How much insurance do you need?
BY BRUCE SHEPPARD
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OPINION: If you’ve been following this blog’s lessons on financial independence, you have now learned the lesson of earning a dollar and spending less.
You have begun to work out how to earn more money, you have observed and understand compounding, you have worked out how to manage your banking, and most importantly you have sorted out your needs from your wants and how to resist temptation. You are now ‘level one’ street smart when it comes to money.
Once you have accumulated a bit of capital, prepare for the salesmen who want to take it off you. Some will sell you the story about how bad life in retirement will be. You’re probably in your 20s and they are selling you how horrid it is going to be when you are seventy – hell you might die before then.
They will try to sell you savings plans – KiwiSaver and all sorts of organised things to deprive you of the pleasure of you controlling the growth of your wealth yourself. In short they want to drive you back into dependency because when you are truly independent you start thinking.
They will tell you how bad it will be if you get sick, or have an accident or even die, and that you need to worry about these things too. Come on if you die who cares. Tell all these sods to get lost but one, the guy who wants to sell you medical insurance, and/or income continuance insurance.
Now there is plenty of choice in this market and the products are all different. The guy talking to you will pretend that he is an insurance consultant, or maybe he will tell you he is a broker. He will dress nicely and speak with absolute authority, but he is likely to be nothing more than a door-to-door salesman.
Insurance selling techniques are way more sophisticated than the sales techniques for selling a car. They try to get to you by all sorts of means. They will try to get access to you via your employer, which means validating their credentials on the back of other relationships you respect. They will network with accountants and financial planners (sometimes financial planners become insurance salesmen too). Through these respected relationships they open the door to you. Don’t be fooled.
The process is simple, they share the commissions with the people who recommend them. You still have to understand that they are nothing more than door-to-door salesmen, paid on commission and sharing it with others for lead generation.
If you choose to avoid all insurance it doesn’t alter the fact that some of these risks are real and do threaten your medium or long term security. So if you do not insure some of these risks it means you need to have more money in the bank for a rainy day than would otherwise be the case.
So how much do you need in the bank to cover these risks to your independence?
The first risk that is uninsurable is joblessness. If you are still dependent on a job to pay the bills hold at least six months of the cash you need to pay the bills in the bank on short term deposit. For most people that will be around $25k. Until you have this much in cash you should not even think about housing or investing.
The next risk is sickness or accident that deprives you of your ability to work either for a long time or permanently. If you choose to self insure the sum you need to cover this to age sixty five is enormous, so you will never be investing, but at least the amount gets less as you get older.
The final risk is death. Under no circumstances should you be sold life assurance while you are single or even if you are in a relationship without children and debt.
If you do get sick or have an accident the number one priority is to get back to work as soon as possible, thus medical insurance is essential as waiting on a list in the public health system burns up your time and your future.
Medical Insurance.
There are many options to consider.
Firstly you should buy this insurance when you are young as when you get older insurance excludes pre-existing conditions, and the older you get the more of these you will have.
Never lie on an insurance application, if you take drugs or smoke dope tell them, if you get sick and they find out, and they will, they won’t pay out.
Don’t buy policies that dollar churn. You can get policies that pay 100 per cent of everything. These are expensive and if you are healthy you will not get value from these policies. Only buy cover for the really big things - heart, cancer, orthopaedics and other electives. If you buy the dollar churn policies the small print will drive you crazy and you will forever be filling in forms while your insurer builds up an enormous health database.
Medical insurance is something you will need for your entire life, but sadly not one single insurance company offers a whole-of-life policy in this space. The reasons for this are we are living longer, we expect to have our plumbing working well for longer, and medical science is advancing quickly and costing more. There are so many variables it is almost impossible to cost.
Most of these policies have caps on cover and also give the insurance company the power to direct when and where you will be treated. As you get older and wealthier you will work out that these restrictions and caps are such that you may choose to self-insure. You can’t do this when you are young as your future income is your greatest asset and anything that stops you earning that income must be covered.
There is not much point reading the policy documents for these policies as they all have a clause giving them the power to extend or contract the cover on notice to you, but read it anyway. Southern Crosses policy document is long and arduous, but at least in plain English.
Income Continuance Insurance
Theses polices are usually offered by life offices, although banks have now got into it as well. The polices must all be carefully read.
Remember the purpose of the policy and you will buy the right cover. The purpose is to cover your income that you would lose if you can no longer work due to illness or accident.
In NZ we have ACC, so the policy will only top you up after ACC has paid you. ACC pays 80 per cent of income with a cap, and for most people the capped amount is enough to pay the bills. If however you are spending more than $70k pa it will not be enough. When you are young most income stopping events involve accidents. As you get older it will be sickness, but again pre-existing conditions are always excluded so it is better to buy this cover when you are young.
Make sure that the policy is automatically renewable at your option to age 65. Some are not.
Make sure any cover is adjusted for CPI.
Make sure that you have an agreed value policy, not one that requires you to prove your pre-disability income. These policies are a pain when you are completely incapacitated, who is going to do this for you?
Choose to cover yourself for your expenditure plus a bit, not your income. This is the real risk, your lost income above expenditure is the savings you would have produced if you had had a normal life. If you go on claim for a long time, you will not have a normal life. Accept this, but cover the cash you need to pay your bills. Do not over-insure.
Elect the longest stand-down period you can, but get them to price the variables. Sometimes the stand-own period doesn’t save you as much as you think. If you have put aside six months cash in the bank for joblessness, then you can self-insure the first six months of sickness too.
Over time your cash needs may well increase, so also check to see if they will allow you to increase your cover by more than CPI. Often you will have a right each year to increase your cover by 5 per cent without fresh medicals etc. You should elect to do this each year, if you become over-insured you can always decrease the cover later.
Critical Illness and Trauma cover
This is the newest Life assurance sell. The pitch is, if you get sick it would be nice to have some of your life cover paid out while you are alive so you can make the most of whatever time you have left. For some illnesses you will still have a bit of good time left, but mostly when you are sick you just want to get better. This cover is expensive, if you have medical insurance and loss of income insurance don’t buy this cover as you will be doubling up cover on the same risk.
Permanent Disability
If you are permanently disabled and can no longer work, this pays out the life assured sum in total. This is a useful extension but only if you need life assurance for other reasons.
Life assurance
Never buy a whole of life policy. You will not need life assurance for your entire life, and it is a bundled product of risk cover, and investment without transparency of cost or efficiency on either.
You will only need to consider life assurance in the context of your responsibility to others you care about. The amount you need is the amount that will ensure their quality of life will be persevered if you are taken out.
You should have enough insurance to pay off all debt and leave an investment fund that will produce sufficient cash with the capital being drawn down to get your kids to adulthood and educated, and your wife or husband to age 65 or beyond without having to change their own work habits. The good news is that for young people this cover is as cheap as chips.
The salesmen
Not all of these guys are bad, some do understand that these risks will be with your for your whole life and therefore they want to build a relationship with you that will be long term. The right broker will become part of your financial team over your life. It is these guys who will be around to help you if you go on claim. So while you must understand how they get paid, just because the insurance company is paying them doesn’t mean that they will work exclusively in the interests of the insurance company.
The good ones will not over-sell to you, they will help you understand what you actually need to be secure and simply sell you what you need.
Once you have dealt with the risks to your income and life you are then ready to go to the next step on the path to independence.
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Bruce Sheppard the insurance adviser. Where's your disclosure document mate? Though I agree in part, Bruce, what government provided facility pays a widow a lump sum to pay her mortgage off when her husband dies? She's on half her former family income now he's dead (if she's lucky enough to even earn as much as he did)At least if he's sick and dying there's public hospital treatment available for him. Medical insurance just allows you to jump the queue and not have to pay the bill. How is buying medical insurance when you're young and healthy any different to buying life insurance then too, for the same reasons? They're both dependant on good health for getting good terms.
The fact you use the term 'income continuance polices' suggests you're not exactly up to speed. That curious 1970's style policy is not exactly popular these days. Oh, and the A in ACC stands for Accident, not Illness, so the 70% of people who're in hospital through sickness don't get a whole lot of joy out of ACC, but often would from a trauma insurance payment. But that doesn't matter to you does it? You know best.
You stick to giving advice on investing and sticking up for shareholders, and leave giving insurance advice to the professionals.
What I wonder is why income protection policies are always adjusted for CPI. I can sort of understand it in the context of the insurance payments being a product, but why are income protection payments not indexed by the Labour Cost Index instead?
I still consider income protection necessary for me. I have a 3 month stand-down cause the premium drop between 3 and 6 months is negligible. I still have 13 years of income to use to add to my investment position and I can't afford to do without it. The alternative is over $1m of trauma insurance but then I have to be afflicted with a very defined set of illnesses. For an accident I'd be OK for awhile on ACC until they decide I can crawl out of bed onto my bleeding stumps to flip burgers for $12 an hour
I had the conversation about why income protection insurance premiums were going up with Sovereign. They, of course said that the risk of my falling ill/injured increased with age. I agreed, but said that every year their liability dropped by $[my salary] - a not insubstantial amount (at least according to Cullen's definition).
Usual story. Silence at the other end at this most unexpected question followed by a repetition of the rule book answer.
I'm not sure if I'm the audience for these points, but just to give another perspective:
Without Kiwisaver, I wouldn't be saving for retirement at all. I might be putting more into savings than I am now, but nowhere close to what I put into Kiwisaver each fortnight. I also like the small amount of control I have over how the fund is saved/invested. Anything more complicated/adaptable & I'd be putting it in the 'too hard' basket.
As for insurance, yes, I could self-insure. But what if something happens during the time where I'm building up the reserves required to fully self-insure? At least with an insurance policy, I'm fully covered from when the first payment's made.
Ultimately, I'm probably going to pay out a bit more money in premiums/fees, but I'm willing to do that to have someone else do the work for me.
Human nature being what it is, some people will try and work the system more than others. I keep my house contents cover to a minimum and don't have medical cover. Why ? Some people regularly 'lose' household items in order to replace them under insurance. Likewise there's little to gain from self-rationing 'free' medical claims. So the honest and healthy subsidise others as well as the insurance company.
Steve like you I hold way more cash than 6 months of expendature. But this series of blogs is the starter pack.
Roupe I too am a SX member I have been for years. I have a very large file on the governance and operations of this body. I considered running for the board two years ago on the platform of , how to aviod pricing the long term members out of cover, after all the reserves built up belong to those who have been in longest, to the extent you own anything in a "freindly Society" I said to the board that of their 800k members they would be lucky to find 20% that were happy. I wanted to change this. At least those 800,000 people have accpeted the mantra of personal responsibilty, how about working out how to validate that. Anyway a run at SX will keep, I have other fish to fry in the menatime.
I last year cancelled all insurances on my life. At 50 the cost of Term life cover was becoming silly, and I have elected to self insure, the cover I had was a fraction of my net worth, so why have it. Income cover I also cancelled for the same reason. I had a 6 month stand down so in a sense i was covering my income to age 65 if something happens, each year I get older so the amount of effective cover gets less, sure the risk goes up, but over all it should average out, the pricing did not reflect this, so again I cancelled.
But Steve, I agree with you , to elect to self insure in whole or in part has to be a considered decison, for many it is the default predicated on an inabilty to pay or to tthink.
Other story I have is my sister who had income protection insurance for ages. She is now aged 55. Price was getting ridiculous so their advisor told them to swap the income protection for trauma, and to choose an amount that would be adequate cover for the time left before they wanted to retire. They plan to retire at 60 so she set it up for about $150k.
Three months later she got diagnosed with breast cancer, they paid out. Had the operator to remove the tumor, looks to be all removed and all is sweet!
Just a story that shows useful application of trauma insurance over other forms that are too pricey, especially as you get older.
I had Income Protection and Medical insurance with Sovereign. They were beginning to price me out of the policy. Some $2300 pa as a non-smoking 48yo.
I switched to Southern Cross for medical when I changed jobs to an employer that had a group scheme and took income protection from a bank scheme changing cost to some $1800pa. I looked very closely a the two schedules and could not see any difference of note.
I'm on VIP1 with Southern Cross. They tried to deny payment for an X-ray ordered by the surgeon before a knee operation even though they paid for an MRI ordered at the same time. They said that it wasn't specified on the benefits schedule.
I argued with them that it should be covered under 'diagnostic tests' which was defined simply as 'diagnostic tests ordered by a surgeon and carried out in an approved facility'. Well it was ordered by the same surgeon and carried out at the same facility as the MRI but they said 'diagnostic tests' were blood tests and the like. I asked where I could see this definition and it wasn't posted anywhere in any document or on their website.
Told them I would go to the ombudsman and they very sullenly agreed to pay it 'ex gratia'. Unpleasant experience
I don't agree with lots Bruce says. Life cover, income continuance, trauma cover and medical cover all do different things. The truth is that no one type will properly cover you and your family and you will need much more than just enough to cover expenses. I personally want to sleep well at night and I do that by knowing my family will have no money concerns if I die or cannot work, possibly ever again. My own permanent disability would be a personal tragedy, but financially disabling my wife and child at the same time would be much much worse. If you are wealthy you may be able to self-insure some medical bills, but you may be unlucky enough to have multiple serious conditions and how many treatments (not all are covered in the public system) do you really want to cover with your own money? Many people can probably "self-insure" their cars and house contents too but few doubt the prudence of insurance on these. Why should ill-health be any different? Clearly a little knowledge is a dangerous thing, take your advice from an obviously qualified insurance adviser, there are many out there, because while no one wants to be over-insured, under-insurance, when discovered, will be very disappointing.
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"Under no circumstances should you be sold life assurance while you are single or even if you are in a relationship without children and debt." Although "under no circumstances" is something that I feel should be said only once you've considered all possible circumstances, I do feel that I can confidently say that under no circumstances would you be able to consider ALL circumstances that may or may not create the need for a single person or a person in a relationship with no children and debt to have life assurance. Also, I do agree with Johnny #22 in his asking "Where's your disclosure document mate?" Or at least, stating that this article is not intended as Personalised Financial Advice may be wise, although, I am inclined to belive that it was intented exactlty as that- personalised advice for, it seems, the population in general. Anyway, just a few thoughts that I probably wasted my time writing.