| This profile will
assist you in determining if your case could be a candidate for a life settlement.
CPG Settlement Services will make final eligibility determination. If you
have any questions about the profile please contact us at 1-800-377-4776.
Note:This is not an offer of solicitation. |
| 1. Policy Type* |
| a.) Term or Joint
survivor with both insured's living (any type) |
|
| b.) Whole Life (non-participating) |
|
| c.) Whole Life (participating) |
|
| d.) Universal Life |
|
| * for joint survivor
with one insured deceased, add 1 point - e.g. a J.S. UL with one insured
deceased is worth 5 points |
|
| |
| |
| 2. Policy Information |
| a.) Policy was issued
with a significant rating (table 4 or higher) |
|
| b.) Policy was issued
with a minor rating (table 3 or less) |
|
| c.) Policy was issued
standard/preferred |
|
| |
| 3. Medical condition
- Please select the condition that best describes your client |
| a.) Active senior
- Could probably receive a standard rating with most carriers |
|
| b.) Has some minor
health impairments, currently under control |
|
| c.) Health has deteriorated
more than normal for his/her age |
|
| d.)
Had major health events |
|
|
|
|
Questions
4 through 6 apply to Universal Life Policies only
|
| 4. Current cost
of insurance as a percentage of death benefit |
| a.) Greater than
$80 per thousand |
|
| b.) Greater than
$50 per thousand, but less than $80 |
|
| c.) Greater than
$30 per thousand, but less than $50 |
|
| d.) Less than $30
per thousand |
|
| e.) Client is on
waiver of premium |
|
| |
|
| 5. If the premiums
are not yet flexible, how long is the Required Annual Premium commitment? |
| a.) More than 5
years |
|
| b.) Greater than
3 years, but less than 5 years |
|
| c.) Greater than
1 year, but less than 3 years |
|
| d.) One year or
less |
|
| |
| 6. If there
is a loan on the policy, can a partial surrender be taken to eliminate the
loan? |
| a.) No |
|
| b.) Yes |
|
| |
|
Questions
7through 9 apply to Whole Life Policies only
|
| 7. What is the
current cash surrender value of the policy as a percentage of the death
benefit? |
| a.) 50% or greater |
|
| b.) Greater than
35%, but less than 50% |
|
| c.) Greater than
20%, but less than 35% |
|
| d.) Less than 20% |
|
| |
|
| 8. Outstanding
loans as a percentage of total death benefit |
| a.) 50% or greater |
|
| b.) Greater than
35%, but less than 50% |
|
| c.) Greater than
20%, but less than 35% |
|
| d.) Less than 20% |
|
| |
|
| 9. What is the
current cash surrender value of the policy as a percentage of the death
benefit? |
| a.) 8% or greater |
|
| b.) Greater than
5%, but less than 8% |
|
| c.) Greater than
3%, but less than 5% |
|
| d.) Less than 3% |
|
| e.)
Client is on waiver of premium |
|
| |
|
Questions
10 through 12 apply to Term Insurance Policies Only
|
| 10. What is
the current premium obligation as a percentage of the face amount? |
| a.) 8% or greater |
|
| b.) Greater than
5%, but less than 8% |
|
| c.) Greater than
3%, but less than 5% |
|
| d.) Less than 3% |
|
| e.)
Client is on waiver of premium |
|
| |
| 11. How much
time remains before the conversion expires?* |
| a.) Policy is no
longer convertible |
|
| b.) 5 years or less |
|
| c.) More than 5
years |
|
| *If
policy is currently convertible, please reevaluate using permanent products |
| |
| 12. How much
time remains on the original term of the policy? |
| a.) Policy is an
ART |
|
| b.) More than 8
years |
|
| |
|
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