You are here
Income Protection explained
-
Q.
What is Income Protection?
A.Your income is your greatest asset. It provides for your lifestyle, pays your monthly bills and insurance policies, and helps you to support your family.
Income Protection insurance ensures that you will continue to receive an income should you be disabled and unable to work and earn an income. FMI believes that all working individuals (self-employed and salaried) should have a combination of temporary and permanent Income Protection to cover all disability scenarios.
-
Q.
What is the difference between Temporary and Permanent Income Protection?
A.Income Protection (also known as disability cover) can be divided into two types:
- Temporary Income Protection: Temporary Income Protection will ensure that you are protected against a temporary disability (a disability that lasts less than 24 months). If necessary, it will also help you to survive the permanent disability waiting period.
- Permanent Income Protection: Permanent disability cover will provide you with an income should you become permanently disabled. We believe that permanent disability should be addressed through a combination of monthly income replacement benefits (known as Permanent Income Protection) and a once-off lump sum benefit (known as Capital Disability). This will ensure that you are covered for the different risks associated with a loss of income due to a permanent disability. FMI’s Permanent Income Protection also provides cover for long temporary disabilities (a disability that lasts longer than 24 months but is not permanent).
-
Q.
Why do I need Permanent Income Protection and Capital Disability?
A.Many people believe that with Capital Disability they are properly covered for permanent disability. The truth is that a once-off lump sum benefit is not suited to replacing a future monthly income stream (one of the main reasons for taking out Income Protection cover).
Designed to ensure continuity of income over time, in line with inflation, Permanent Income Protection pays out a monthly income, until the Insured’s retirement or death (whichever is sooner). This means that the inflation, investment, and longevity risks for this kind of cover are held by the Insurer and the premiums are tax deductible. Permanent Income Protection has established waiting periods and pays out for long temporary disabilities. Therefore, it is designed to replace future income, sustaining the Insured’s lifestyle until the selected retirement age.
A Capital Disability benefit, in contrast, means that the client will receive a once-off lump sum pay-out for permanent disability only. Permanence of your disability must be established before this pay-out is made. The premiums for this cover are not tax deductible. Capital Disability cover should be used for once-off events such as repaying debts, business assurance, or making necessary lifestyle changes.
It is important to understand that Lump Sum Disability and Permanent Income Protection are different products with different functions and they should be used in conjunction rather than as replacements for each other. FMI advocates a combination of these two products, drawing on the strength of each to ensure comprehensive cover for permanent disability. Read more about the importance of Permanent Income Protection here:http://www.fmi.co.za/emailnewsletters/FMIAdHocFAOct12.pdf
Cover with FMI
-
Q.
What products does FMI offer?
A.Our Income Protection offerings include:
- Business Person Elect (with Temporary, Permanent, and Business Overhead Protection)
- Vision (cover for your employees)
- Express Income (to bridge the gaps in your cover)
Read more about our Products here
-
Q.
Why is Temporary Income Protection compulsory with FMI?
A.Our research shows that most of our claims are temporary in nature, lasting less than 3 months. It is much more likely that you will suffer a temporary disability than a permanent one. Above all, even a short-lived disability can have major financial repercussions, especially if you are a small business owner or commission earner.
FMI’s Temporary Income Protection benefit:
- Is designed to provide you with cover:
- From Day 1 for self-employed individual, commission earners, and contractors.
- From Day 14 for salaried employees.
- Can be structured to pay benefits during and after the first six months following the date of a claim (a period during which Capital Disability products generally will not pay out).
- Allows for multiple claims can be made (Capital Disability products do not allow for multiple claims).
We believe that Temporary Income Protection is an essential insurance and that all working individuals should have this cover in place.
-
Q.
How do I get cover with FMI?
A.We work with independent financial advisers because we believe that they give their clients the best advice. Talk to your financial adviser about FMI or contact us and we’ll make sure a financial adviser calls you back.
Policy Information
-
Q.
Why does FMI treat self-employed people differently?
A.While we cover a wide range of occupations, we understand that self-employed business professionals, entrepreneurs, and commission earners should be treated as professionals in their own right. They face different business challenges and have different cover needs to salaried employees.
Our approach to providing this cover involves taking into account factors such as volatility of income and occupation class, through a unique risk assessment model which focuses on duties rather than job titles. For example, an individual who owns and manages an electrical business shouldn’t necessarily be placed in the same occupational class as the electricians he employs as their tasks are vastly different. Looking at Income Protection holistically also means less risk for the financial adviser as insurance premiums are protected and lapse rates are minimized.
-
Q.
What does ‘waiting period’ mean?
A.In disability, a waiting period is the time from the day you are unable to work due to an injury, illness, or pregnancy until the day your disability benefit pays out. With Temporary Income Protection, you will be paid a monthly benefit for the time that you are disabled. These pay-outs will only begin after the end of your selected waiting period.
-
Q.
What does ‘benefit term’ mean?
A.The pay-out you receive when you claim is called a ‘disability benefit’ and is defined by the terms of your policy. In disability insurance, the term ‘benefit period’ refers to the time period during which you are eligible to receive these benefits should you become disabled.
-
Q.
What is underwriting?
A.Underwriting refers to the process that a financial service provider uses to decide whether a client is eligible to receive their products (i.e. their level of risk is assessed).
FMI clients are underwritten by a team of experienced Underwriters at application stage and not at claims stage. This means that, at claims stage, we do not usually require complicated documents. This greatly reduces frustration and simplifies the claims process. Read more about FMI’s underwriting process.
-
Q.
What is tele-underwriting?
A.This is underwriting done by telephone. You can request this option on your application form. Medical questions traditionally asked on an application form are now asked over the phone by one of FMI’s trained underwriters who follow a pre-set script of questions. To save you time, the gathering of information telephonically is restricted to a maximum of 20 minutes per phone call. Read more about the benefits of tele-underwriting process.
-
Q.
How do the different premium patterns work?
A.FMI offers different premium patterns, depending on your needs:
- 5% Escalation: Every year on policy anniversary the amount of cover will remain constant while premiums will increase by 5%
- Level Premiums: For a selected amount of cover, the premium is fixed for the life of the policy.
- Age Rated: Every year on the policy anniversary, the premium changes to reflect the probability of claim at that age.
-
Q.
Can I change my premium pattern at a later stage?
A.Yes, however a new quote would have to be done, taking into account your current age.
-
Q.
How does the Automatic Benefit Increase (ABI) work?
A.A client may elect at the start of cover to choose a pre-claim benefit of 0%, 5%, 7,5%, or 10%. This means that should the client have opted for this escalation, their cover will escalate annually by the amount chosen. This will result in an increase in premium.
-
Q.
Do I have to undergo underwriting if I want to increase my cover?
A.Yes, if a client requests an increase in cover, then the increase will be subject to underwriting. For a BPE policy, this does not apply to cover increasing due to the annual Automatic Benefit Increase (ABI), Annual Review Option, Reinstatement Benefit, Change in Circumstances Benefit, and/or the Future Income Protector.
-
Q.
What is aggregation?
A.while unable to work. FMI does not aggregate on our Temporary Income Protection and Business Overhead Protection benefits at claims stage but does aggregate on Permanent Income Protection and Capital Disability benefits.
FMI’s Temporary Income Protection benefit can pay for a maximum of two years which means that you could claim for two years before having your claim pay-out aggregated.
-
Q.
How does FMI aggregate Permanent Income Protection payments?
A.The rules that we follow in order to aggregate Permanent Income Protection (PIP) and Capital Disability payments are according to industry standard guidelines. At claims stage, this works as follows:
- We first determine the Life Insured’s monthly pre-disability earnings. This ignores any income that is earned passively, e.g. rental income.
- We calculate the total permanent income cover the Life Insured has. This is the total amount of PIP cover the Life Insured has with FMI added to any other permanent disability income cover that they have with other insurers. This also includes any other income that they may be earning actively, but ignores any passive income.
- We determine the total lump sum disability cover the Life Insured has, which is the Capital Disability Cover that they have with FMI added to any lump sum disability cover they enjoy with any other insurer. We ignore the first two times annual salary of lump sum disability pay out when determining this amount.
- The pay-out from any Dread Disease claim is ignored.
- Once all these amounts have been determined we need to ensure that the following formula does not exceed the Life Insured’s pre-disability earnings:
- Total Permanent Disability Income + (Total Lump Sum Disability/Age factor)
- The Age factor will be equal to the policy term multiplied by 12, subject to a maximum of 240.
- Please note the following:
- The above formula is the same for determining the aggregation at claim stage, which means that our upfront aggregation should minimise the risk of being aggregated at claim stage.
- The age factor is based on the Life Insured’s original term of their policy, not their remaining policy term when they became disabled.
- We always reduce our Capital Disability pay out before we reduce the PIP pay out.
- In practice the other insurer will also likely aggregate their pay-out, which will affect how we aggregate our pay-out.
-
Q.
Can I pay my premiums in cash?
A.No, FMI do not accept cash premiums.
-
Q.
Is my FMI policy tax deductible?
A.In terms of section 11(a) of the Income Tax Act for self-employed/commission earners and section 23 (m) of the Income Tax Act for employed salaried members, Income Protection premium contributions are tax deductible.
-
Q.
How do I claim with FMI?
A.Notify FMI by contacting FMI’s Client Care team on 0860 10 11 19 or [email protected]. They will send you the relevant claims forms. To learn more about the claims process, visit our Claims page.
-
Q.
Does FMI always pay claims?
A.FMI aims to pay valid claims. However, there are some instances in which claims will not be paid. The main reasons for repudiated claims include:
- Non-disclosure of information at initial underwriting stage – honesty is the best policy!
- Fraudulent claims
- Pre-existing conditions
Reasons for Claims being classified as Not Taken Up include:
- Policyholder no longer wishes to claim
- The disability is shorter than the waiting period
- Cosmetic procedures that do not meet requirements e.g. elective cosmetic surgery
- Minor infections that do not meet requirements (for certain minor infections like influenza or bronchitis you must be hospitalised, go for diagnostic testing or seek the opinion of a specialist in order to claim)
- Claims as a result of drug abuse or alcoholism
- Supporting documents not received
- Claimant not booked off work
-
Q.
When does my policy cease?
A.In the case of a claim, your policy will cease when the maximum benefit term is reached. The maximum period we pay out for the benefit is shown on the policy schedule (either 6, 12, or 24 months). However, pay-outs may stop before the maximum period is up as the benefit will pay out only until the first of these events takes place:
Temporary Income Protection:
- The client's full recovery
- The day we consider the client able to go back to their own occupation
- The client's death
- The policy anniversary following the client's chosen retirement age or at the expiry of the term of the policy, whichever is the earlier
- The end date of this benefit
- Notification from the client to cancel the policy
The terms and conditions of the policy will prevail
Permanent Income Protection:
- The date the client is fully recovered
- The date the client are able to work in their own occupation or any suited occupation they can be expected to do because of training, skills or experience
- The client's death
- The policy anniversary following the client's chosen retirement age
- The end date of this benefit
The terms and conditions of the policy will prevail.
-
Q.
How do I nominate a beneficiary?
A.It is imperative that you nominate a beneficiary/ies on your FMI policy to ensure that your loved ones are taken care of in the event of your death. It is equally important to notify FMI of your immediate dependents in order to assist us in an efficient claims process.
Please complete the relevant nomination form and return it to FMI Client Care via [email protected] or fax (031) 502 7006.
PDFs:
-
Q.
How do I change my banking details?
A.To change your banking details, please complete the following form and return it to FMI Client Care via [email protected] or fax (031) 502 7006. Please note that these changes will only be effective as of the following debit order date from the date requested.
PDFs:
-
Q.
How do I cancel my policy?
A.To cancel your policy, please complete the following form and return it to FMI Client Care via [email protected] or fax (031) 502 7006. We urge you to contact your financial adviser before cancelling any policy. If you would like information on how to freeze your policy rather than cancel it, please see the following question.
PDFs:
-
Q.
How do I freeze my policy?
A.On BPE, you have the option to freeze your premiums and cover for a period of time and then to re-instate that cover without medical and financial underwriting. To freeze your policy, please contact FMI Client Care on 086 010 119 or [email protected]
-
Q.
I still have Supersavings that I need to withdraw from my policy. How do I do this?
A.To withdraw your Supersavings, please complete the following form and return it to FMI Client Care via [email protected] or fax (031) 502 7006.
PDFs:
Selling FMI products
-
Q.
How do I sell FMI products?
A.Contact our Financial Adviser Distribution Team on 0860 10 52 08 or [email protected] and visit our Advisers page to learn more.
-
Q.
How does the financial adviser commission structure work?
A.FMI offer three options of commission payments to financial advisers:
- As-and-When Commission: Commission is calculated as a percentage of monthly premium and is payable monthly in arrears for each collected premium, for the life of the policy.
- Annualised Commission: Primary Commission is calculated up-front at the start of the policy, based on Life Commission calculations, and is paid as a lump sum payment upon first premium collection. Secondary commission is calculated as a third of Primary commission and is payable as a lump sum upon the 13th premium collection.
- Monthly Commission: Primary Commission is calculated up-front at the start of the policy, based on Life Commission calculations, but is paid over a 12-month period, beginning from first premium collection. Secondary commission is calculated as a third of Primary commission and is payable over 12 months beginning from the 13th premium collection.
-
Q.
What are the advantages of an electronic application form?
A.Our latest Quotes Package includes an electronic application form, which can be submitted directly to FMI’s new business department, allowing for an accelerated application process and faster turn-around time. In addition, we do not require written signatures on electronic applications as such applications are verified telephonically with the client.
Using the FMI@hand app
-
Q.
How do I navigate FMI @ hand?
A.Throughout this tool you will notice that the screen is split into various sections showing aspects of information depending on what has been selected. Aside from the main dashboard, there is generally a left hand side with menu/status options (with the list of clients below) and a right hand side which has summary figures or client detail information.
Other useful information:
-
The right hand side information table moves to below the left hand side status headings on smaller mobile devices so you will need to scroll down to view it
- The quoting facility is not available on mobile devices. In order to do quotes on mobile devices, it is recommended that you access the online quotes tool through your internet browser (preferably using Chrome)
- The Useful Documents section includes marketing material, product information, and forms
- The policy premium amount will be listed alongside the client name in all client lists
- In order to see detail on a particular client, click on the client name on the left hand side to view details in the right hand side table or below on smaller mobile devices
Icons:
- Double arrows: click to expand/ collapse all sections below
- Single arrow: click to expand/ collapse the section and display matching section in detail in right hand side table
- Envelope: click to email the current page information to one or more of your FMI contacts
-
-
Q.
How does the New Applications section work?
A.Left hand side status headings
- Applications Received
- Applications received by FMI for processing
- Missing Information
- FMI requires further client information in order to proceed
- Awaiting Tele-UW
- Application has been submitted for tele-underwriting, client to expect a call
- UW Setting Requirements
- client information being reviewed by underwriting
- Awaiting Requirements
- FMI requires further client information in order to proceed
- UW Decision Pending
- Underwriting is considering all client information in order to make a decision
- Counter Offer Letter
- FMI has issued a counter offer letter to client and is waiting for a response in order to proceed
- Completed Recently
- Applications completed in the last 30 days which may have been either accepted or declined
Right hand side information table (scroll down to view on smaller mobile devices)
- Applications in progress
- Total number of applications submitted by not yet finalised
- Premium
- Total premium relating to all new applications
- Potential commission
- Potential commission to be earned from new applications not yet finalised
-
Q.
How does the Commission section work?
A.Left hand side status headings
- New Commission
- Commission from new applications in the last 30 days earned but not necessarily paid (not net of claw backs)
- Clawbacks
- Amount owed to FMI as a result of lapsed policies or premium reductions (may be off-set against new business)
- Pending
- New commission less claw backs
- Adviser commission status
- Indicates the type of commission agreement an adviser has with FMI
-
Q.
How does the Claims section work?
A.Left hand side status headings
- Claims Lodged
- Number of claims received by FMI currently, but no further action as yet
- Requirements Requested
- FMI is waiting on certain requirements from the client
- Assessment
- All information has been received and FMI is currently assessing the claim
- Decision Issued
- A decision has been made on the claim
- In Payment
- Claim is currently in payment
- Review
- Current claim is being reviewed
- Closed
- Claim has reached the end of its benefit term or client has returned to work
Right hand side information table (scroll down to view on smaller mobile devices)
- Claims pending
- Total number of claims currently in process but not yet in payment
- Claims in payment
- Total Rand value of all claims currently in payment
- Total claims paid
- Total number of claims ever paid for all clients of a particular adviser
- Clients paid
- Total number of clients ever paid of a particular adviser
- No. of claims
- Total number of claims ever paid of all of a particular adviser’s clients
-
Q.
How does the Lapses section work?
A.Left hand side status headings
- Replaced FMI
- Existing policy replaced by another FMI policy
- Replaced Other
- Existing policy replaced by a policy with another insurer
- Non-Payment
- FMI has cancelled the policy because premiums were not paid
- Other Cancellations
- Contact FMI for more detail on this cancellation if required
Right hand side information table (scroll down to view on smaller mobile devices)
- Lapses this month
- Number of lapsed policies in the last 30 days
- Monthly premium
- Total monthly premium of all policies lapsed in the last 30 days
- Claw back commission
- Amount owed to FMI as a result of lapsed policies in the last 30 days
- As and when commission lost
- Total as and when commission that will no longer be earned due to policies lapsed in the last 30 days
-
Q.
How does the Unpaids section work?
A.Left hand side status headings
- Current Month Outstanding
- Total number of policies for which premiums have not been paid this month only. Detail per client will show the Rand value of each policy premium.
- Two Months Outstanding
- Total number of policies for which premiums have not been paid for two months running. Detail per client will show the total Rand value of all policy premiums missed.
- Non-Debit Order Clients
- Total number of policies usually paid manually for which premiums have not been paid. Detail per client will show total Rand value of all policy premiums missed.
Right hand side information table (scroll down to view on smaller mobile devices)
- Unpaids this month
- Total number of policies for which premiums have not been paid this month
- Monthly premium
- Total month premium for all unpaid policies this month
- Potential claw back commission
- Amount owed to FMI if these policies were to lapse
- Potential as and when commission lost
- Amount of as and when commission that will no longer be earned if polices were to lapse