Group Life Insurance

Principles of Group Insurance

  • Definition: Group life insurance covers more than one life, usually for employee-employer groups.

  • Policy Type: Most often written as an annual renewable term policy.

  • Underwriting Principle: A large percentage of the group must be insured.

Contributory and Noncontributory Plans

  • Contributory Plans: Employees share the cost; at least 75% participation is required.

  • Noncontributory Plans: Employer bears the cost; 100% eligibility is required for coverage.

Features of Group Insurance

  • No Evidence of Insurability: Individuals don't need to prove insurability; underwriting is done at the group level.

  • Master Contracts: Instead of individual policies, a master contract is issued to the employer, and employees receive a certificate of insurance.

  • Low Cost: Reduced administrative and selling expenses contribute to lower costs.

  • Flow of Insureds: Continuous change as individuals join or leave the group.

  • Typical Coverage: Usually issued as level term insurance, providing fixed coverage.

Group Insurance Structure

  • Group life insurance is categorized into two main roles:

    • Certificate Holders: Employees insured under the master policy.

    • Contract Holders: Employers who hold the master policy.

Eligible Groups

  • Formation: Groups must be formed for reasons other than obtaining insurance.

  • Types of Groups:

    • Single-employee groups

    • Multiple-employee groups

    • Labor unions

    • Trade associations

    • Credit/debit groups

    • Fraternal organizations

    • Trustee groups (formed by multiple employers or unions)

  • Eligibility Criteria:

    • Must be full-time employees.

    • Automatic payroll deduction approval required for contributory plans.

    • A probationary period of 1 to 6 months for new employees.

    • Employees have 31 days to enroll or may need to provide insurability evidence.

Risk Classification

  • Importance: Minimizing adverse selection - when those most likely to claim insurance enroll more than healthier individuals.

  • Underwriter Risk Classification:

    • Preferred: Low risk with lower premiums.

    • Standard: Average risk with no additional ratings.

    • Substandard: High risk with increased premiums; may be rated up.

    • Declined: Not insurable due to high potential loss.

Types of Group Life Insurance Plans

  • Group Term Life: Annual renewable term policy; renewed without evidence of insurability.

  • Group Whole Life: Less common, provides permanent coverage.

  • Common Group Permanent Plans: Group Ordinary, Group Paid-Up, and Group Universal Life.

  • Dependent Coverage: Covers members' dependents but typically limited to 50% of the member's coverage.

Taxation of Group Life Insurance Plans

  • Requirements for Favorable Treatment:

    • Benefits must cover at least 70% of employees.

    • No more than 15% of participating employees can be key employees.

  • Premium Tax Deductions:

    • Paid by employees = not tax-deductible.

    • Paid by employers = deductible as a business expense.

  • Policy Proceeds:

    • Lump-sum payments are tax-free.

    • Installment payments are taxable on the interest portion.

Benefits Determination

  • Factors influencing employer-established benefit schedules:

    • Earnings

    • Employment position

    • Flat benefits structure

Conversion to Individual Policy

  • Termination: If coverage ends, members can convert to individual whole life coverage without proof of insurability.

  • Application Period: Must apply within 31 days post-termination while still covered under group policy.

  • Master Policy Termination: Members insured for at least 5 years can convert to individual policies equivalent to the face value of the group policy.

Other Forms of Group Life Insurance

  • Franchise Life Insurance: Individual policies for employees of common employers or associations (e.g., different companies).

  • Group Credit Life: Established by lenders to cover loan repayment in case of the insured's death. Typically uses a decreasing term policy.

  • Blanket Life Insurance: Covers groups exposed to the same risks with no specific individuals named; just general risk coverage.

  • Group Permanent Life Plans: Uses permanent or whole life as policy foundation with varieties like group ordinary, group paid-up, and group universal life.