Underwriting Wins: Detailed Cardiac Workup Trumps Elevated NT-ProBNP

An elevated NT-ProBNP discovered as part of the paramed exam can often lead to a life insurance case failing to move forward. In the following scenario, our underwriting team was able to turn the case into a win by improving offers from multiple carriers from Table 4 to Standard. This resulted in over $1.4MM placed target premium. Read on for the details!

Case at a Glance

Underwriting Challenge:   Elevated NT Pro BNP

Product Type:   IUL, GUL, Term

Face Amount:   $52,000,000

Target Premium:  $1,456,058

Situation

• A 64-year-old ultra-high-net worth male was seeking new insurance totaling $52MM from a number of different life insurance carriers.
• The completed insurance labs showed a NT-ProBNP of 445.
• Given the client’s age & gender, the NT-ProBNP called for a Table 4 (D) rating, which was the initial offer from virtually every carrier involved in the case.

Solution

• Upon receiving rated offers from multiple life insurance carriers, the team scoured the medical records for additional testing that could offset the results of the insurance exam.
• Fortunately, prior to compiling the medical records and one month prior to the insurance exam, the Client completed an executive physical that included a normal stress echo, a much more definitive indication of the client’s cardiac condition.
• Upon receiving the stress echo, the team contacted each carrier, asking them to reconsider their initial offer based on the new, favorable evidence.
• Multiple carriers were able to improve their offer to Standard Non-smoker based on the normal stress echo test within 30 days of the NT-ProBNP findings.
• With all offers moved to Standard Non-smoker, over $1.4MM of target premium was placed across eight carriers.

If you're having trouble finding a home for a life insurance case, let the Gen3 team take a look at the details. We've found a ton of success placing coverage on even the hardest to underwrite clients by simply working through the details. Our team of 4 underwriters has decades of experience inside the underwriting teams at major carriers, and consistently think outside the box.

If you're looking for a new IMO/BGA that still picks up the phone, email marketing@gen3advisor.com to learn how we can work together.