An elevated NT Pro BNP discovered as part of the paramed exam can often lead to a case failing to move forward. In this case, we were able to turn the case into a win by improving offers from multiple carriers from Table 4 to Standard, resulting in over $1.4MM placed target premium. Read on for the details!
Case at a Glance
Underwriting Challenge: Elevated NT Pro BNP
Product Type: Multiple
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 carriers.
- The completed insurance labs showed a NT Pro BNP of 445.
- Given the Client’s age & gender, the NT Pro BNP called for a Table 4 rate, which was the initial offer from virtually every carrier involved in the case.
Solution
- Upon receiving rated offers from multiple carriers, we 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, we 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 Pro BNP findings.
- With all offers moved to Standard Non-smoker, over $1.4MM of target premium was placed across eight carriers.
