- 一张保单的一生The life of an application
- eApp 与签名eApp and signatures
- 核保会看什么What underwriting looks at
- 首期保费与扣款日期Initial premium and draft dates
- 替换信息与纽约州Replacement info and New York
- 改单:修正、重写、复议Changes: amendments, rewrites, reconsiderations
- 送单Delivery
- 保全:年检与 in-force illustrationService: reviews and in-force illustrations
- 理赔:身故与生前福利Claims: death and living benefits
- 和公司沟通的规矩Working with the home office
- 红线清单Red lines
邮箱、表格编号、时限都是 2023–2026 年的版本;新旧版本不一致时只采用最新版本,仍有矛盾的(送单期限)本页标了出来。遇到矛盾一律以 Agent Portal 当期文件和案件经理的要求为准。
Mailboxes, form numbers and deadlines reflect versions dated 2023–2026; where versions differ, only the newest is used, and the one remaining conflict (delivery deadline) is flagged. When they conflict, the current Agent Portal document and your case manager win.
一、一张保单的一生1. The life of an application
eApp 提交(首选;SIUL 联合寿险暂不能走 eApp)。案件 30 天没有任何动作会被关闭。
Submit by eApp (preferred; survivorship IUL isn't on eApp yet). Cases with no activity for 30 days are closed.
系统先跑自动核保(STP)。过不了的转核保员,开出补件:身份核实、银行核实、体检、APS 病历等。
Straight-through processing runs first. Cases that don't pass go to an underwriter, who opens requirements: ID and bank verification, exam, APS records.
按申请批准、按其他条件批准(other than applied)、延期或拒保。
Approved as applied, approved other than applied, postponed or declined.
核保批准后一般 48 小时内出单;eApp 即时批准的案件也在 48 小时内发出。
After approval, issue usually follows within 48 hours; instant eApp approvals also issue within 48 hours.
当面或 DocuSign 电子送单。犹豫期从送达开始算。
In person or by DocuSign eDelivery. The free look starts at delivery.
PFA 的新单数据(截至 2025 年 12 月 31 日):
PFA new-business figures (as of 12/31/2025):
| 指标Measure | 数值Figure | 怎么用Why it matters |
|---|---|---|
| 自动批准率Auto-approval rate | 31.7% | 约三分之一不用人工核保;其余的资料越齐越快About a third skip manual underwriting; for the rest, complete files move faster |
| 成交率(placement)Placement rate | 75.5% | 四张批下来的单里有一张没成,多数是客户没接受One in four approved cases never places, mostly because the client says no |
| 标准体或更好Standard or better | 89% | 报价时按你判断客户能拿到的级别报,不要一律报最好Quote the class you expect, not automatically the best |
| 交件到初审Submit to initial UW review | 4.8 天4.8 days | 初审前把 APS、体检安排好Line up APS and exam before the first review |
| 交件到批准Submit to approval | 8.4 天8.4 days | 给客户的时间预期The timeline to set with clients |
Ascend:新单平台
Ascend: the new-business platform
Ascend 是国家人寿的新单系统(网页门户 + Agent Mobile App):案件状态大约每两小时刷新;可以直接给案件经理和核保员留言、上传文件; 体检和化验由公司下单,APS 与体检进度都能看到;可设短信提醒。App 里还能看新单、佣金和激励进度。
Ascend is National Life's new-business system (web portal plus the Agent Mobile App): status refreshes about every two hours; you can message the case manager and underwriter and upload documents; the company orders exams and labs, and APS and exam status are visible; text alerts are available. The app also shows new business, commissions and incentive progress.
二、eApp 与签名2. eApp and signatures
为什么一定用 eApp
Why eApp
24 小时可用;演示直接带入申请;演示用 DocuSign 签;纸本申请光录入就要约 48 小时,eApp 平均省两天。 申请书的电子签名只能走 eApp;其他国家人寿表格可以用你自己的 DocuSign(规则见下)。签名板、打字签名都不接受。签好的演示 30 天内有效。
Available 24/7; the illustration pre-fills the app; illustrations are signed via DocuSign; paper takes about 48 hours just to key in, so eApp saves about two days. Applications are e-signed only through eApp; other National Life forms can go through your own DocuSign (rules below). No signature pads or typed signatures. A signed illustration is valid for 30 days.
两次签名仪式
Two signing ceremonies
先签 HIPAA 授权,再签申请。演示已整合进申请后,不要再改那些整合字段,否则纽约州会无法签名。 经纪人编号要带后缀;分期保费必须和缴费方式一致。
HIPAA authorisation first, then the application. Once the illustration is integrated, don't change the integrated fields; in New York that can block signing. Include the agent number with suffix; the modal premium must match the mode.
视频会议里签:PIN to Sign
Signing on a video call: PIN to Sign
核实客户手机号和社安号/ITIN 后四位 → 系统发 6 位短信 PIN → 客户当场念回 → 进入 HIPAA 和申请签名。 远程收件需要按 Accepting Remote Applications 指引经 Field Leader 批准;所有签名人必须人在美国境内。
Verify the client's mobile number and last four of SSN/ITIN → the system texts a 6-digit PIN → the client reads it back → on to HIPAA and application signing. Remote applications need Field Leader approval under the Accepting Remote Applications guideline, and every signer must be physically in the US.
申请用英文
Applications are in English
所有保单和表格只有英文版。申请用英文填写,客户必须真正看懂;经纪人要能用客户的语言沟通,不能靠翻译。 每个问题都要问,不能替客户回答健康问题。
All policies and forms are English only. The app is completed in English and the client must genuinely understand it; the agent must be fluent in the client's language, with no interpreters. Ask every question, and never answer health questions for the client.
过不了自动核保的五个常见原因
Top five reasons a case falls out of STP
| 原因Reason | 怎么避免How to avoid it |
|---|---|
| 未成年人保额超过 $1MJuvenile face over $1M | 先看未成年人指引(见下);兄弟姐妹尽量同额Check the juvenile guideline (below); keep siblings equal |
| 病症、用药手打自由文本Free-typed conditions or meds | 用下拉和联想输入,多个用「Add another」;不写剂量Use drop-downs and predictive text, "Add another" for more; no dosages |
| 没填最近一次看家庭医生的日期PCP last visit missing | 0–6 岁需 12 个月内看过;7–15 岁及 60 岁以上需 24 个月内Ages 0–6 need a visit within 12 months; 7–15 and 60+ within 24 months |
| 没填看医生的原因Reason for last visit missing | 从下拉选,有合适的就不要选「Other」;一般年度体检选「Routine Exam/Checkup – Normal Outcome」Pick from the list and avoid "Other" when one fits; a normal annual exam is "Routine Exam/Checkup – Normal Outcome" |
| 孩子身高体重不准Inaccurate juvenile height/weight | 当场量,不要估Measure; don't guess |
| 孩子保额比父母高Child applying for more than the parents | 至少一位家长已有或同时申请同额或更高的保额At least one parent must have, or be applying for, equal or higher coverage |
eApp 现在会直接显示核定的费率等级。另外:没问的问题不要多答;保费资料也尽量不选「Other」。不要自己预约体检或 APS,除非核保员要求或年龄、保额本来就需要;需要的项目提交后会出现在 Instant Communication 里。
eApp now shows the approved rate class. Also: don't volunteer answers to questions that weren't asked, and avoid "Other" in the premium section too. Don't order labs or APS yourself unless the underwriter asks or age and amount require them. Anything required shows up in Instant Communication once you submit.
用自己的 DocuSign 签国家人寿表格
Using your own DocuSign for National Life forms
其他电子签名平台不接受。纽约州不能用(纽约的电子送单仍由总部的 DocuSign 发)。
Other e-signature platforms aren't accepted. Not allowed in New York (New York eDelivery still runs on the home office's DocuSign).
每位电子签名的人(包括经纪人)都要签 20717「Consent to Do Business Electronically」,而且必须是他们看到、签的第一份文件。20717 只覆盖同一个信封里的文件,分几个信封发,每个都要放。
Everyone signing electronically, agents included, signs the 20717 "Consent to Do Business Electronically", and it must be the first thing they see and sign. It covers only its own envelope, so if you send separate envelopes, each needs one.
寿险抄送 newbusiness@nationallife.com,年金抄送 lswimaging@nationallife.com,公司才能取到完成的信封和审计记录。
Life: newbusiness@nationallife.com; annuity: lswimaging@nationallife.com. That way the company gets the completed envelope and audit trail.
另外单独告诉客户,别人拿到邮件也打不开。
Give it to the client separately, so nobody else can open or sign.
三、核保会看什么3. What underwriting looks at
你在现场收集的
What you collect in the field
个人信息;健康问卷(含用药);保费资金来源;高风险爱好(潜水、跳伞、私人飞行);驾驶记录与酒驾。
Personal details; the health questionnaire including medications; source of premium funds; hazardous hobbies (scuba, skydiving, private flying); driving history and DUIs.
公司自己调的
What the home office pulls
Milliman Intelliscript(处方记录:医生、剂量、配药次数、药房);MIB(其他保险公司的申请记录代码); LabPiQture / HealthPiQture(医生开的化验、以往保险体检、医疗理赔诊断码);LexisNexis(刑事、破产、留置权、驾驶记录)。 两边对不上,核保会找你。
Milliman Intelliscript (Rx history: prescriber, dosage, fills, pharmacy); MIB (codes from other carriers' applications); LabPiQture / HealthPiQture (doctor-ordered labs, prior insurance labs, medical-claims diagnosis codes); LexisNexis (criminal, bankruptcy, liens, MVR). When the two sides disagree, underwriting contacts you.
转人工的常见原因
Common referral reasons
处方规则触发、MIB 风险代码、清单式投保(clean sheeting)核查、字母检查(alpha check)、电话访谈不完整、财务额度、住院记录、 LabPiQture 结果、未成年人超额。
Rx rules, MIB risk codes, clean-sheeting checks, alpha checks, incomplete interviews, financial limits, hospital admissions, LabPiQture results, juveniles over the maximum.
最常见的拒保原因
Top decline reasons
处方记录;驾照被吊销(没有 DMV 有效驾照证明会自动拒);血糖偏高的糖尿病;多药联用的精神科病史;高血压。 一年内被别家拒过的,先用 XRAE 或向核保询价。
Rx history; a suspended licence (auto-decline without DMV proof of a valid licence); diabetes with elevated sugar; psychiatric history on multiple meds; high blood pressure. If another carrier declined within a year, run XRAE or ask underwriting first.
核保员希望你做的
What underwriters ask of you
- 细节一次给够,比来回补件快:用药频率、剂量、近 5 年全部病史(慢性病不限年限)。
- Detail up front beats back-and-forth: medication frequency and dose, the full five-year medical history (chronic conditions regardless of date).
- 复杂病例先用 XRAE 询价;XRAE 给不出结果的,在里面点 Messaging 请核保员看,一个工作日内回。报价不要附在 eApp 上,除非核保员要求。
- Complex cases: quote them through XRAE first; if XRAE can't assess, use its Messaging link and an underwriter replies within a business day. Don't attach the quote to the eApp unless underwriting asks.
- 复议(reconsideration)必须有新证据:医生信头信、病历、最新化验。「客户不同意」不算。
- A reconsideration needs new evidence: a doctor's letter on letterhead, records, current labs. "The client disagrees" isn't evidence.
- 60 岁以上要有 24 个月内的体检。
- Applicants 60+ need a physical within 24 months.
财务额度:收入倍数
Financial limits: income multiples
国家人寿用收入倍数衡量总保额是否合理(所有公司在保 + 申请中的合计)。家庭总保费一般不超过收入的 10%,超过要补财务资料。
National Life tests total coverage (all carriers, in force plus applied for) against income multiples. Total family premium should generally stay within 10% of income; above that, expect financial documentation.
| 年龄Age | 18–30 | 31–40 | 41–50 | 51–60 | 61–65 | 66–69 |
|---|---|---|---|---|---|---|
| 最高倍数Max multiple | 40× | 35× | 25× | 15× | 10× | 5× |
未成年人(0–17 岁)
Juveniles (ages 0–17)
| 孩子的总保额Child's total line | 要求Rule |
|---|---|
| $500,000 以下Up to $500,000 | 不看家庭其他人的保额No check on the family's coverage |
| $500,001 – $1M | 不超过主要经济支柱的在保额;另一位家长要有适当保障;兄弟姐妹保额或保费相当Up to the breadwinner's in-force amount; the other parent adequately insured; siblings similar in face or premium |
| $1M – $3M | 不超过经济支柱在保额的 50%Up to 50% of the breadwinner's in-force amount |
| $3M 以上Over $3M | 需书面遗产或财务规划文件Requires documented estate or financial planning |
外籍人士项目不承保未成年人。额度以 Agent Portal 当期未成年人指引为准。
The foreign-national programme doesn't cover juveniles. Check the current juvenile guideline on the Agent Portal.
四、首期保费与扣款日期4. Initial premium and draft dates
Draft Next Available(强烈建议)
Draft Next Available (strongly encouraged)
生效日 = 发单日;发单次日扣首期;以后每月在保单月周年日扣。佣金按扣款当天的周期结算。
Effective date = issue date; the first draft runs the next day; later drafts on the monthiversary. Commission follows the cycle that includes the draft day.
指定日期
A specific date
生效日 = 那个扣款日。如果发单晚于指定日期,保单日期会顺延到下个月的同一天,不能重写或改日期,还可能错过公司活动。
Effective date = that draft date. If the policy issues after it, the date rolls to the same day next month. There's no rewrite or redate, and it may miss promotions.
CWA 和 COD
CWA vs COD
CWA:签单时就开支票。邮寄的支票收到后 48 小时内入账;如果先发扫描件,必须写明原件不会再寄,否则会重复扣款。 「先用扫描件,但等批准再扣」就等于 COD。COD(送单时收钱)会推迟佣金,也更容易丢单。
CWA: the check is written at the sale. Mailed checks post within 48 hours of receipt; if you email a copy first, state that the original won't be mailed or it gets drafted twice. "Use the copy but wait for approval" is COD. COD (collect on delivery) delays commission and risks losing the sale.
Form 1707(EFT 授权)
Form 1707 (EFT authorisation)
三种情况要用:保费超过申请时授权的金额;想提前扣款;从 COD/CWA 改成自动扣款。日期留空 = 尽快扣。 发单前保费变化超过申请金额 $25,或者有未授权的自动加保,没有 1707 就会走 10 天通知,佣金跟着推迟。
Use it when the premium exceeds the amount authorised on the app, to draft sooner, or to switch from COD/CWA to EFT. Leave the date blank to draft ASAP. If the premium rises more than $25 above the app before issue, or there's an unauthorised auto-increase, no 1707 means a 10-day notice and delayed commission.
- 停扣:扣款当天美东中午 12 点前发邮件到 EFTTeam@NationalLife.com,标题写「STOP DRAFT」。
- Stop a draft: email EFTTeam@NationalLife.com by 12 noon ET on the draft day with a subject like "STOP DRAFT".
- 发单后改扣款:客户门户自己改,或 1707 交给 Payment Center。
- After issue: the client changes it on the customer portal, or send a 1707 to the Payment Center.
- 支票:抬头写 LSW 或 NLIC;来自美国银行的美元。不收现金、经纪人或代理公司的支票、信用卡、外币、旅行支票。
- Checks: payable to LSW or NLIC, in USD from a US bank. No cash, agent or agency checks, credit cards, foreign currency or traveller's checks.
- 现金等价物(本票、银行支票、汇票):寿险每户每滚动 12 个月合计不超过 $10,000(单张超过 $10,000 的本票/银行支票除外),须由客户自己购买, 交给经纪人时填 Cash Equivalent Payment Receipt(Form 7953)。年金只收本票/银行支票,不收汇票。
- Cash equivalents (cashier's, treasurer's checks, money orders): for life, no more than $10,000 per household per rolling 12 months (a single cashier's or treasurer's check over $10,000 is excepted); the client must buy them, and hand-offs to the agent need the Cash Equivalent Payment Receipt (Form 7953). Annuities take only cashier's or treasurer's checks, not money orders.
五、替换信息与纽约州5. Replacement info and New York
国家人寿新单部门的定义:客户有现有保单,并且在新申请前后 6 个月内对它做了任何动作(断缴、退保、减额、到期、借款),就是替换。 合规手册对「融资购买」更严:用现有保单的借款、部分提取或退保来交新保费,同一持有人、同一公司,在新保单生效前 4 个月到生效后 13 个月内都算替换。 详细规则见《保单替换》。
New business's working definition: the client has existing coverage and takes any action on it (lapse, surrender, reduction, expiry, loan) within six months before or after the new application. The compliance manual is stricter on financed purchases: using a loan, withdrawal or surrender from an existing policy to pay the new premium, same owner and same company, from 4 months before to 13 months after the new effective date. Full rules in Policy Replacement.
公司接受的替换理由
Reasons the company accepts
增加生前福利(ABR);需要更高身故保额;需要终身保障;更好的现金值累积。理由要具体到这位客户。
Adding living benefits (ABRs); more death benefit; permanent coverage; better cash accumulation. The reason has to be specific to this client.
会被退回的理由
Reasons that bounce
「N/A」;「公司更好」;「换经纪人」;「福利/服务/保障更好」这类空话。保单号必须填真实号码,不能写 unknown 或 000。
"N/A"; "better company"; "change of agent"; vague "better benefits/service/coverage". The existing policy number must be real, not "unknown" or "000".
现有保单要在申请 H 部分和 Agent Report 第 1 部分第 6、7 题如实披露,包括 6 个月内断缴、退保或没接受的保单。附上现有保单的最新对账单。
Disclose existing coverage in Section H of the app and Agent Report Part 1, Q6 and Q7, including policies lapsed, surrendered or not taken within six months. Attach a recent statement of the existing policy.
LSW 不对纽约居民出单,即使客户在外州签。Reg 187:申请时要附一份和申请完全一致的已签演示,演示的运行与签名日期不能晚于申请日期,演示上要有姓名。 Reg 60:每份纽约申请都要填 Definition of Replacement(Form 7717);如属替换,另附 8027NY 通知和 7289NY 对比披露表(不能留空,$0 也要写)。 Reg 187 的诉讼状态几经反复,以合规部当期说明为准。
LSW doesn't issue to New York residents, even if they sign out of state. Reg 187: submit a signed illustration that matches the app exactly, run and signed no later than the app date, with names on it. Reg 60: every NY app needs the Definition of Replacement (Form 7717); replacements add the 8027NY notice and the 7289NY comparison (no blanks; write $0). Reg 187's litigation status has gone back and forth; follow Compliance's current guidance.
六、改单:修正、重写、复议6. Changes: amendments, rewrites, reconsiderations
| 修正(amendment)可以改An amendment can change | 修正不能改An amendment cannot change |
|---|---|
| 姓名、生日、社安号Name, DOB, SSN | 签约州State of execution |
| 受益人Beneficiary | 签名与日期Signatures and dates |
| 健康信息Medical information | 经纪人分成(发单后)Agent splits (after issue) |
| 替换信息(8121)Replacement info (8121) | 把扣款日提前(用 1707)Moving the draft date earlier (use a 1707) |
| 保额、产品、附约;GFR、GAP 附约表格Face, product, riders; GFR and GAP rider forms | 超过授权金额的保费Premium above the authorised amount |
| 计息策略(新表格,须在发单前)Interest-crediting strategies (updated form, before issue) | 加州 20401CACalifornia 20401CA |
重写(rewrite)
Rewrites
申请签署日起 120 天内;Form 8125 + 新演示发 Rewrites@NationalLife.com,或门户 Request a Change → Rewrite/Reconsideration。 所有改动一次提完,不接受多次重写。IUL/UL 只改保费不用重写,用门户或 1707。
Within 120 days of the app signature date; Form 8125 plus a new illustration to Rewrites@NationalLife.com, or portal Request a Change → Rewrite/Reconsideration. Ask for every change at once; serial rewrites aren't accepted. A premium change on UL/IUL doesn't need a rewrite; use the portal or a 1707.
最终指示与分成
Final instructions and splits
最终指示最多保留 10 个工作日;计息策略表(20326)必须和演示一致。经纪人报告和申请一起签;写单经纪人不重新申请就不能换; 分成发单后不能改(有的单当天或次日就发),交件时就核对。移除经纪人要新的 Agent Report + 手签放弃函 + 该经纪人官方邮箱来信。
Final instructions are held at most 10 business days; the crediting form (20326) must match the illustration. The agent report is signed with the app; the writing agent can't change without a new app; splits can't change after issue (some cases issue same or next day), so check them at submission. Removing an agent takes a new agent report, a wet-signed letter of relinquishment and an email from that agent's official address.
七、送单7. Delivery
保单是否按申请发出。被保险人健康如有变化,不要送单,先联系核保;被保险人已身故则退回保单。
Was it issued as applied? If the insured's health has changed, don't deliver; contact underwriting first. If the insured has died, return the policy.
当面送最好,配偶/伴侣在场。讲保单、修正页、演示和回执;问一句「签单后有没有新的看病或诊断」,因为两年可抗辩期内的理赔会被重点审查。
In person is best, with spouse or partner present. Review the policy, amendments, illustration and receipt, and ask whether there have been new doctor visits or diagnoses, since claims in the two-year contestable period get extra scrutiny.
整本保单、Buyer's Guide、回执副本都给客户;不能只给签名页。已签演示、修正页和送单回执交回总部,缺了会被取消并追回佣金。
Leave the entire policy, the Buyer's Guide and a receipt copy, never just signature pages. Return the signed illustration, amendments and delivery receipt; missing paperwork means cancellation and chargeback.
只能由总部通过 DocuSign 发起(需要每位签名人的邮箱、生日、社安号)。寿险和一次性年金先发经纪人,经纪人签完再发客户; 第 3 天、第 30 天提醒,第 45 天寄信,第 50 天视为已送达。
Only via DocuSign initiated by the home office (each signer's email, DOB and SSN required). Life and single-premium annuities route to the agent first, then the client; reminders on day 3 and day 30, a letter on day 45, and on day 50 it's deemed delivered.
合规手册写「发单后 30 天或 transmittal 上的 Acceptance Date,以较早者为准」(可提前申请延期);2024 年的合规培训写「75 天内」。 按保单 transmittal 上的日期和最新规定执行,宁早勿晚。送单必须在美国境内;不能扣着保单不送。
The compliance manual says "the earlier of 30 days from issue or the transmittal's Acceptance Date" (extensions can be requested in advance); the 2024 compliance training says "within 75 days". Follow the transmittal date and current rules; earlier is safer. Delivery must happen in the US, and policies must never be held back.
送单时可以附上国家人寿的 Policy Promise Certificate(有西班牙语和中文版)。eDelivery 仪表板和 Client Intelligence 仪表板在 Agent Portal 上。
National Life's Policy Promise Certificates (also in Spanish and Mandarin) can go with the delivery. The eDelivery and Client Intelligence dashboards are on the Agent Portal.
八、保全:年检与 in-force illustration8. Service: reviews and in-force illustrations
合规手册要求「卖什么就服务什么」,至少每年和客户见一次。年检最有用的工具是 in-force illustration:用保单今天的真实价值往后推。 做任何替换或改动之前,先免费索取 in-force illustration(800-732-8939)。
The compliance manual says to service what you sell and meet clients at least once a year. The key review tool is the in-force illustration, projecting from today's actual values. Request a free in-force illustration before any replacement or change (800-732-8939).
Agent Portal → Business Tools → Inforce Illustration,输入保单号(6–9 位,可带公司代码)。系统按产品自动分到 ICS 或 ForeSight。
Agent Portal → Business Tools → Inforce Illustration; enter the policy number (6–9 digits, with or without company code). It routes to ICS or ForeSight by product.
Illustration 页签。现状(As-Is):勾 Illustrate 和 Generate PDF。一直交到满期:Cash Flow 里从当前保单年度选 Payment to Maturity。 停缴:Named Payment 填 0。
Illustration tab. As-is: tick Illustrate and Generate PDF. Pay to maturity: in Cash Flow, choose Payment to Maturity from the current policy year. Stop paying: set Named Payment to 0.
界面和投保前的演示一样,有 Quick View。Reports 页签里加 Statutory Premium(看 MEC/DEFRA 栏)和 Policy Charges & Expenses;Producer Override 改演示人。 算要交多少才能撑到满期:Death Benefit & Funding → Solve for Premium,目标 Net Surrender Value $1,000 于 120 岁。本期保费没交的,加一笔 Lump Sum。
Looks like the pre-sale illustration, with Quick View. In Reports add Statutory Premium (MEC/DEFRA columns) and Policy Charges & Expenses; Producer Override changes the presenter. To find the premium that carries it to maturity: Death Benefit & Funding → Solve for Premium, target Net Surrender Value $1,000 at age 120. If the current modal premium is unpaid, add a Lump Sum.
三种情况一定要跑:每年的年检、客户少交或停交之后(看断保风险)、任何替换或改动之前。怎么读对账单见《产品与附约速查》。
Always run one at the annual review, after the client under-pays or stops (lapse risk), and before any replacement or change. How to read the statement is in Products & Riders.
九、理赔:身故与生前福利9. Claims: death and living benefits
怎么报案
How to start a claim
NationalLife.com/Contact、Claims@NationalLife.com(LSW 年金:LSWClaims@)、800-732-8939,或由经纪人代报。 身故:保单号、被保险人姓名、死亡地点、原因、日期、生日。生前福利:保单号、姓名、发病日期、详情、申请哪一项附约。
NationalLife.com/Contact, Claims@NationalLife.com (LSW annuities: LSWClaims@), 800-732-8939, or through the agent. Death: policy number, insured's name, place, cause and date of death, DOB. Living benefits: policy number, name, onset date, details, which rider.
之后会发生什么
What happens next
分派理赔专员,5 个工作日内发信。身故给付 $100,000 以下走简化流程(专员 5 天内致电受益人);以上则把表格寄给每位受益人。 资料齐全后,身故给付约 5 个工作日内付,生前福利约 15 个工作日。
An examiner is assigned and writes within 5 business days. Death benefits of $100,000 or less use a simplified process (examiner calls the beneficiary within 5 days); larger claims get forms mailed to each beneficiary. Once in good order, death benefits pay in about 5 business days and living benefits in about 15.
会拖慢的情况
What slows it down
两年可抗辩期内的身故(调病历、做陈述);境外死亡(认证过的死亡证明 + 英文翻译);凶杀或自杀调查;意外身故附约要判定是否意外。
Death within the two-year contestable period (records, statements); death abroad (authenticated certificate plus English translation); homicide or suicide investigations; accidental-death riders that need an accident determination.
几个细节
Details that come up
多位受益人各填一份,死亡证明一份即可。可以把部分给付转让给殡仪馆(不能转给信托或公司)。报遗产税要 Form 712。 受益人是未成年人:需要监护人或法院命令,否则按利息留存到成年。
Each beneficiary files a form; one death certificate covers all. Part of the benefit can be assigned to a funeral home (not a trust or company). Estate returns need Form 712. Minor beneficiaries need a custodian or court order; otherwise funds are held at interest until majority.
总给付超过 $100,000 或境外死亡,需要认证过的死亡证明正本;具体以理赔专员来信为准。
A certified death certificate is needed above $100,000 in total or for deaths abroad; the examiner's letter has the final word.
受益人常见问题
Beneficiary questions that come up
- 受益人随时可以改(不可撤销受益人除外),通过客户门户、保险公司或经纪人办理。
- Beneficiaries can be changed at any time (irrevocable ones excepted), via the customer portal, the carrier or the agent.
- 受益人可以是外国人,也不一定要有社安号,不过有的话填上,理赔更快。
- A beneficiary can be a foreign national and needn't have an SSN, but include one if available; it speeds the claim.
- 被保险人不能写自己;没有亲人的长者可以指定信托、慈善机构,或把一部分转让给殡仪馆。
- The insured can't name themselves; elders with no family can name a trust or charity, or assign part to a funeral home.
- 受益人是未成年人时,要写信托或 UGMA/UTMA 托管人,否则理赔时要法院指定监护人。
- For minors, name a trust or UGMA/UTMA custodian, or the claim will need a court-appointed guardian.
生前福利理赔的时间点
Living-benefit timing
| 项目Item | 规则Rule |
|---|---|
| 重大疾病 / 重大伤害报案Critical illness / injury filing | 确诊后 365 天内Within 365 days of diagnosis |
| 生效后的等待期Wait after issue | 多数重疾和慢性病附约 30 天30 days for most critical and chronic riders |
| 慢性病免责期Chronic elimination period | 连续 90 天90 consecutive days |
| 保费豁免 / 失能Waiver of premium / DI | 120 天至 6 个月;失能收入 3 或 6 个月120 days to 6 months; DI 3 or 6 months |
| 理赔期间的保费Premiums during a claim | ABR 不豁免保费,要继续交;定期险部分提前给付后保费会变,终身/IUL/UL 可申请降低计划保费ABRs don't waive premium, so keep paying; term premiums change after partial acceleration; WL/IUL/UL can ask to lower planned premium |
| 持有人失去行为能力Incapacitated owner | 需要财务持久授权书或法院指定监护人;医疗授权书不算Needs a durable financial POA or court-appointed guardian; a medical POA isn't enough |
生前福利的折扣算法、定义和税务见《生前福利》。
Discounting, definitions and tax for living benefits are in Living Benefits.
十、和公司沟通的规矩10. Working with the home office
- 优先用门户/Ascend 留言(会被优先处理),附件用 PDF,一件事一个线程。
- Use portal/Ascend messages first (they're prioritised), PDFs for attachments, one thread per issue.
- 发邮件前先在门户看补件、APS、体检状态,很多问题自己就能查到。
- Check requirements, APS and exam status on the portal before emailing; many answers are already there.
- 24 小时内回复;把对方问的每个问题都答完。
- Reply within 24 hours and answer every question asked.
- 不要回「谢谢」「好的」,在 Ascend 里这会让案件重新排队。
- Don't reply "thanks" or "ok". In Ascend it re-queues the case.
- 门户上找不到申请,先检查电子签名是不是被选成了「打印后手签」。
- If an app is missing on the portal, check that e-signature wasn't set to "print and wet sign".
- 多语种销售支持:Sales Desk 800-906-3310。PFA 录播课:Agent Portal → Training → Learning Library → PFA Content Library。
- Multilingual sales desk: 800-906-3310. PFA on-demand training: Agent Portal → Training → Learning Library → PFA Content Library.
部门邮箱速查
Department mailboxes
| 事项For | 邮箱(都是 @NationalLife.com)Mailbox (all @NationalLife.com) |
|---|---|
| 技术、登录问题Tech and login help | ITServiceDesk@ · 877-654-3499 |
| 上下线层级、新人 fact finder、网站权限Hierarchy, new fact finders, web access | NLGAgencyUpdates@ |
| 签约状态、年金培训、AML、E&O、执照更新、离职与转移Contracting status, annuity training, AML, E&O, licence updates, terminations, transfers | Contracting@ |
| 经纪人邮箱、地址、姓名变更Agent email, address or name changes | EUpdates@ |
| 更换服务经纪人Servicing-agent changes | AgentChanges@ |
| 佣金与欠款Commissions and debt | NLGCompensation@ |
| 寿险送单表格Life forms on delivery | FormsOnDelivery@ (或门户)(or the portal) |
| 退款、客户不要保单Disbursements and not-taken | Disbursements@ |
| 寿险 / 年金账单Life / annuity billing | LifeBilling@ · Billing@ |
| 非 eApp 交的年金申请、年金补件和送单表格(附件用 PDF)Annuity apps outside eApp, outstanding annuity requirements, annuity delivery forms (PDF attachments) | Imaging-new@ |
| 年金适当性Annuity suitability | AnnuitySuitability@ |
| 寿险 / 年金保全Life / annuity in-force service | LifeCustomerService@ · AgentServices@ |
| 出单后新的 1707 扣款授权A new 1707 after issue | EFTTeam@ |
| 定期转换、重写期过后的变更Term conversions, changes after the rewrite window | ContractChange@ |
- 用支票影本交保费要事先申请,并在美东下午 3 点前送到才赶得上当天的佣金截止;邮件里写明不会再寄原件,两样都寄的话,客户可能被扣两次。支票影本收到后 48 小时内扣款,常常在出单甚至批准之前。
- Paying by check copy must be arranged in advance and arrive by 3 pm ET to make that day's commission cut-off; say in the email that the original won't be mailed; send both and the client can be drafted twice. The copy is debited within 48 hours, often before issue or even approval.
- Form 8125 一张保单一份。
- Form 8125: one per policy.
- 出单时想先压着:在 iPipeline 封面页注明 hold at issue。
- To hold a case at issue, request it on the iPipeline coversheet.
- 换 writing agent 要整份申请重新签,等于新申请,原件以不完整结案。Agent Report 上的每位经纪人都能在门户看到并回复案件留言。
- Changing the writing agent needs new signatures on the whole application. It counts as a new app, with the original closed incomplete. Every agent on the Agent Report can see and answer case messages in the portal.
- OnBase 只开放给代理机构层级:签约状态、寿险和年金申请与表格、保单包、年度/季度报表。
- OnBase is agency-level only: contracting status, life and annuity apps and forms, policy packages, annual/quarterly statements.
邮箱如有变动以 Agent Portal 为准。
The Agent Portal has the current list if anything changes.
十一、红线清单11. Red lines
- 不替客户签名、缩写或电子签。即使客户同意,也算伪造。
- Never sign, initial or e-sign for a client. Even with permission it's forgery.
- 不在申请上写自己的地址、电话、邮箱(除非你就是持有人)。
- Never put your own address, phone or email on an app (unless you're the owner).
- 不收现金,不替客户买汇票,不替非家人客户交保费或还贷款,不把保费存进自己的账户。
- No cash, no buying money orders for clients, no paying premiums or loans for non-family clients, no depositing premiums in your account.
- 不在美国境外招揽、签单或送单。
- No solicitation, signing or delivery outside the US.
- 不保留已签名的空白表格;签完后不改答案。
- Never keep signed blank forms, or alter answers after signing.
- 不留存体检报告、APS、化验等医疗资料。
- Don't keep exams, APS, labs or other medical documents.
- 隐瞒替换、用 POA 签申请、扣着保单不送,都是直接违规。
- Undisclosed replacements, POA-signed applications and holding policies are all straight violations.
内部培训资料,仅供签约经纪人使用,不得转发给客户或公开使用。 流程、邮箱、表格编号与时限为 2023–2026 年的版本,可能已更新,以 Agent Portal 当期文件和案件经理的要求为准。
Internal training material for contracted agents only, not for clients or public use. Procedures, mailboxes, form numbers and deadlines reflect 2023–2026 versions and may have changed; the current Agent Portal documents and your case manager take precedence.