CMS Webinar

If you're wondering why this benefit is important for you and your family, join Colorado Medical Society, COPIC,  and BuddyIns on February 13th for a live call. Bring your questions and find out more about this permanent indexed universal life insurance with living benefit. 

 

How does it work?

CALCULATE YOUR LTCI COST vs. BENEFIT

$109
Monthly
Premium
$109
Total Paid Premiums
11.4 x
Insurance Multiplier
$4,000
Monthly LTC
Benefit
$300,000
Max LTC Benefit
Underwriting: Guaranteed Issue (no health questions)

Disclaimer: This sample is intended to help inform and educate and shows example rates and potential benefits for the selected conditions. Please refer to the enrollment system for final rates and underwriting eligibility. This is not an offer of coverage.

Eligible members who are actively at work can select up to $500,000 in life insurance Face Amount (Death Benefit) and spouses are eligible to apply for up to $100,000 in life insurance Face Amount for Transamerica Universal Life Insurance with Long Term Care Rider. Accelerates 4% of the death benefit amount for monthly benefit for Confinement in Nursing Facility or Assisted Living Facility; or 2% of the death benefit amount for monthly benefit for Home Health Care or Adult Day Care. Not to exceed the per diem amount allowed by HIPAA times the number of days in the calendar year.

Brochure with Schedule of Benefits

Wondering if you qualify? Read the Eligibility to Apply.

What's Special About This Offer 

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Simplified Issue

It's easy to apply. Just answer a few short health questions - there are no physicals or blood work to complete.

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Portable Benefit

Take the coverage with you if you move to another state.

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Spousal Coverage

Coverage options may include your spouse, ensuring they are protected. The maximum death benefit for spouses is $100,000.

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Affordable Rates

Affordable rates with guaranteed level life insurance premium - a great value!

Wondering if you qualify? Read the Eligibility to Apply.

Two Solutions in One.

Transamerica Universal Life with Long Term Care Rider is a two-in-one benefit that offers simplified issue life insurance for family needs plus long term care benefits. With the Restoration Rider, the life insurance benefit pays out even if you use the long term care benefit.

Below are examples of how a Universal Life with a Long Term Care Rider benefit can provide a long term care benefit of $4,000/month. The care costs shown in the graphic reflect a national median.

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LTC 101: Understand the Long Term Care Challenge

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Impact

53 million people in the United States are providing unpaid care for a loved one.

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COST

The national average cost for an in-home health aide is $6,292 a month.

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Funding

Medicare, health insurance, or disability insurance do not cover LTC expenses.

Learn how a Universal Life with LTC plan works

 

Why do you need long term care insurance?

Long term care (LTC) may become necessary following a traumatic event, such as a motorcycle accident, or due to a serious illness or cognitive impairment, such as Alzheimer's disease. In these situations, individuals may require ongoing assistance with ADLs to maintain their quality of life and independence to the greatest extent possible.

Doesn't My Other Insurance Cover LTC Expenses?

The short answer is no. It is a common misconception that LTC is covered by health or disability insurance.

🚫NO COVERAGE

Health insurance typically does not cover long-term care. Long term care insurance is a separate policy designed to cover the costs of services like home health care and assisted living. It is not part of private medical insurance benefits so expenses associated with long term care are not covered by health insurance plans.

🚫NO COVERAGE

This type of insurance is designed to protect your income in the event you are unable to work due to a disability or illness. It typically covers a portion of your income and helps you manage your regular expenses, such as mortgage, bills, and groceries. Disability insurance was not designed to cover LTC services and excludes most LTC expenses

🚫NO COVERAGE

Medicare only covers up to 100 days of care after a 3 day stay in the hospital. According to the US Department of Health and Human Services, the average LTC claim is 3 years.

⚠️MINIMAL COVERAGE

Medicaid pays for the largest share of LTC services but has strict income and eligibility requirements in most states that you must meet to receive long term care services. Medicaid usually provides services in a nursing home unless you get approved for a special waiver. For Medicaid to even cover long term care, you must first spend down whatever assets you have. Medicaid is for those who truly don’t have any money to cover long term care expenses.

Peace of mind doesn't have to break the bank.

Don’t wait until it’s too late. Help cover yourself and your family with affordable coverage from Transamerica.

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Do It Yourself

Get covered - self enroll and review your coverage options online.

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Review Your Rates

Pricing is based on your age. The longer you wait to purchase coverage, the more it will cost you.

 

Frequently Asked Questions

How do I qualify for coverage?

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Your acceptance is not guaranteed and is based upon your answers to health questions as part of the simplified issue underwriting process. You can view health questions HERE.

What health questions will I be asked?

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Please review the health questions HERE.

How does the Long Term Care Rider work?

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The Long Term Care Rider provides a monthly benefit for home aide or adult day care options includes 2%, 3%, or 4% of the death benefit until the full face amount has been accelerated. Available options are dependent upon group underwriting parameters.


Monthly benefit for long term care confinement options include 4% or 6% of the death benefit until the full face amount has been accelerated. Available options are dependent upon group underwriting parameters.

What is the Extension of Benefits Rider?

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This rider extends benefits after 100% of the death benefit has been paid under the Long Term Care Rider by increasing the benefit amount for up to an additional 50 months for home care or 25 months for confinement care.

How does the Restoration Rider work?

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With this rider, each month you receive a benefit payment, your death benefit will be restored up to 100% of the original death benefit. This means that any benefit payment you receive while alive does not negatively impact the value of the death benefit for your beneficiaries at the time of your death.

Is LTC covered by health or disability insurance?

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It is a common misconception that LTC is covered by health or disability insurance. LTC services are typically not covered by Medicare, Medicaid, private health or disability insurance.

Medicare: Only pays for skilled services or rehabilitative care for a limited time.
Medicaid: Pays for the largest share of LTC services but has strict income and eligibility requirements.
Employer / Private Health Insurance: Typically covers the same limited services as Medicare.
Disability Insurance: Covers lost income for protection during working years but does not cover the cost of LTC services.

How do you qualify to receive LTC Benefits?

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To receive LTC benefits, you must be receiving assistance with two (2) or more activities of daily living (transferring, continence, bathing, dressing, eating, toileting) or you have cognitive impairment expected to last more than 90 days. You also need to be receiving care from a licensed professional in a LTC facility, nursing facility or receiving home health care. Benefits are payable after you meet your 90-day elimination period, meaning, benefit payments will start 90 days (about 3 months) after your LTC needs begin.

A qualified health professional will need to certify that you meet the activity of daily living or cognitive impairment requirement.

Plan of Care and Proof of Loss documentation are required. Proof of loss documentation must be filed for each calendar month. There is an elimination period that must be satisfied before benefits are payable. 

What happens if I stop paying my premium? 

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After a grace period, the policy will terminate and coverage will end. 

Will my LTC benefits be received tax-free?

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This Rider is intended to be a Federally tax-qualified long term care insurance coverage under Section 7702B(b) of the Internal Revenue Code.

Long term care benefits are generally received tax-free. However, as with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. 

Are my LTC or life insurance benefits taxable?

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Life and LTCi benefits paid are generally received tax-free. However, as with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. The insurance company has no responsibility for any tax consequences of any benefits paid under this policy. The LTC rider is filed to be a federally tax-qualified LTC insurance contract.

How do I pay my premium? 

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During the application process, you will enter your bank account information to authorize a bank draft from the insurance company. The insurance company will draft premiums after confirming your banking information.

Are my premiums guaranteed or will the costs increase with age? 

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Your premium is based on your age at the time of issue and is not expected to increase as you age. Fluctuations in interest rates or policy charges may require the payment of additional premiums. 

Can policyholders take a loan from the cash value? If yes, what are the terms?

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Yes, loans are permitted but reduce the policy value and the death benefit and may increase lapse risk. Policy loans are tax-free provided the policy remains in force. If the policy lapses or is surrendered, the amount of the policy loan will be considered a distribution from the policy and will be taxable to the extent that such loan plus other distributions at that time exceed the policy basis. 

Frequently Asked Questions

Can’t find what you are looking for? Contact Jeff Feakes at jfeakes@copic.com

Meet with a specialist

How do I qualify for coverage?

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Your acceptance is not guaranteed and is based upon your answers to health questions as part of the simplified issue underwriting process. You can view health questions HERE.

What health questions will I be asked?

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Please review the health questions HERE.

How does the Long Term Care Rider work?

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The Long Term Care Rider provides a monthly benefit for home aide or adult day care options includes 2%, 3%, or 4%
of the death benefit until the full face amount has been accelerated. Available
options are dependent upon group underwriting parameters


• Monthly benefit for long term care confinement options include 4% or 6% of the
death benefit until the full face amount has been accelerated. Available options
are dependent upon group underwriting parameters

What is the Extension of Benefits Rider?

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This rider extends benefits after 100% of the death benefit has been paid under the Long Term Care Rider by increasing the benefit amount for up to an additional 50 months for home care or 25 months for confinement care.

How does the Restoration Rider work?

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With this rider, each month you receive a benefit payment, your death benefit will be restored up to 100% of the original death benefit. This means that any benefit payment you receive while alive does not negatively impact the value of the death benefit for your beneficiaries at the time of your death.

Is LTC covered by health or disability insurance?

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It is a common misconception that LTC is covered by health or disability insurance. LTC services are typically not covered by Medicare, Medicaid, private health or disability insurance.

  • Medicare: Only pays for skilled services or rehabilitative care for a limited time.
  • Medicaid: Pays for the largest share of LTC services but has strict income and eligibility requirements.
  • Employer / Private Health Insurance: Typically covers the same limited services as Medicare.
  • Disability Insurance: Covers lost income for protection during working years but does not cover the cost of LTC services.

How do you qualify to receive LTC Benefits?

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To receive LTC benefits, you must be receiving assistance with two (2) or more activities of daily living (transferring, continence, bathing, dressing, eating, toileting) or you have cognitive impairment expected to last more than 90 days. You also need to be receiving care from a licensed professional in a LTC facility, nursing facility or receiving home health care. Benefits are payable after you meet your 90-day elimination period, meaning, benefit payments will start 90 days (about 3 months) after your LTC needs begin.

A qualified health professional will need to certify that you meet the activity of daily living or cognitive impairment requirement.

Plan of Care and Proof of Loss documentation are required. Proof of loss documentation must be filed for each calendar month. There is an elimination period that must be satisfied before benefits are payable. 

What happens if I stop paying my premium? 

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After a grace period, the policy will terminate and coverage will end. 

Will my LTC benefits be received tax-free?

plus icon

This Rider is intended to be a Federally tax-qualified long term care insurance coverage under Section 7702B(b) of the Internal Revenue Code.

Long term care benefits are generally received tax-free. However, as with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. 

Are my LTC or life insurance benefits taxable?

plus icon

Life and LTCi benefits paid are generally received tax-free. However, as with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. The insurance company has no responsibility for any tax consequences of any benefits paid under this policy. The LTC rider is filed to be a federally tax-qualified LTC insurance contract.

How do I pay my premium? 

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During the application process, you will enter your bank account information to authorize a bank draft from the insurance company. The insurance company will draft premiums after confirming your banking information.

Are my premiums guaranteed or will the costs increase with age? 

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Your premium is based on your age at the time of issue and is not expected to increase as you age. Fluctuations in interest rates or policy charges may require the payment of additional premiums. 

Can policyholders take a loan from the cash value? If yes, what are the terms?

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Yes, loans are permitted but reduce the policy value and the death benefit and may increase lapse risk. Policy loans are tax-free provided the policy remains in force. If the policy lapses or is surrendered, the amount of the policy loan will be considered a distribution from the policy and will be taxable to the extent that such loan plus other distributions at that time exceed the policy basis. 

Can’t find what you are looking for? Contact Jeff Feakes at jfeakes@copic.com

 

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