Tuesday, March 31, 2009

RISK TRANSFER


Risk transfer, defined as shifting the responsibility or burden for disaster loss to another party through legislation, contract, insurance or other means, can play a key role in helping to manage natural hazard risk and mitigate or minimise disaster losses. As the international community places increasing emphasis on disaster risk reduction, there is growing interest in the potential of risk financing solutions, of which risk transfer is a major component, as part of an overall disaster risk management strategy. Recent developments in this field include the use of a range of risk transfer mechanisms such as catastrophe bonds, catastrophe pools, index-based insurance and micro-insurance schemes. Social protection programmes such as safety nets and calamity funds can also provide effective financial instruments for managing risk and dealing with natural disaster shocks.

ProVention promotes the use of risk transfer as an effective element of disaster risk management. Currently, whereas in high-income countries about a third of natural disaster losses are insured, less than 3% of households and businesses have catastrophe insurance in developing countries (Munich Re, 2005). A key concern for ProVention, therefore, remains whether and how the poor in developing countries can have access to affordable and viable risk transfer mechanisms, such as insurance. It is also important to examine to what extent such risk transfer mechanisms provide incentives for risk reduction measures.

This section is intended to provide links to useful resources on the subject of risk transfer for disaster reduction in developing countries including tools, methodologies and mechanisms being developed by ProVention partners and others.


Insurance Risk Transfer to Capital Markets


In recent years, firms have developed a new class of financial instruments that transfer insurance risk to the capital markets. Approximately $12.6 billion of these capital market insurance solutions have been issued since 1996. A recently released Swiss Re sigma study, 'Capital market innovation in the insurance industry,' examines the process of financial innovation and assesses the prospects for capital market insurance solutions. The study concludes that these securities have vast market potential.

Among the key findings: (i) to date, the issuance of catastrophe bonds has accounted for nearly half of insurance risk securitization transactions; (ii) annual issuance of catastrophe bonds, now about $1 billion, is expected to reach $10 billion by 2010; and (iii) capital market insurance solutions linked to non-catastrophic risks have an even greater market potential. Promising areas in the latter category include life and automobile insurance.

The study examines capital market insurance solutions in the context of the global wave of financial innovation that has occurred since the 1970s. A variety of forces have stimulated this innovation: the need to protect against market risk; technological progress facilitating the innovation process; and a desire to minimize the costs imposed by taxes and regulation.

Capital market insurance solutions are a recent financial innovation. Following Hurricane Andrew and the Northridge (California) earthquake of the early 1990s, property catastrophe reinsurance was in short supply and premium rates more than doubled. In reaction to this rate spike, insurers began developing a new class of financial instruments that transfer insurance risk to capital markets.

Because global capital markets are so vast, they offer a promising means of funding protection for even the largest potential catastrophes. Capital market insurance solutions also allow the industry to reduce counterparty risk and diversify funding sources. Investors purchasing the securities can earn high-risk adjusted returns while diversifying their portfolios.

One factor critical to the success of capital market insurance solutions is higher reinsurance rates. Indeed, the low reinsurance rates of the late 1990s placed an extreme damper on the growth of this innovation, just as it was starting to take hold. Therefore, according to the sigma report, the rebound in reinsurance rates in 2001 bodes well for increasing issuance of insurance securitization.

After identifying and discussing factors critical to the success of capital market insurance solutions, the report concludes that the range of these solutions will grow over time. In particular, the study finds vast market potential for capital market solutions linked to non-catastrophic insurance risks. If this potential is realized, the range of risks that are insurable will continue to expand.


CREDIT INSURANCE: A Global or a Local Policy?


For most companies in Europe, credit insurance is a well-known method to secure outstanding debts, whether for local sales or cross-border. It is maybe more popular in Europe than anywhere else. One can question whether this is the best way to safeguard cash flow. There are almost as many pros as cons but one element is for certain - losses are spread over a long period of time, and so a certain percentage of the cash flow is guaranteed. I also understand when a company has several claims one year, the premium will increase for the next year. Bear in mind, however, it also costs money when you have to go to the bank to get a loan because not enough debtors are paying their invoices.

Last year several people asked me whether they should go for global cover by a single credit insurance provider or maintain their regional structure with cover by several providers in the respective countries. Although I thought this was a subject which was dealt with in the late 1990s, the number of people asking this question gave me reason to write this article - a more practical insight on how the process can take place. As this is my personal approach to the subject, I have also asked two large credit insurance companies to give me their view on whether to go global or stay local (see below).

Changing insurance policy

I work with a multi-national, which in the 1980s had several credit insurance policies. These were policies with insured turnovers of between 75m euros and 900m euros. Some policies covered only a certain product line over more countries while others covered a multiple product line in a single country.

Each policy had specific elements which made it more difficult to compare with the others. The same counted for the personal relationship between the insured and the local insurer.Although not everybody in the company was in favor, we decided to take an overview of the policies concerned and compare the coverage given, the quality of credit limits rendered, price, claims handling and procedural elements.

The conclusion of this little study was while one insurer maybe had a better pricing structure, the other was offering a better coverage - in fact we found no real major differences. One element stood out however and that was the bigger the policy - turnover/premium-wise - the more influence the insured had on negotiating the conditions. This led to the idea of creating one policy covering all product lines, within all countries - a so-called global policy.

Mixed feelings

A single policy was welcomed with mixed feelings within the organization. People who had handled their credit insurance policy for many years would have to hand over to others operating more centrally but who were less familiar with the specific problems of the business or country. Next they felt they were going to lose an external relation, a contact with whom some of them had built up a personal relationship over many years.

This obviously led to many discussions. The pros and cons were discussed more than needed but this should be regarded as part of the process as emotions are involved. As all business units concerned wanted to improve the old situation, there was at least some common ground.

A good broker with expertise

To take the decision to go ahead and see what the market had to offer was not difficult. However, this thought did not mean a principle agreement on the acceptance of the offer was made. In a process like this, a good broker is very helpful, but needs to have the expertise, especially when it concerns a major policy with many different interests and different units behind the insured's name. I have been dealing with credit insurance since 1979. At that time credit limit requests were still typed and sent by mail.

Because of my practical experience I, in time, also slipped into the role of in-house broker and kept this role for many years. Therefore we did not use an external broker. Finally, we decided to talk to two of the major credit insurers - companies which showed eagerness and were said to be flexible. They had to prove this during the upcoming discussions and negotiations. It again took time to update them on all the details, to clarify what the deal breakers and makers were, and to discuss the ins and outs of the markets we were in as well as the customer profiles. Systems were tested, credit limits discussed, policy conditions debated and policy text altered.

Finally an abbreviated version of the policy was presented to the business units by the credit staff. This showed all the critical elements, all conditions, all pros and cons, in fact everything which mattered. This was done to focus internally on the important issues and not be distracted by the rather complex policy text in certain areas.

The offer on the table was much better than the set of individual policies before. Coverage was more than good, in some cases even better than before, the premium was much lower, the process newly streamlined - a perfect opportunity to also update organizational structure and optimize systems. It was a combination of central advantages and local input. In the end, the business units concerned were convinced by the facts - conditions and coverage - and by the guidance and guarantee of the credit staff that overall the optimal result was going to be achieved.

Each of the units had the option to end their participation after just one year. The credit staff had to make sure non-performance could never be the reason for ending a policy. In this case it was a credit insurance policy with a turnover of over 2 billion euros. We discovered size does matter - it creates more attention and opportunities. The business entities and countries involved were very happy with the product on the table. The final result was what counted and it was a mix of conditions and the interpretation of the rules which made it work.

Smaller companies

The same issues also exist for companies of a much smaller size. Take, for example, a company having perhaps three policies in three different countries, each with a turnover of about 5 million euros. Combining these into one policy gives a turnover of 15 million euros and makes it much more attractive to an insurer and thus allows the company a better bargaining position.

One thing you have to bear in mind is an expert needs to guide the process before and after conclusion of the policy. Beforehand, he or she needs to make sure all internal worries are addressed and covered and, afterwards, ensure the communication between the insured entities and the insurer is just as quick and effective with the maximum result possible. Not paying enough attention to somebody guiding this process on a daily basis will diminish the results and ultimately cause this policy to fail. I am in favor of going global. In my view there are certainly many more positive than negative elements in this choice.

This doesn't mean it is going to be easy to convince the parties concerned within the company. It is vital you spend some quiet time making a proper analysis of what you have, think clearly of what you need to have in the future and then discuss in detail what the insurer can offer you.

Credit management insurance

At this point, I would also like to draw your attention to another option rather than just going for one of the big names in Europe. Consider the possibilities of another credit insurance program, one based on the internal credit management system - called a credit management insurance by some - a product which can be found with several insurance companies in Europe as well as the US. In this case, the company itself establishes some 95 percent of the credit limits. A lot of the work is done in-house, so there is a higher cost at this end, but premiums are very different too.

In the end it depends on which kind of business you are in, the numbers being talked about, the risk concerned and how the organization is set up. For some among us this might give an even better answer than a global policy with a more standard credit insurance policy.

Should you go global or keep a local policy?

Christine Baudinet, spokeswoman for international credit insurer, Coface, says: "An international group may prefer a single company policy where the parent company requires a complete centralized control over all its foreign subsidiaries. Such an approach may be justified when the local subsidiary has only just been established and does not yet have its own credit management team. However, the approach could also be seen as too rigid since the centralized policy subscribed to by the mother company may not have the flexibility or offer the equivalent services of a local insurance contract.

"Drawbacks include multi-currency problems - conversion rates need to be fixed because of currency depreciation - as well as local difficulties in case of claims recovery. The alternative - allowing each region the freedom to negotiate its own policy - may ensure local buy-in, the delivery of a contract in local law, language and currency and, above all, full local service. Nevertheless, there are certain drawbacks with the local solution, including a higher insurance costs for the group, since there are no economy-of-scale advantages. In addition, any number of credit management discrepancies may result.

"The offer may involve one single product, or cross-selling solutions which are often required by international players. Whatever the choice, a master agreement is concluded with the parent company, specifying common provisions and advantages for the whole group. Upon conclusion of the first step of negotiation, each subsidiary may sign a contract locally, according to the initially agreed special arrangements."

"Foreign entities will be delivered homogeneous credit insurance contracts adapted to local law, languages and in local currency. The contract should be modular, matching the type of cover and services required by each subsidiary. Furthermore, it provides for further reporting to the parent company, thus reconciling the adaptation of the contract with the evolution of the group at the end of each insurance period."

Gary Hicks, spokesman for international credit insurer Atradius, says: "Businesses now operate in a global economy, in which the prosperity of individual countries and companies are closely linked. More open trade, rapidly developing emerging markets, free movement of capital, globalization, advances in information technology and instant communication, including ecommerce, are developments which, taken together, are causing the market to change at an almost frightening rate. In addition, financial services are being radically reshaped, with the wave of acquisitions and mergers continuing to roll out over Europe and stronger alliances and mergers developing rapidly.

"At the same time, businesses face new challenges in global trade - some unexpected, such as the sudden collapse of the world trade organization talks at Cancun - as the world risk map is continually redrawn in the current unpredictable and volatile economic situation. So much has happened, and is happening, which affects the economic and trading climate in which credit insurers operate, that they have responded since the late 1990s by developing much more flexible structures and tailor-made products.

" 'Thinking globally, acting locally', though now regarded as a cliché, I think still rather accurately sums up the new approach. Examining trade risks in much greater detail, assessing them faster and managing them more efficiently is essential in this era of globalization and ebusiness. Such trade risks are now increasingly volatile, and often appear unexpectedly and, given the inter-dependency of trade sectors and economies, impact quickly worldwide."

"Crises such as BSE and the foot and mouth outbreak in the UK dramatically demonstrate that, in the modern world, no man is an island. This is why solutions for multi-national corporations operating across national frontiers require support on a global scale, integrated systems and guidelines to provide for consistent underwriting as well as language, currency, law and service flexibility."


KARTU DEBIT GRATIS DARI PAYONEER (Verifikasi Paypal tanpa Kartu Kredit)


Hanya dengan daftar disini, Anda bisa mendapatkan kartu debit gratis keluaran dari Bank Royal Scotland. Kartu tersebut sangat berguna untuk verified paypal, pengambilan uang dari penghasilan Anda di situs ini atau afiliasi yg lainnya di seluruh ATM didunia yg ada logo mastercardnya.
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INSURANCE UNDERWRITING PROCESS


The underwriting process is associated with insurance, the same way it is associated with other financial services. It is all about measuring the chances of risks as also the premium needed to cover that risk.

What is the role of an underwriter?

The underwriter's job is to scale the risks and probabilities that may refer to their prospective clients. They are needed to ascertain the worth of your insurance coverage. They would also help you to decide the amount of premium that you need to pay.

The processes of underwriting & segmenting the insured risks may be clear, only after studying the pool of risks associated with them. This is also essential in order to understand the uneven distribution of risks. The underwriting guidelines defined by an insurance company may vary towards deciding the fate of an insurance application. The underwriter may choose to reject an application or may also choose to offer a quote referring the different premium levels. This might also indicate circumstances that involve a variety of exclusions, which mandate certain conditions towards the payment of claims. The underwriting process necessitates prospective clients to pay their premiums to that extent as is required by the insurer towards meeting the unforeseen risks associated with such individuals, in the event that they might occur. Hence, the procedure of identifying risks & explaining them to a client becomes the sole obligation of the insurer.

At times, the insured might just succeed in making the insurer see no reason towards properly justifying the associated risks, thereby inviting a higher expectancy of losses arising out of it. Under such circumstances, the insurer might just need to charge higher premium rates in order to fill the lower returns & save him from insolvency. The insurance companies are subject to huge risks worth billions every year in terms of financial losses arising out of protecting an insured person or a group. Underwriters are there fore needed to focus on every minute detail while arriving at a premium rate for a certain individual or even at offering a policy for that purpose. While doing these the underwriters would also need to keep a track of the steps and measures undertaken by their competitors towards achieving their goals, failing which they might lose their business to their rivals.

The different areas of operation:

The underwriters would certainly like to focus at any of the main branches of insurance namely – life, property & casualty and health.

It is common for the life & health underwriters to specialize at group or independent policies depending on their areas of operation and qualification. In order to decide about the functions of a group policy, the group underwriters would often resort to representatives of the union or the employer. For the property and casualty underwriters, it is quite normal that their operational areas would depend on the nature of insurance they are associated with (eg. personal or commercial insurance), as also the nature of the risk involved. The group underwriter has to keep a check on the overall risk, so that it never crosses the limits. This is dependent on his study of the group patterns. In contrast, the casualty underwriter has to study the contribution of the individual group members and then forward his feedbacks based on his report. With the advent of the modern computers, it has become easier for the underwriters to figure out the different risk factors associated with a prospect & then arrive at a quicker decision regarding their approval of a policy. This fast-track decision-making process is contributing largely towards the overall growth of the capital fund of the modern insurers.

TIPS TO HELP IDENTIFY YOUR NEEDS IN INSURANCE : For Temporary


Key Concept: The most significant differences in international health insurance are not in the benefits and rates, but rather in the wording of the plan definitions and exclusions by which your insurance benefits are actually paid . . . or not paid!

Here are 8 tips and suggestions intended to help you identify the best choice for your exact needs and situation. (Note: Comparisons below are for guidance purposes only. Please confirm all details in plan brochures.)

1. Coverage Period (or Policy Period)

This is a seemingly obvious definition, but we start with this term as it is used in other definitions here.

If a medical condition is first diagnosed or treated during the "Coverage Period," then eligible insurance benefits will be paid (subject to policy limits).

2. Benefit Period (very important!)

* The "Benefit Period" is not the same as the "Coverage Period." The "Benefit Period" is the maximum period of time during which an insurance policy will pay benefits for a covered condition that was first diagnosed or treated during the "Coverage Period."

The "Benefit Period" may extend beyond the end of the "Coverage Period" (and often does). In many cases, a longer insurance Benefit Period is desirable.

* If temporary insurance is your only health insurance, then an extended Benefit Period is a vital feature.


Note: There are temporary international health insurance plans being sold today whereby the Benefit Period ends when the Coverage Period ends (unless hospitalized or some other extreme contingency). This is OK if you have full coverage upon return to your Home Country. Otherwise, if your plan has no extended Benefit Period, then the last few days or weeks of your insurance coverage could prove to be of limited value.


3. "Pre-Existing Conditions" (very important)

All private health insurance plans contain "exclusions," which are conditions, circumstances, or treatments which are expressly not covered. One common exclusion is for "pre-existing conditions."

The definition of "pre-existing condition" varies by plan. Some plans have a clear or less ambiguous definition, using terms such as "symptoms," manifested," "diagnosed," etc. On the other hand, some plans have an ambiguous definition of "pre-existing condition," which could be interpreted less favorably for you.

() A check mark indicates some coverage for pre-existing conditions.


In Summary: The plan definition of "pre-existing condition" and possible coverage for such conditions (if any) can be key factors to when reviewing temporary insurance plans.

4. Do You Want The Option Of Home Country Treatment?

On occasion, someone traveling abroad suffers an injury or illness, whereby they wish to return to their home country (including to the USA) for follow-up treatment and recuperation.

If you maintain domestic health coverage during your travel abroad, then this plan feature may not be of importance to you. However, if temporary international health insurance will be your only health insurance, then how a policy treats "Home Country Treatment" can be a very important consideration.

Note: This is NOT the same as "Home Country Coverage," which is an optional or built-in benefit on many temporary international plans. "Home Country Coverage" provides limited, short-term medical coverage during one or more short-term trips back home.


5. Definition of Home Country

Temporary health and travel insurance plans cover you while traveling "outside of your Home Country." For most people, this definition is straightforward. However, you should understand how each plan defines "home country" to be sure you are eligible.


Note: temporary health insurance plans do not go into effect until you leave your Home Country (as defined in the policy), and coverage typically terminates upon your final return. Exception: many plans contain limited coverage during one or more "incidental trips" back to your Home Country for a limited period of time, when you are able to demonstrate (for example, with a round trip plane ticket, etc.) the intention of resuming your travel abroad.

Important note for US Immigrants: If you are a recent US immigrant, please see our plans designed especially for you. As noted above, temporary travel insurance covers you while traveling outside of your "Home Country." As an immigrant, the USA is now your home country and ordinary temporary travel plans are not intended for you.

6. Who Regulates Your International Insurance Company? (important)

In the USA, health insurance is primarily regulated by the individual states. If you are a USA resident traveling abroad or a visitor to the USA, I strongly recommend that you only consider insurance from companies that are registered (either "admitted" or "approved") to legally conduct insurance business in your State.

Here is a brief look at two ways an insurance company might be registered to legally conduct business in your State. (The exact terminology may differ from State to State.)

"Admitted" - The insurance company is fully regulated under your State's "life and health" insurance laws.

"Approved" - The insurance company operates under "surplus lines" insurance laws and is not fully regulated. However, if the State obtains credible evidence of unsatisfactory claims practices or unsatisfactory financial condition, then the State may revoke the "certificate of authority" under which the insurance company legally operates in that State. Such action could influence or encourage similar action in other US States and even in other countries.


Why depend on insurance from a company that is not legally registered in your State?

7. Lower Your Premium By Electing A Higher Deductible.

The "deductible" is the amount you pay in eligible expenses before your insurance begins to pay. Most plans offer a choice of deductibles, such as $250, $500, $1000, etc. Today, most plan deductibles are cumulative, i.e. one deductible per policy period, rather than a separate deductible "per incident."

Here are 2 reasons why we normally recommend that you elect a higher deductible.

Reason #1. A higher deducible lowers your premium. For temporary plans, you save on average about 10% with the next higher deductible option.

Reason #2. In the event of a medical claim, insurance companies often request copies of prior medical records. This is to show that your claim is not the result of, nor related in any way to a "pre-existing" medical condition. In the event of a small claim, the need to provide prior medical records may not be worth your time and effort.

Remember that insurance is primarily for the big expenses, to keep you from going broke or possibly to save your life. Consider saving money by electing the highest deductible with which you feel comfortable.

8. A Higher Coverage Maximum for USA Visitors.

Temporary health insurance plans offer a choice of coverage maximums, typically ranging from $50,000 minimum up to $1,000,000 or more.

When considering Temporary health insurance, realize that medical bills exceeding $50,000 are not uncommon in today's world, especially in the USA.

Suggestion: For travel to the USA, we recommend electing a medical maximum of at least $100,000 or higher. Simply put, what good is a $50,000 policy if you require $100,000 or more in medical treatment?

TIPS TO HELP IDENTIFY YOUR NEEDS IN INSURANCE: For Long Term


Here are 8 tips and suggestions intended to help you identify the best choice for your exact needs and situation.

1. "Pre-Existing Condition" - Look at the Plan Wording Carefully.

Virtually all private-sector health insurance plans exclude coverage for "pre-existing conditions." A small difference in the wording can make a big difference in whether or not a medical insurance claim is actually paid . . . or not paid.

Here are two examples for illustration purposes:

1. Pre-existing condition: "Any condition which existed at or prior to the date the policy went into effect."

2. Pre-existing condition: "Any condition which was diagnosed, treated, or manifested itself in such a way as to exhibit recognizable symptoms, prior to the date that the policy went into effect."

Note that in example #1, the definition is very ambiguous. In this example, you could have a "pre-existing condition" and not even be aware of it. Examples might include slow growth cancer such as colon cancer. Another example might be any type of heart disease, which often goes undetected for years.

If you happened to have a health insurance policy with such ambiguous wording and came down with a major illness, you could be in trouble. If doctors determined that your illness existed in any form at the time your policy went into effect, even if you didn't have any noticeable symptoms, your claim would be denied.

Important: If you are over age 40, I strongly recommend that you avoid any insurance policy which contains an ambiguous definition of "pre-existing condition" as described in example #1 above. Even if you are under age 40, this may be a good idea as well.


2. A Recent Routine Check-Up Is Recommended For Ages 40+

For people over age 40, if you are in good health, then having your good health documented prior to becoming insured (or soon thereafter) could be of great value in the event of a significant medical claim later.

This documentation could be in the form of a recent routine physical exam. Or, it might be the records of one or more recent visits to a family doctor (for a cold or flu for example), where your doctor would have gathered routine medical information such as height, weight, blood pressure, etc.

If you do not have any such documentation of good health, then we recommend that you have a routine physical exam before, or soon after your insurance goes into effect.

Unless you are over age 60, having recent documentation of good health is usually not a requirement when you apply for most insurance plans. We make this recommendation because we work for you and in our experience, claims disputes are not uncommon. In the event of a dispute, your having recent documentation of good health helps us to help you.

While we strongly recommend this for people over age 40, we also believe that having recent documentation of good health is a good idea for everyone.

3. Who Regulates Your International Insurance Company?

In the USA, health insurance is primarily regulated by the individual States. If you are a USA resident traveling abroad or a visitor to the USA, we strongly recommend that you seek out insurance from companies that are registered (either "admitted" or "approved") to legally conduct business in your State.

Here is a brief look at two ways an insurance company might be registered to legally conduct business in your State. (The exact terminology may differ from State to State.)

"Admitted" - The insurance company is fully regulated under your State's "life and health" insurance laws.

"Approved" - The insurance company operates under "surplus lines" insurance laws and is not fully regulated. However, if the State obtains credible evidence of unsatisfactory claims practices or unsatisfactory financial condition, then the State may revoke the "certificate of authority" under which the insurance company legally operates in that State. Such action could influence or encourage similar action in other US States and even in other countries.

Note: We avoid insurance plans from companies that are not registered. All plans found here are backed by insurance companies which are either "admitted" or "approved" where offered.

4. When Comparing Health Insurance Plans, Check The "Exclusions."

One of the first things that experienced insurance agents look for in a health insurance brochure is the summary or list of "exclusions." Often found in smaller print, "exclusions" are not covered under the plan. Sometimes, what's NOT covered can be just as important as what IS covered.

Many exclusions are typical (i.e. acts of war, self-inflicted injuries, custodial care, etc.), while others are not and should be carefully considered when comparing health plans.

All comprehensive international insurance plans contain an exclusion for "pre-existing" medical conditions. You should carefully read and understand this exclusion.


5. The Health Questionnaire - "Medical Underwriting"

Long-Term, Annual-Renewable or "Permanent" medical plans are designed to provide comprehensive health insurance coverage for at least one year or longer. These plans are issued based on "medical underwriting" through the use of a detailed health questionnaire.

Personal medical history could be a determining factor when selecting a company to apply for insurance. Based on personal medical history, some people could be declined for insurance by one company, but accepted (or accepted with a medical "exclusion rider") by a different company.

Note: For the plans found here, if your health questionnaire is answered truthfully and accurately, and you are accepted for coverage, you cannot be cancelled or singled-out for future rate increases due to medical claims.


6. Activate Your Best Memory When Completing The Health Questionnaire.

It is important to remember that by nature, the human mind tends to forget or minimize past or present illness. A positive mental attitude can beneficial in the healing process, but failing to properly disclose a material health condition on your insurance application could jeopardize your coverage entirely.

A "medical audit" (obtaining prior medical records, researching medical information bureaus, etc.) is often done when there is a major claim. By contract, the insurance company can revoke coverage and return all premium if it can be shown that the policyholder failed to disclose a material condition on the application.

Never give the insurance company a potential way out of paying a major claim. Activate your best memory when completing the health questionnaire.

7. For A "Yes" Answer on Your Health Questionnaire - Note The Positives.

For every "yes" answer on your health questionnaire, be sure to give a clear and complete explanation.

Your completed health questionnaire becomes a part of your insurance contract, so it is important to be complete and truthful when answering all questions. When applicable, be sure to state the positives when giving an explanation to any "yes" answer.

If you have a condition that is well controlled by medication, give complete details. For example: thyroid, take 5mg (medication) daily, well controlled for (x) years.

If a previous medical outcome was good, clearly state so in writing. When appropriate, consider descriptive terms such as "full recovery," "no further symptoms," and "no further treatment or consultation required."

8. Lower Your Premium By Electing A Higher Deductible.

The "deductible" is the amount you pay in eligible expenses before your insurance begins to pay. Most plans offer a choice of deductibles, such as $250, $500, $1000, etc. Today, most plan deductibles are cumulative, i.e. one deductible per policy period (up to one year), rather than a separate deductible "per incident."

There are 2 reasons why we normally recommend that you elect a higher deductible.

1. A higher deducible lowers your premium. For long-term plans on average, the savings often exceed 10% on the next higher deductible option.

2. In the event of a medical claim, insurance companies often request copies of prior medical records. This is to show that your claim is not the result of, nor related in any way to a "pre-existing" medical condition. In the event of one or two small dollar-amount claims, the need to provide prior medical records may not be worth your time and effort.

Remember, health insurance is primarily for the big expenses. Consider saving money by electing the highest deductible with which you feel.