Agent guide - Pioneer American Insurance Company

[Pages:38]Golden Solution Plans (Ages 50 through 85) Whole Life Insurance

AGENT GUIDE

Underwriting Guidelines Premium Rates

? Immediate Death Benefit Plan Policy Form No. 9772 (AA, OL, PA, PS); GDWL103 (IAA)

? Graded Death Benefit Plan Policy Form No. 9465 (AA, OL, PA, PS); GDWL102 (IAA)

? Return of Premium Benefit Plan Policy Form No. 9471 (AA, OL, PA, PS); GDWL101 (IAA)

AGENT GUIDE FOR AGENT USE ONLY

All products and riders not available in all states. Please check with the State Approval Grid on the Company website or check with the Home Office

Marketing Sales Team at (800) 736-7311 (menu prompt 1, 1, 1) for other state approvals.

9507(1/21) CN5-086

Table of Contents

Item:

Page #:

Company Contact Information.................................................................................. 4

Underwriting Guidelines............................................................................................ 5

Policy Specifications................................................................................................. 5

Plan Descriptions...................................................................................................... 6

Telephone Interview Information............................................................................... 6-7

Application Completion Guidelines........................................................................... 8-10

Other Required Forms / Key Administrative Guidelines............................................ 11

State Specifics.......................................................................................................... 13

Bank Draft Procedures / eCheck Procedures.......................................................... 14

Product Software...................................................................................................... 14

Application Submission............................................................................................. 14

Build Chart................................................................................................................ 15

Rider Descriptions..................................................................................................... 16-18

Accidental Death Benefit Rider................................................................................. 16

Grandchild Rider....................................................................................................... 16

Nursing Home WP Rider........................................................................................... 17

Children's Insurance Agreement............................................................................... 18

Terminal Illness Rider................................................................................................. 18

Confined Care Rider.................................................................................................. 18

Prescription Reference Guide................................................................................... 19-34

Medical Impairment Guide........................................................................................ 35-36

Rates Per 1,000......................................................................................................... 37-39

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COMPANY CONTACT INFORMATION

For the quickest, most effective way to reach someone for assistance in one of our service departments by phone; please follow the automated numerical prompts after dialing our main toll free number 800-736-7311. The following is a list of promts that can be pressed to reach the various departments; along with the departmental email addresses and fax numbers:

DEPARTMENT Agent Contracting Advanced Commissions Client Experience Earned Commissions Marketing Sales Agent Hotline Policy Issue Supplies Underwriting Technical Helpdesk

PHONE MENU PROMPTS: 1 1 3 1 1 4 1 1 7 1 1 5 1 1 1 1 1 1 1 1 6 1 1 1 2 8 0 8

EMAIL mktadmin@ mktfinance@ cx@ mktfinance@ marketingassistants@ policyissue@ supplies@ underwriting@ helpdesk@

FAX 254-297-2110 254-297-2126 254-297-2105 254-297-2110 254-297-2709 254-297-2101 254-297-2791 254-297-2102 254-297-2190

Not Sure Who To Call? Contact our Agent Hotline: (800) 736-7311, prompt. 111

Items to Send

Website

New Business Applications (completed on paper)

(select "App Drop")

New Business Applications (Mobile Application)

New Agent Contracts

contractdrop

* Be sure to include a Fax Application Cover Page.

Fax (254) 297-2100*

N/A (254) 297-2110

Want to chat with us? Go to the marketing page of your agent portal and click on the department you need (new business, agent hotline, client experience "CX", underwriting assessment, commission advances).

Mailing Addresses:

General Delivery P.O. 2549 Waco, TX 76702

Overnight 425 Austin Ave. Waco, TX 76701

Online Services:

iaamerican-



Access product information, forms, agent e-file, and other valuable information at the Company websites.

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UNDERWRITING GUIDELINES

Our Golden Solution life insurance plans target a broad spectrum of the final expense insurance market. These policies and our application Form 9466 (with state variations) [AA, OL, PA, PS]; Form GL213 (with state variations) [IAA] accommodate a simplified approach to purchasing life insurance.

Golden Solution "Immediate Death Benefit" policy is for those with no serious health history and who can answer "NO" to all health questions 1 through 8 on the application.

Golden Solution "Graded Death Benefit" policy is for those who answer "NO" to questions 1 through 7, but "YES" to health question 8.

Golden Solution "Return of Premium Benefit" policy is for those who answer "NO" to questions 1 through 3, "YES" to any health questions 4 through 7.

If health questions 1, 2, or 3 are answered "YES" the applicant is not eligible for any of the Golden Solution plans.

The Golden Solution application features simple "YES" or "NO" questions that enable you to quickly determine which plan of insurance the applicant may be eligible for.

POLICY SPECIFICATIONS

Issue Ages (Age Last Birthday): Premium Paying Period: Minimum Death Benefit Maximum Immediate Death Benefit

Maximum Graded Death Benefit Maximum Return of Premium Death Benefit Policy Fee Modal Factors:

Monthly EFT Quarterly Semi-Annual No Cost Riders Included: Terminal Illness Accelerated Benefit Rider* Accelerated Benefit Confined Care Rider* Optional Benefits and Riders: Grandchild Rider (also covers Great Grandchildren) Nursing Home Waiver of Premium Rider Children's Insurance Agreement Rider Accidental Death Benefit Rider Application No (with some state variations) * Included at no additional premium, where available.

50 to 85 To age 100 $2,500 ($5,000 in Washington) Ages 50 to 75: $35,000 Ages 76 to 85: $20,000 Ages 50 to 85: $20,000 Ages 50 to 85: $20,000 $30 (Commissionable)

0.088 0.262 0.519 Availability:

All plans Immediate Death Benefit Only Availability: All plans Immediate Death Benefit Only Not Available on ROP Plan Not Available on ROP Plan 9466 (AA, OL, PA, PS) or GL213 (IAA)

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PLAN DESCRIPTIONS

Golden Solution "Immediate Death Benefit": Simplified issue whole life policy with level death benefit of 100% of face amount paid immediately.

Golden Solution "Graded Death Benefit": Simplified issue whole life policy which pays 30% of selected face amount the 1st year, 70% paid the 2nd year and 100% paid the 3rd and subsequent years. 100% paid for accidental death, all years.

Golden Solution "Return of Premium Benefit": Simplified issue whole life policy which pays return of premium plus 10% interest for 3 years if under age 65, 2 years if age 65 or older. 100% paid after graded period. 100% paid for accidental death, all years.

SIMPLIFIED UNDERWRITING

Eligibility for coverage is based on: ? A simplified "YES/NO" application, & ? A telephone interview (if applicable), & ? Check with the Medical Information Bureau (MIB, Inc.), & ? Check with a Pharmaceutical related facility(s), & ? Proposed Insured's build (see the liberal height/weight charts found in this guide)

TELEPHONE INTERVIEW

As of February 2019, a telephone interview is no longer automatically required for ages 50-85 when using our Mobile application and using the "Sign on Screen" signature option. See the scenarios and charts below for further explanation.

Mobile Application Scenario: Sign on Screen WITH Underwriting Decision

Automatic Phone Interview Requirements

Product

Issue Ages

Immediate

Return of Premium

Golden Solution

50-70 71-85

None* None*+

None* None*

* NOTE: If the individual paying the premiums on the policy is other than (1) the Proposed Insured (2) spouse or significant other, or (3) a child of the Proposed Insured; then a telephone interview will be requested on the screen.

+ NOTE: If the applicant is not found in the pharmaceutical database(s), a phone interview will be requested on the screen.

After an application has been completed on our Mobile application and the client signs using the "Sign on Screen" feature, submit the application as normal. Once you click the "Submit" button, our Mobile application technology will provide you with an on-screen underwriting decision within seconds. In the event an interview is required, you will be advised of this on the screen. These requested interviews should be completed at pointof-sale. When you indicate on the screen your intent to complete the interview at point-of-sale, the Mobile application will prompt you to use the interview vendor listed below.

APPTICAL: 877-351-1773 7:30am-1:00am Monday through Friday CST

9:00am-9:00pm Saturday & Sunday CST

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TELEPHONE INTERVIEW GUIDELINES CONTINUED

Paper Application Scenario: NO Underwriting Decision

Automatic Phone Interview Requirements

Product

Issue Ages

Immediate

Return of Premium

Golden Solution

50-70 71-85

None* None*

None* None*

* NOTE: If the individual paying the premiums on the policy is other than (1) the Proposed Insured, (2) spouse or significant other, or (3) a child of the Proposed Insured; then a telephone interview will be required. In these instances, the interview

should be completed at point-of-sale.

If a paper application is being completed, you do not automatically need to complete a telephone interview (unless due to the payor relationship situation noted above). After the application has been submitted and reviewed by The Home Office, an interview may be requested. You will be provided notification in this event. Feel free to work with your client to ensure the telephone interview is completed. If not completed, the application will be closed out as incomplete.

If you would prefer to receive a point-of-sale decision (even though a telephone interview is not initially required), you still have the option of contacting Apptical to complete a point-of-sale interview.

Point-of-Sale Telephone Interview Instructions When using a Paper Application

Step 1: After fully completing the application, initiate the personal medical history telephone interview by calling Apptical's toll free number (877-351-1773). Step 2: Identify yourself as the agent, state the Company, and the product being applied for as "Golden Solution". Step 3: After you provide Apptical with some basic information on the Proposed Insured, the rest of the interview will be conducted between the interviewer and the Proposed Insured. Step 4: Once the interview has been completed with the Proposed Insured, you will be advised by Apptical a point-of-sale recommendation as to the appropriate death benefit plan for which the Proposed Insured should apply. Step 5: In the upper, right-hand corner of the application, please check the box "Yes" next to "Telephone interview completed" Step 6: Insert the case number provided by the Apptical representative in the "Telephone Case No." field located in the upper right corner of the application. Step 7: The applications should now be submitted to The Home Office. Even if it is determined that the Proposed Insured is not eligible for coverage or decides not to proceed with the application process. The Home Office is required by law to maintain these documents in its files. In the event your applicant decides not to proceed, you must write "Withdraw" at the top of the application.

APPTICAL'S POINT-OF-SALE HOURS:

1-877-351-1773

7:30am ? 1:00am Monday through Friday CST

9:00am ? 9:00pm Saturday and Sunday CST

? Regardless of the application method used, if an interview is required and was not completed at point-of-sale, it will be

ordered by The Home Office.

? If you were unable to complete the Telephone Interview at point-of-sale, the Home Office will order a telephone

interview once the application has been received. In this event please check the box "No" next to "Telephone interview completed" in the upper, right-hand corner of the application. In this same section, provide the Proposed Insured's phone number (always required) & indicate a preferred time to be called by Apptical. If the Company is unable to complete the interview with the Proposed Insured, the application will be closed as incomplete.

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APPLICATION COMPLETION

The following section is provided to assist agents with the completion of the life insurance application, Form No. 9466 (AA, OL, PA, PS) or Form No. GL213 (IAA). It follows along, item by item, with the application used. ? As a reminder, the application must be completed in its entirety to prevent unnecessary processing delays. ? In addition, please complete (and send in along with the application) any other required forms referred to earlier in this

agent guide.

Front of the Application: ? Proposed Insured ? Provide the Proposed Insured's full legal name. ? Address ? Proposed Insured's physical address. ? City / State / Zip Code ? Telephone Case Number ? Provide the case number provided to you by the interview company (if interview completed

point-of-sale). ? Telephone Interview Completed:

-- If completed point-of-sale, check the "Yes" box. Otherwise check the "No" box. -- Always provide a valid phone number. -- Best Time to Call ? If the telephone interview was not completed point-of-sale, please indicate the best time for the

vendor to contact the Proposed Insured. ? Male / Female ? Select appropriate gender. ? Date of Birth ? Please enter as MM/DD/YYYY ? Age ? Calculate based upon age last birthday as of the policy date ? State of Birth ? If the applicant was not born in the U.S., list the country of birth. ? Social Security Number ? Height and Weight ? Record the Proposed Insured's current height and weight. Refer to the build tables of this guide to

assist in determining the appropriate plan to apply for based on build. ? Owner:

-- Name -- Relationship to the Proposed Insured -- Social Security Number -- Address -- City/State/Zip ? Primary and Contingent Beneficiary: -- Full names of Primary and Contingent beneficiaries (if applicable) must be listed on the application including the

beneficiary's relationship to the Proposed Insured. -- A beneficiary must have a legitimate insurable interest defined as a current interest in the life of the Insured. Examples

include family members, a Trust or an Insured's Estate. NOTE: Funeral homes are not acceptable beneficiary designations. ? Plan: -- In the blank provided, write in the name of the product being applied for ("Golden Solution") or the product's initials ("GS") -- Check the box for the appropriate death benefit plan being applied for. This is based on the answers to the health

questions and the Proposed Insured's build. ? Face Amount of Insurance $ ? enter the amount of coverage being applied for. ? Tobacco Use

-- Please check the box "Yes" or "No" to the tobacco use question. -- The question reads "during the past 12 months have you used tobacco in any form (excluding occasional cigar or

pipe use)?" -- Tobacco in any form includes: cigarettes, electronic cigarettes (e-cigs), chewing tobacco, cigars, pipes, snuff,

nicotine patch, nicotine gum/aerosol/inhaler, Hookah pipe, clove or bidis cigarettes. Excludes occasional cigar or pipe use.

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? Plan Acceptance Check Box ("Check here if you are willing to accept...") ? Check this box if your client is willing to accept whichever death benefit plan they may qualify for. If checked, this will prevent the need to complete a signed endorsement due simply to a change of plan.

? Riders (be sure to check the box next to each rider being applied for): -- Grandchild Rider

? Indicate the number of children applying for coverage. ? Enter 1 unit ($5,000) or 2 units ($10,000) of coverage.

-- Child Rider - Enter 1 unit ($3,000) or 2 units ($6,000) of coverage. -- Accidental Death Benefit Rider ? Check the box for ADB ? Indicate the amount of coverage -- Nursing Home Waiver of Premium ? Check the "Other" box ? Indicate "NHWP" in the blank provided ? Automatic Premium Loan (APL) ? Check "Yes" or "No" (check "Yes" to ensure the Proposed Insured has this option if ever needed.) ? Mode: -- Bank Draft -- Draft 1st Prem on Req Date ? Bank draft on which the 1st draft will occur upon the "Requested Policy Date" you

will enter. -- Other ? Modal Premium ? Enter the desired premium based on the frequency by which the client will pay ? CWA (Check appropriate box, if applicable): -- eCheck Immediate 1st Premium ? Only select this option if the Company is to draft the Proposed Insured's bank

account IMMEDIATELY upon receipt of the application. NOTE: You must also complete the eCheck section of form 9903 and submit it with the application. -- Collected $ ? Only select this option if actually collecting initial payment and mailing it to the Home Office. ? Mail Policy To ? Check the box to indicate the preference to whom the policy contract should be mailed. ? Requested Policy Date ? The Requested Policy Date or the initial draft, if applicable, cannot be more than 35 days out from the date the application was signed. ? Replacement Section: -- Answer questions A & B -- If replacing coverage, please provide the other insurance Company name, policy # & amount of coverage. -- NOTE: Complete any state required Replacement forms ? For state specific replacement instructions & replacement forms, please refer to the Company website. ? Physician Name, City/State & Phone ? Provide the name and contact information of the Proposed Insured's doctor or medical facility ? Health Questions: -- If any answer to questions 1 through 3 is answered "Yes" the Proposed Insured is not eligible for any coverage. -- If any answer to questions 4 through 7 is answered "Yes" the Proposed Insured should apply for the Return of Premium Death Benefit Plan. -- If any part of question 8 is answered "Yes" the Proposed Insured should apply for the Graded Death Benefit plan. -- If all questions 1 through 8 are answered "No" the Proposed Insured should apply for the Immediate Death Benefit Plan.

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