FAQs

General

01
Why should I buy a policy from Specular Financial instead of the insurance company's dedicated agents (Aka "captive agents")?
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Specular Financial is a broker, which means we represent our client. This feature gives us a better opportunity to serve you for 2 reasons:

  • Cost– captive agents represent only one company, and are provided with a salary and benefits package. With labor costs increasing at their fastest pace in history, the cost for policies purchased through captive agents of companies are higher than brokers. When you purchase your policy with Specular Financial, you get the additional benefit of wholesale pricing.
  • Suitability– Unlike captive agents, brokers look for the policy that provides the highest value at the lowest premium. You can be confident that the policy you are purchasing rises above the rest in meeting your needs.
02
How did Specular Financial pick the companies in its portfolio offering?
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Specular Financial selected the companies it represents based on proprietary research which includes collecting and analyzing historical mentions in the media, customer service reviews, and financial performance.

03
How do brokers like Specular Financial get paid?
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We get paid a commission from the premiums you pay. It is baked into the pricing of your policy.

04
How can I know Specular Financial agents are helping me to make the optimal financial decision?
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We challenge our clients’ “shoulds” because objectives oftentime overlap and contradict each other. Once you have confirmed and validated your goals and their priority, we move on to presenting solutions.

Health Insurance

01
What is the penalty for not having health insurance?
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The penalty for not having insurance can be up to $2,000 for a family of 4.

02
Can I get financial assistance under all circumstances?
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9 out of 10 qualify for further financial assistance. Employed individuals whose employers offer health insurance may not qualify for premium assistance if their employer coverage meets the "affordability" and "minimum value" tests.

03
Does Specular Financial broker dental and vision plans? Is there something especially advantageous about these plans?
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Yes and yes. Specular Financial will enroll the client in those additional plans. Children under 19 are automatically enrolled in the dental plan embedded in the health plan if the health plan offers dental and vision. Otherwise, our agents will assist you enroll in stand-alone plans.

04
Do all regions have the same CoveredCA plan options?
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No, California has 19 regions and each region offers between three to six plans.

Life Insurance

01
Is life insurance worth it?
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Policy owners can expect to pay less than $.50 for every dollar of death benefit. The living benefits of many policies make life insurance even more attractive. Yes, life insurance is always worth it.

02
Is my only option to surrender the policy and take the cash value if I no longer want/can afford my life policy?
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Thankfully, no. There may be life settlement options that will find buyers for your policy’s face value on the secondary market. In some circumstances, a life settlement can yield a much higher sum of money for the policy owner than its surrender value.

03
Does Term policy provide living benefits?
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No. Term policy has no living benefits and does not build any cash value. Accelerated benefits may be offered with term insurance with some plans, so call for additional details.

04
Are life insurance death benefits taxed?
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Not in most circumstances. The death benefits of a life policy are not taxed to an individual beneficiary. If the beneficiary is a trust, then anything beyond the lifetime estate tax exemption is subject to tax. We strongly recommend speaking with a CPA or accountant for clarification. Specular Financial does not make tax advice. Please, always consult a tax professional.

05
Do Medicare Supplement plans cover Long-Term Care coverage?
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No. Medicare plans do not cover long-term care and many assets are not safe from long-term care providers.

06
What is a viatical?
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A viatical is a life policy of a terminally ill insured that is sold on the secondary market.

07
Can relatives of a family member needing long-term care be paid for providing them with informal care?
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Yes. Home-based and community care are much cheaper than nursing facility care, therefore children can be paid to take care of their parents/relatives and their policy premiums will be much lower, too. In fact, Long-Term Care policies are available as riders of many life insurance policies.

08
What is the benefit trigger for long-term care?
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LTC benefits can be triggered when the insured is unable to perform two of seven ADLs (activities of daily living). There are seven ADLs in CA, while other states have six.

Medicare

01
What are the different parts of Medicare?
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Part A covers inpatient benefits, Part B covers outpatient benefits, Part C is Medicare Advantage (which covers Part A and Part B benefits plus additional benefits such as dental and vision) and Part D covers prescription drugs.

02
Who is eligible for Medicare?
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To be eligible for Medicare, you have to be either disabled or 65 years old. Seniors applying for a no-premium Part A benefit- you or your spouse have to have worked for at least 10 years.

03
Can Medicare Advantage and Medicare Supplement (Medigap) plans be combined?
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No. However, the additional benefit of Medicare Advantage plans is that many of them integrate prescription drugs plans as well as vision and dental benefits. Medicare Advantage plans also offer ancillary benefits which help pay for things like rent, utilities, groceries, and more. Click here to learn more about Medicare Advantage and Medicare Supplement (Medigap) plans.

04
When can I sign up for Medicare?
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You can sign up for Medicare 3 months before turning 65, and 3 months after turning 65. There are late penalties for not enrolling in Part B when you are eligible.

05
What is the penalty for not signing up for Part B Medicare?
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The premium is increased by 10% each 12-months that you do not enroll when you are eligible unless you have creditable coverage. When your creditable coverage ends, you must sign up for Part B within 8 months to avoid a premium penalty.

06
How much do Part B premiums cost? What is the deductible?
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Part B premiums are $170.10 for 2021, adjusted for inflation on an annual basis. The deductible for a Part B premium is $233 also adjusted for inflation on an annual basis.

07
What is the income limit to apply for LIS (low income subsidy)?
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The income may not exceed 150% of the Federal Poverty Line and adhere to strict resource limits.

08
What is True Out-Of-Pocket cost?
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TrOOP, as it is referred to, refers to the drug costs that count toward the “coverage gap” to reach catastrophic coverage. This includes the 70% drug manufacturer discount to reach a total of $7,400 (limit for 2023).

Trusts and Wills

01
Do Irrevocable Trusts offer protection from long-term care providers?
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Only in limited circumstances. Call to discuss your personal scenario.

02
Are wills private documents?
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No. Wills are NOT private documents. Your asset distribution directives are subject to challenge after your passing.

03
Does a pour-over will protect my assets from going through probate?
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No. Wills do not protect your assets from going through probate, however, they may reduce probate court costs as the decedent’s assets are assigned to a beneficiary by the decedent.

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