By Dr. James M. Dahle, WCI Founder
Wise physicians will have a solid insurance plan and a solid investing plan. But they shouldn't mix the two. Remember the combination TV/VCRs? Seemed like a great idea initially. But then you ended up with the worst of both worlds, and when one of them broke, the other became useless. It's the same with investing. Instead of providing some kind of synergy by mixing the two, you end up with the worst of both worlds.
These “products” go by different names—cash value life insurance, whole life insurance, universal life insurance, variable life insurance, variable universal life insurance, variable annuities, equity-indexed annuities, deferred fixed annuities…the list goes on and on. A large percentage of doctors (including myself) have been suckered into one or more of these at one point or another. Why does that happen? I think there are a number of reasons:
10 Reasons Why Doctors Get Sold Insurance as “Investments”
#1 Lack of Financial Sophistication
As we've discussed previously, doctors aren't exactly in the same category as accountants when it comes to knowledge of the financial world. This knowledge gap handicaps them when they go to make financial decisions. They are too trusting, too naive, too worried about things that don't matter, and not worried enough about things that do.
Even simple financial cliches that most investors know (such as “Don't Mix Insurance and Investing” and “Buy Term and Invest the Difference“) can be profound revelations to a doctor who just spent a decade worth of 80 hour weeks inside the hospital walls.
These products are purposely made to be very complex. They are NOT simple to understand, and when an investor points out issues with it, the salesman will quickly move on to another feature of the product. The complexity always favors the issuer, not the buyer.
#2 Mistaking an Insurance Salesman for a Qualified Investment Advisor
Everyone markets themselves as a financial advisor or a financial planner these days, no matter what their qualifications. Insurance salesmen, stockbrokers, and mutual fund salesmen like to take advantage of the fact that they know just a little more than you.
Unfortunately, most of their training is in sales, which means they can make whatever product they happen to profit from look extremely attractive to you.
#3 Belief That Doctors Need to Invest Differently Than Everyone Else
We like to think we're special, and in some ways we are. Doctors have highly specialized skills allowing for relatively high salaries with correspondingly high tax burdens. We have high debt burdens and have a significant delay to the start of our earnings. We're big targets for litigation—both malpractice and non-malpractice.
When financial salespeople tell us we're different and special, that makes us feel special (and better). But you know what, 95% of what we need to do financially is no different from any other middle-class investor. And for nearly all physicians, the additional benefits of a mixed insurance/investment are not worth their costs. Most of the benefits are either unnecessary or available in a less expensive manner.
#4 Belief That Insurance Products Provide Asset Protection Benefits Not Available in Other Ways
Salespeople are quick to point out that in some states the cash value of a life insurance policy or the value of an annuity may be protected from your creditors in the unlikely event of an above policy limits judgement from malpractice and other litigation. What they usually fail to point out is that so are your 401(k)s, IRAs, and sometimes a great deal of your home equity. Not to mention they are not going to tell you whether it is actually protected from creditors in your state. Life insurance cash value protection is limited in many states and annuity protection is limited in most states, but 401(k)s receive lots of protection in all states and IRAs receive protection in most states.
#5 Belief That Insurance Products Provide Estate Planning Benefits Not Available in Other Ways
The salesman also love to illustrate how life insurance proceeds are estate tax-free. Of course, hardly any Americans (including physicians) pay estate taxes at all. A typical married physician has to leave behind more than $23 Million at their death to pay ANY estate tax. Most doctors will never have that amount of assets.
Estate tax law can change at any time, of course. It wasn't that long ago that the exemption amount was only $1 Million. But through gifting and trusts, there are ways to eliminate or minimize that burden without paying for overly expensive insurance.
#6 Belief That Insurance Products Provide Tax Benefits Not Available in Other Ways
I am appalled at how many physicians don't max out retirement accounts such as 401(k)s and IRAs before “investing” in life insurance. The tax benefits of a 401(k) exceed those of cash value life insurance. Not only do you get the tax-free growth over the years, but you also get an upfront tax deduction.

The main problem with investing in insurance is you have to quit doing stuff that keeps you from getting insurance at a decent rate, like this.
Cash value life insurance doesn't offer that. Don't expect to learn that from someone who sells it though. Even fully taxable investment accounts provide some tax benefits not available in an insurance product, including lower qualified dividend and long term capital gains tax rates, tax loss harvesting, and the step-up in basis at death.
#7 Misunderstanding the Value of a Guarantee
Most of these products come with some kind of guarantee. It might be a certain amount of guaranteed value at some point down the road, some kind of guaranteed minimum growth rate, or a guaranteed amount payable at death, but I can assure you there will be some kind of guaranteed benefit.
Is there a value to that guarantee? Of course, and it seems especially valuable in times of high market volatility or political uncertainty. However, in nearly every case the buyer is overpaying for that guarantee. The complexity favors the seller, not the buyer.
#8 Misunderstanding of the Importance of Keeping Insurance Costs Down
As these products become more and more complex, they become less and less like commodities. Commodities are all the same and are sold based on price. If a company sells a variable annuity that is different from every other variable annuity on the market, it becomes very difficult, bordering on impossible, to compare competing products and the investor usually ends up with the one that pays the biggest commission to the salesman. Each of these products have some type of insurance component. The insurance company can charge whatever it wants for that. If you have no way of determining what the insurance cost should be, how will you know if you're being ripped off? You won't, and you are.
#9 Misunderstanding of the Importance of Keeping Investment Costs Down
To make matters worse, the investment component is also often overpriced. Variable life insurance and variable annuities, in particular, place your money into the equivalent of mutual funds, except they are managed by the insurance company. The company not only doesn't hire very good managers (why would it, no one buying the fund is looking very closely at them), but it also overcharges for them.
The expense ratios on these variable annuity “funds” are some of the highest I've seen. They can range from 1.5% to 3% or even higher. That's 10 or even 100 times what you'd pay for a mutual fund at Vanguard, even an actively-managed one.
#10 Misunderstanding of the Value of Liquidity
One of the biggest downsides of these insurance products is the lack of liquidity. Some investors recommend you never buy something that you can't look up the price of in the Wall Street Journal every day. Stocks, bonds, and mutual funds can generally be sold any day the market is open. You can “go to cash” any time you want. This allows you access to your money to invest it elsewhere, spend it, or give it away.
Insurance products always limit your liquidity. In fact, the only ways you can access your cash in most products is to “borrow” from your policy (which has its downsides, including paying interest and sometimes causing the policy to fail) or to surrender it, often for much less than what the “cash value” is supposed to be. Liquidity has a value, and far too often insurance product investors give it away for nothing.
The bottom line is that there is no synergy that comes from mixing investing and insurance. Don't get me wrong; I'm a big fan of insurance. I think you should insure very well against financial catastrophes. But any time agents start combining insurance policies with investments (or other insurance policies), you should step back and consider whether you would be better off buying your needed financial products a la carte.
What do you think? Why do you think physicians get sold so much insurance they don't need? Did you ever get talked into buying insurance that you didn't need? Sound off below!
What are you hoping to get out of this conversation Fred? You’re certainly not going to bring me around to your point of view. Almost no one is going to read 2 hours of comments below a 3 year old post. The links are “no-follow” links so your site isn’t getting any Google juice from them. Maybe I’m just busier than you are but we seem to just be going around and around in circles here. I truly don’t have 12 hours to spend repeating the samet hings to you. You’ve posted dozens of comments, probably >10,000 words. I’m curious as to your motivation.
Heck I’m just getting warmed up and I’m 64. The next thing I want to talk to you about is rolling 401k assets into equity index annuities, coded as an IRA, with a guaranteed income rider that allows a step up in basis.
“Don’t Mix Insurance And Investments”
Yet you seem to advocate SPIAs.
An annuity mixes insurance with investments… it’s almost the exact opposite of a Permanent Insurance contract.
A SPIA is insurance- insurance against running out of money in your old age. It’s basically buying a pension. Whether you want to call that an exception to my general rule or semantics is up to you.
Looking for opinions:
I am headed into my first job from residency as a primary care provider and trying to figure out best retirement saving strategy after maxing out my 401k. My understanding is Roth IRA isn’t an option due to household income being too high. What should I do with the other money I want to save and what are my options. My adviser said cash value life insurance would be a good option (this is on top of my annual renewable term policy I already have). From reading on this site and elsewhere, I am skeptical about this approach. I mentioned backdoor roth to my adviser and he didn’t want to discuss it too much. He said it could be a good option but there are some catches that we didn’t get into much. Any thoughts?
I love it when I find people who are just learning about a backdoor Roth IRA. 🙂
And you need a new advisor. One who doesn’t sell cash value insurance inappropriately.
So do a backdoor Roth IRA for you and your spouse if you have one, an individual 401(k) for any moonlighting/side gig income, and a taxable account (or put it toward your loans or a house downpayment) for the rest. No cash value life insurance required.
https://www.whitecoatinvestor.com/backdoor-roth-ira-tutorial/
https://www.whitecoatinvestor.com/12-questions-to-ask-before-purchasing-whole-life-insurance/
Boy oh boy, I’ve shifted through all the comments and enjoyed reading your commentary in response Fred’s posts. I couldn’t tell if he was being deliberately ignorant about tax brackets and effective tax rates or was he really that stupid. It’s very dishonest to him to refuse to post an actual illustration of that silver bullet IUL he keeps clamoring about. My guess it’s that it’d get ripped to shreds once we read the fees/expenses section 😉
James,
I can’t believe I have missed this post for seven years! The message is “spot on…” not only for physicians, but any 401k plan participant. Seven years after you published this post, the cons versus the pros of “investing” in insurance products are just beginning to surface! And the cons outweigh the pros by huge proportions!
Any 401k owner that really believes he is “investing” in an insurance offered product need only to call the New York State Department of Insurance for clarification. NY just passed a “best interest” rule for insurance products….. now I wonder why they felt compelled to do so, and they referred to plan participants as “insureds” in the bill, since they realized anyone that puts their savings with an insurance company is NOT an investor!
I would love for you to re-publish this article as it applies ten-fold today….. I would also like to publish excerpts from this post in my blog post, http://www.fiduciaryfactor.com, if you have no objections.
Thanks,
Dennis Myhre, AIC
That would be fine. I agree, the message is timeless. I’ve been using this phrase for nearly a decade before this post was written.
Thanks….
What do you think of Wealth Formula Banking and Velocity Plus ?
https://www.wealthformulabanking.com/
Does the recommendation to avoid mixing insurance and investing apply to products like this?
Discussed here:
https://www.whitecoatinvestor.com/a-twist-on-whole-life-insurance/
Thanks
This was great in 2011 and still is nearly a decade later. (Yes, I have been reading your blog that long!)
We’ll see if it is received with less confusion and hostility this time around.
I’m amazed that every time I give a financial talk to physicians this question comes up.
Lastly, the only reason I would add is: Doctors are naively trusting and don’t fully understand how much incentives drive behaviors. Commissioned products will always be sold and then rationalized later. It doesn’t matter if the salesman is a “nice guy” or a neighbor you trust. Wanting to make a living doesn’t make them bad people. Many doctors seem confused by all this.
Well, since you were the only one writing before me, I’m not surprised that both you and my mother were reading in 2011.
This is a great post. However, I am exhausted from reading all of the comments. To me, it all boils down to an old rule of not purchasing something you don’t understand.
You’re exhausted? Imagine having 2000 of these posts that people leave comments on for the next ten years.
I took out a 20 year level premium custom WLI when I was 40 with the goal of diversification for possible estate planning needs / challenges that I couldn’t anticipate at the time, given all of the uncertainties of life and tax laws. Since that time, estate taxes laws have changed, will revert back in 2026 and may we’ll change again a few times before I die. I didn’t realize how much tax laws change and how it can mess up your estate planning strategies. I am now divorced, which I didn’t anticipate at the time. Now I have half of the estate tax exemption that I had when I was married. I have been more successful financially than I anticipated and stock market returns have exceeded my expectations/projections. The recent passage of the SECURE Act has now eliminated the stretch IRA that had formed the cornerstone of my estate planning as I maxed out my 401k, Keogh/PSP and cash balance plan but planned to live off my brokerage investments, leaving my IRAs to my kids. I didn’t expect this change. One of my children has developed a chronic illness that will adversely impact her ability to earn but is not a “disability” for the purposes of tax planning for a disabled child. This was not anticipated. It gives me comfort to know she will have a financial safety net. I keep hearing about how Congress may eliminate the STEP UP IN BASIS on securities held in brokerage accounts. So it seems that my large deferred accounts are subject to income tax, my significant taxable accounts potentially subject to capital gains, and both subject to estate taxes. That’s a lot. Annual gifting into trusts won’t help that much. Do my kids “need “ an inheritance? One of them sure does. Why did I work so hard, live well below my means, save, delay gratification, and invest and plan based on tax laws only to have them change? I could purchases single or possibly a 2nd to die life insurance policy to pay estate taxes except….I am now uninsurable due to my own health issues.
Who knew at the time that I took out my custom WLI policy and placed it in an ILIT when I was 40 how much it would help me further my goals when I was in my 70’s and 80’s? Certainly it wasn’t designed to be an “investment” or a major part of my financial portfolio. It didn’t outperform the market. It had some fees (but was a special product designed with a mixture of term and permanent insurance initially to keep costs down) It does seem to offer me some value. It also provides some security guarantees. Isn’t the purpose of insurance to protect against risk…including unforeseen risks? I recognize that perhaps it may have helped my situation….a scenario that does not apply to the vast majority of docs. At the time I took the policy out, I couldn’t have anticipate my future.
Glad you’re happy with it. I see the same issue (life changes) cause a lot of people to also regret their purchase of WLI.
Also, you may or may not be aware that you can put other assets in an irrevocable trust. How much would be in there now if you’d put index funds in there at 40?
https://www.whitecoatinvestor.com/you-dont-have-to-buy-life-insurance-with-your-irrevocable-trust/
If the step-up in basis goes away, I agree that certainly will add value to a WL policy vs a taxable account.
Hey man, I’m sorry for your health issues and that of your child. But you are an instance where WLI worked, though not as anticipated.
Unfortunately for me 8 years ago I bought NWM WLI paid to 65 1million death benefit for me and my wife, cost of 30K per year. 7 years later I was in $31K of credit card debt, having financial fights with my wife to the point of divorce, working more to make more money so I wasn’t seeing my 2 kids, trying to rush through patients to generate enough RVU’s to keep up with the WLI premiums, and had one patient send a nasty e-mail to me after I rushed through their visit with a diagnosis of brain cancer. I 1035 exchanged the policies at a 50K loss 🙁
WLI not only put my family in $31K of credit card debt, but strained my relationship with my wife, and kids, and compromised the care I give my patients. I am ashamed that I got duped into this and it hurt me, my family, and my patients.
The only good thing was that it made me become financially literate. I am a huge advocate for making it illegal to sell WLI, but given your situation I will try an advocate for not really totally getting rid of it, but stop at least inappropriate selling of it.
there is talk of lowering the exemption to half of what it is as well as taking inherited IRAs over 5 yrs
The best we can d o is Convert as much. as possible to Roths, take excess contributions if you are in a tax friendly state like f Florida
the govt is going after deep p/ockets
Read Langes book on beating the death tax
There’s always talk. Some of it will come to pass. Remember that sometimes taxes go the other way too (see TCJA for a prime example).
I wonder what ever happened to Fred
I wish Fred would read my comment above, or my guest post . . .
Fred above (or someone purporting to be him) posted a link to http://www.fredbrisker.com on or about July 22nd, 2014. There’s a Fred Brisker who is reported to have lost his Ohio insurance license and is alleged to have been involved in disability insurance fraud, forgery, human trafficking, prostitution and more.
https://www.cincinnati.com/in-depth/news/2019/03/21/sex-trafficking-trapped-and-trafficked-portsmouth-ohio/2839816002/
https://www.cincinnati.com/story/news/your-watchdog/2019/05/27/ohio-moves-suspend-insurance-agent-allegedly-involved-portsmouth-sex-ring/3677865002/
https://www.sciotocountydailynews.com/brisker-revoked/
Wow, I cannot believe this post is nearly a decade old. The problem is it still rings true today and not just for doctors, but for lots of other professions.
Hi WCI, I am an actuary married to a physician. Been really enjoying your book, blog posts, and comments. Keep up the great work! Posting for the first time here because I really agree with this particular blog post. I price insurance for a living so I understand all the math behind the insurance premiums.
It never ceases to amaze me how much commissions and expenses that are baked into premium calculations. I work for a stock traded insurance company, so it will be worse than mutual, but it is horrible. Rates constantly change with regulations and markets, but there are times where I have seen policies that almost 50% of the premium is paying expenses: commissions, underwriting expenses, taxes, fees, and overhead expenses. Insurance is a for-profit industry so you really do have to lose something to win financially (die early, car accident, house fire, etc). Insurance has a purpose to protect against catastrophic losses, but outside that it is absolutely horrible for investing. There are so many restrictions on what insurance companies can invest premiums in so that they don’t lose their insured premiums to market volatility. Even still, many insurance companies invested their own money in bad securities in 2008 and didn’t do better than banks. So only buy insurance from insurance companies since that is the only thing they are good for.
I hate how agents and sales reps constantly misrepresent themselves as financial advisors, but only show insurance products from one company. Many of them are really good at sales, but don’t care to know the true math because it won’t help their con. Agents know how to sell and everything they say and do serves that purpose. There is a place to sales agents in business, but not when it comes to investments tied to huge conflicts of interest (aka commissions). Agents make so much money on commissions it is essentially their life. Sell or die. You seem to be handling the sales agents quite well in the comments. Been a joy to read. 🙂
Sounds like you could write a really great guest post, even if you had to do it anonymously.
https://www.whitecoatinvestor.com/contact/guest-post-policy/
[…] is little need to mix insurance and investing, aside from the potential purchase of a single premium immediate annuity (SPIA) in retirement to […]
I am a newcomer to your site and have really enjoyed reading this comment thread (believe it or not).
It never ceases to amaze me when people like Fred gush such word-salads while seeming to lack any grasp whatsoever of basic financial/mathematical concepts.
Kudos to you for debunking his fallacious arguments.
Amazing how many years these last isn’t it?
My partner just told me he has an “overfunded whole life insurance policy that has a nice return and is money that can’t be taxed. Can access the money anytime he wants and is not the whole life insurance policy that gets a bad rep.”
Ive never heard of “overfunded whole life.” Is this different? Can you translate what he is describing? Thanks Jim!
These posts might help:
https://www.whitecoatinvestor.com/infinite-banking-bank-on-yourself/
https://www.whitecoatinvestor.com/appropriate-uses-of-permanent-life-insurance/
One way to improve the returns on a whole life policy (although not dramatically) is to “overfund” it. That means buying “paid up additions” to the “MEC line.” Paid up additions generally charge lower commission rates than the base policy so your return is a little better if you do that. You should break even sooner. Perhaps in 5 years instead of 15. Kind of like paying your entire premium once a year gives you a little better return but probably a bigger effect.
It doesn’t magically give you a stock like return instead of a bond like return in the long run or anything though.