later like the proverbial frog slowly boiling.

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