Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Viatical Disclosure Document Form. This is a Mississippi form and can be use in Blue Sky Secretary Of State.
Loading PDF...
Tags: Viatical Disclosure Document, VIAD1, Mississippi Secretary Of State, Blue Sky
This disclosure document is mandated by the Business Regulation
and Enforcement Division of the Office of the Mississippi Secretary of State.
VIATICAL DISCLOSURE DOCUMENT
(FORM VIAD I)
READ BEFORE YOU PURCHASE
We are offering to sell you an investment called a viatical settlement investment
contract. A viatical settlement investment contract is an agreement for the purchase
of the death benefit of a life insurance policy. The individual whose life insurance policy
is being sold is called the viator.
Some viators sell their policies because they are terminally ill and need money for
medical treatment or other expenses. Others are only chronically ill or are not ill at all,
but want to sell their policies because their families are grown and they no longer need
the life insurance. This latter type of viatical settlement contract may be called a life
settlement, senior settlement, elder settlement, or other similar name.
When the viator dies the investor receives a specific dollar amount that will be
greater than the amount paid for the contract.
Some companies sell entire policies to investors, and others sell partial interests in
policies. If you purchase a partial interest, the remaining interests in the policy will be
sold to other investors.
RISKS
1.
The rate of return on your investment cannot be calculated before the viator
dies. The longer the viator lives, the lower the rate of return on your investment
will be.
2.
.
No one can accurately predict the actual life expectancy of a viator. Some
factors that may affect the accuracy of a prediction are:
•
•
•
•
The experience and qualifications of the medical personnel making the
life expectancy prediction.
The nature of the viator's illness, if any.
Future breakthrough treatments and cures.
If the viator has AIDS, the definition of AIDS used by the viatical
company.
1
American LegalNet, Inc.
www.USCourtForms.com
Predicting the life expectancy of someone who is chronically ill or not ill at all
may be even more difficult than predicting the life expectancy of a terminally ill
person. Therefore, investing in the insurance policy of a chronically ill or healthy
person may be even more risky than investing in the policy of someone who is
terminally ill.
3.
You may have to pay money in addition to your initial investment.
The insurance company will cancel the policy in which you have invested if
periodic premium payments are not made to keep the policy in force. The
insurance company will not pay the death benefit if the policy is not in force.
Some of the money you invest probably will be set aside to pay premiums.
However, if the viator lives longer than expected, you may be required to pay
additional premiums to keep the policy in force.
Also, you may be offered a policy for which no premiums are being paid because
the insurance company has waived the premiums for some reason. In certain
circumstances, the waiver of premiums may be cancelled, and premium payments
will then be required. You may be required to pay those premiums.
It is also possible that the viator will be permitted to keep certain rights under the
insurance policy, even though the policy is sold to investors. These rights include
the right to disability income and payment for accidental death or disability. If
the viator lives longer than expected, you may be required to pay additional
premiums to keep these retained viator rights in force.
4.
Being a beneficiary of a policy and not also an owner carries special risks.
A person who buys life insurance is the owner of the policy and decides who the
beneficiaries of the policy will be — that is, who will receive the death benefit
when the owner dies. When the policy is sold as a viatical settlement contract,
investors become the new beneficiaries and therefore are entitled to receive the
death benefit when the owner (viator) dies.
The new owner of the policy may be either the investors themselves or the
viatical company. Only an owner of a policy, not a beneficiary, has the right to
make premium payments directly to the insurance company so that the policy will
remain in force.
If the funds that have been set aside to pay premiums run out, you will be
dependent on the viatical company to collect additional premium money from
investors and to pay premiums promptly. If that company goes out of business or
otherwise fails to collect premiums from investors, you may not be allowed to pay
the premiums yourself if you are only a beneficiary.
2
American LegalNet, Inc.
www.USCourtForms.com
5.
Term Insurance policies carry special risks.
A term policy is issued for a specific time period. The insurance company will
not pay the death benefit if the viator outlives that time period. If you purchase a
term policy, you will be dependent on the viatical company to renew the policy
when the term expires. Even if the policy is renewed, premiums may increase due
to change in the health or the viator.
6.
Contestable policies carry special risks.
The insurance company may "contest" a policy for a two-year period after its
issuance if the company finds a reason to cancel the policy.
The insurance company will not pay the death benefit if:
•
•
The viator dies within the contestability period, and
The insurance company has a reason to cancel the policy.
One example of a reason that an insurance company might cancel a policy: The
viator did not truthfully answer a question on the policy application.
The policy may also be cancelled if the viator commits suicide within the
contestability period.
7.
Group policies carry special risks.
A group policy insures the members of a specific group of people, usually the
employees of an employer. The biggest risk for someone who invests in a group
policy is that the policy can be terminated by the employer or the insurance
company. Although the policy will contain a provision allowing your interest to
be converted to an individual policy, there may be limits or restrictions on the
right to convert.
Also, the insurance company may charge additional premiums once the policy is
converted.
8.
Investing IRA money in a viatical settlement contract carries special risks.
Internal Revenue Code section 408(a)(3) requires that ''no part of trust [IRA]
funds will be invested in life insurance contracts." This means that the Internal
Revenue Service may not allow you the tax benefits of an IRA if you invest in a
viatical settlement contract.
Even if such an investment is allowed, you should carefully consider your age, the
life expectancy of the viator, and the difficulty in predicting life expectancy
3
American LegalNet, Inc.
www.USCourtForms.com
before investing IRA funds in a viatical settlement contract. Since death benefits
are not paid until the viator dies, you may encounter a problem taking annual
distributions from your IRA that are mandatory beginning at age 70½. If the
funds are not available to take the mandatory distribution, you will be penalized
by the IRS.
9.
An Investment in a viatical settlement contract is not a liquid investment.
The death benefit on a viatical settlement contract will not be paid until the viator
dies, and there is no established secondary market for viatical settlement
contracts. This means that you will probably not be able to sell your contract in
an emergency to raise money for your immediate needs.
10.
Tracking the whereabouts and health of the viator may not occur or may not
be successful.
Someone must track the whereabouts and health of the viator and, at the time of
the viator's death, obtain a copy of the death certificate and file a claim for death
benefits with the insurance company on your behalf. You have no way of
determining whether these tracking activities are actually occurring. If the
tracking system fails and a death certificate is not provided to the insurance
company when the viator dies, no benefits will be paid.
The longer the life expectancy of the viator, the longer the viator will need to be
tracked and the more likely it will be that the tracking system will fail.
Also, the viator may use money from the sale of his/her insurance policy to travel
to a foreign country for experimental medical treatment, to retire, or for some
other reason. If the viator disappears or cannot be located, the insurance company
may not be notified of the viator's death or may be unable to verify the death, and
no benefits will be paid.
11.
Check any promises of guarantees carefully.
The viatical company from which you purchase your viatical settlement contract
may provide a performance of fidelity bond, or another similar instrument, with
your purchase. The purpose of these instruments is to "guarantee," or "insure"
your investment. Ask exactly what is being guaranteed. Also ask the sales person
for a copy of the instrument.
If the company issuing the "guarantee" does not have the necessary financial
resources to make payments under the "guarantee," you will not receive any
benefit from the "guarantee".
4
American LegalNet, Inc.
www.USCourtForms.com
You should do a background check on the company issuing the guarantee
instrument. Contact the appropriate regular to verify that the company exists and
is in good standing. Obtain a copy of the company's most recent financial
statements.
The terms of the contract between the company issuing the "guarantee" and the
viatical company may also affect how valuable, or useful, the "guarantee" is to
you. Ask for a copy of this agreement.
Do not assume that you will be fully protected by a guarantee stating that if the
policy you invest in is cancelled by the insurance company for any reason, the
company that sells you the investment will replace it with another one. If the
company goes out of business, there will be no one to give you a replacement
policy.
12.
You could lose some of the death benefit you have purchased if the
insurance company that issued the life insurance policy goes out of business.
Insurance companies are rated based on their financial safety and soundness. A
lower rating means that the company is more likely to go out of business.
Each State maintains an insurance guarantee fund for the benefit of policyholders
of insurance companies that have gone out of business. The guarantee fund may
impose a limit on the amount that can be recovered on each policy.
Also, the payment on your viatical settlement contract would be delayed if you
needed to seek funds from this guarantee fund or from the receivership of the
insurance company. This delay would reduce the rate of return on your
investment.
13.
You should consider seeking advice from a qualified professional to help you
understand the nature of this investment, the terms and conditions of any
contract you are asked to sign, and the tax consequences of your decision to
invest.
Investing in a viatical settlement contract is risky. Be aware that this type of
investment may involve risks in addition to those discussed above.
The Business Regulation and Enforcement Division of the Mississippi Secretary of State is the agency of
state government responsible for the registration of brokerage firms, investment advisers and their
employees, the registration of investment products and enforcement of the State's securities laws. Anyone
with questions or concerns about investments may call the Business Regulation and Enforcement Division
of the Mississippi Secretary of State at 1-800-804-6364.
5
American LegalNet, Inc.
www.USCourtForms.com