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 Insurance Talk V7!, Your one stop Insurance Discussion

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JIUHWEI
post Oct 5 2023, 04:39 PM

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QUOTE(Ramjade @ Oct 3 2023, 04:29 PM)
So? You take premium holiday your sustainability suffer. You may need to topup down the road. No free lunch.

Like I said, insurance is burn money and have to pay for it. If don't want to burn own money, and have insurance pay for you, the best option is invest in insurance company shares and take their dividends and pay them back in premium.

That's what the blogger did with his curry puff. Now he enjoying free curry puff from the company for years already. That's what I am doing. Having my banks and my UK insurer pay for my insurance premium cause AIA dividends are not worth buying.
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Anybody forced you to take the premium holiday?

Can you name me something that isn't a "burn money" affair?
Let's be realistic here. You're not living on an island, and you certainly don't plant your own rice, collect your own rubber tree sap to make into all the rubber products that you use, dig your own oil wells just to produce your own plastic straw to sip water from a cup.
You're from this century, correct?

I'm a dividend guy myself. This is not a new thing.
In fact, I have a blueprint for my wife to follow in my absence that will largely be derived from dividends.

So what is it you're trying to do here?
Your first enquiry here in this forum was to look for a Life Insurance that can make you money when terminated in 10 years.
I told you I can do it for you, then you pivot to ILP vs standalone.
After calling us all kinds of names too, mind you.

I gave it a good thought and decided to follow your lead and compare and contrast with a third party's case study.
Pendekatan pun ikut your rentak. Then you pivot again to having dividends pay for your premiums.

Are you an AI programmed to always take an opposing stance?

Part of my agency training now is to go up against Chat GPT too.
Chat GPT also doesn't pivot as much as you do.

Quite impressive that you part with certain amounts in your investments capital with the sole aim of generating enough dividends to pay for your AIA Medical Insurance premiums.
No wonder price is so sensitive for you. I can finally understand why you would settle for a plan to, at the age you need it most, give up on medical insurance altogether and try your luck at Gov hospitals.

Not commenting anything about your plan and approach. If it works for you, it works for you.
Just don't impose such a high-risk method on others.
Like signing up a new medical plan every 10 years for no good reason... That's a pretty extreme plan to follow.

And I just wish you'd refrain from telling others here to cancel their medical plans so lightly.
You at least find out about their health conditions first boleh?
Are you going to be held responsible in the case of any exclusions?
Let's be objective about it lah... It's people's lives leh...
Everybody here also got family behind them wan. Just like you do as well.
Ada faham?

JIUHWEI
post Oct 5 2023, 05:10 PM

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QUOTE(Wedchar2912 @ Oct 3 2023, 06:08 PM)
long ago, I was told by a product manager that the agent gets commission on pretty much everything the insurance made (officially allowed to be recognized as revenue) from the policy sold, as per a schedule table. He hinted that includes the trailer fees from the investment funds.

decide what you will from this info (only disclaimer is that this info was a while back, and I don't know if the situation/rules are the same nowadays).
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There's 3 parts to an ILP policy - 1) regular premiums; 2) regular top-up; 3) ad-hoc top-up.

So everybody knows about the regular premiums - 161% of the annual premiums, spread out over 6 years, subject to adherence to BSC and persistency over D0, D1 & D2.
Now come the regular top-up - 2.xx% perpetually.
Now come the ad-hoc top-up - 2.xx% on each and every top-up.
Any new amounts that come in under any of the 3 categories above will be treated the same accordingly.

So if you love your agents a lot, maybe consider some amounts in regular top-up and ad-hoc top-up regularly?



Then we come to traditional policies - 171% of the annual premiums, spread out over 6 years, also subject to adherence to BSC and persistency over D0, D1 & D2.

If I can be even more transparent about it, let me know how.
JIUHWEI
post Oct 5 2023, 11:43 PM

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QUOTE(Wedchar2912 @ Oct 5 2023, 06:38 PM)
Thanks for the extra color. To me, it is still a bit confusing as it could be due to the terminology used.

What we can understand is that ILP is a more lucrative to both the insurer and the agents, which is why ILP is sold more actively. Nothing wrong with this, but to keep on claiming medical card is inferior on its own is not right.
The product manager (someone I knew due to my work, and no, I am not from insurance industry) essentially said agents will get rewarded for the revenue generated by the investment funds as well. For better or worse, she mentioned that included trailer fees. I didn't ask further about formula or incentive schemes, as I know every biz activities will have its own profit margin and knowing full details serve no purpose to my work back then.

Now, don't get me wrong. I myself purchased a ILP and I understand the product bundle. But it doesn't mean that agents can simply talk or hide info about said products when asked. that is unethical. Choosing to remain quiet is a different story (I noticed some agents do that here, and that is completely fine as it is a free public forum). Threatening others who are sharing info is outright despicable.
 
A simple example is like a store selling a full gaming computer system vs selling individual parts. Savvier persons can assemble one themselves, while others choose to get a the full system. No right, no wrong.
(yeah, I also understand that sometimes, a client will choose not purchase the bundle when they find out how much margin the seller is making. Such client always exist, and as sales people, just need to educate the client better: No one does things for free.... Just see the 161% of annual premium as commission for the agent... some just cannot stomach this cost, but they don't realize that such is the market here. either buy or don't buy or find alternatives)

Eitherway, I am not here to break anyone's rice bowl... This is just a public forum, and lets just make it informative at least for all.
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Please be clear that I have taken every opportunity to make it very clear that every product is designed and priced for specific market segments.

There is no merits to champion one over the other, we just want to give you, and everyone here seeking clarification, what fits.
Even buying cars and houses they go through your income statements kan?


JIUHWEI
post Oct 6 2023, 12:03 AM

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QUOTE(poweredbydiscuz @ Oct 5 2023, 10:08 PM)
Dude you barking up the wrong tree?
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K, I certainly did.

@Ramjade sorry bro, I totally mixed you up with another person.
Totally uncool on my part, I apologize.

But yes, it's good to DIY, keep things separate.
Good that you walk the talk, but the path you walk, albeit being your preferred modus operandi, it is really not for everybody.
Just visit the customer service branches when you betul2 free, and look at the amount of people in line, complaint la, regret la, etc.

ILP does have some features and benefits above standalone, but it does expose the insured to market risks, hence the term "Investment-linked".

Which is better?
The one that fits is better lo
And it's a long term commitment too.
Please don't suka2 change here and there, not trying to prevent you from getting the latest and greatest, but the current market offerings are about as generous as it will get from what I can see.

Pro-tip moving forward:
Deductibles - good.
Co-pay/co-insurance - bad.

The industry moved away from inner limits, illness/treatment-specific limits, co-insurance, deductibles, lifetime limits... up till now we are all seeing deductibles being reintroduced back into the market. Will the rest follow? My best guess is yes.
I've had the privilege of meeting with Ng Keng Hooi, Loh Guat Lan, Mark O'Dell, and the late Bill Lisle on separate occasions.
Those are all coming back into the market if claims trend does not ease up.
Last thing we need is for big-pharma to creep into our policies!

Of course this is a very macro perspective, but we're all headed into the same future together.
So, don't say I x bagi heads up.

This post has been edited by JIUHWEI: Oct 6 2023, 12:06 AM
JIUHWEI
post Oct 6 2023, 01:19 AM

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QUOTE(Ramjade @ Oct 6 2023, 12:33 AM)
No worries. I am cool.

If you know the management of AIA tell them this. Intro outpatient coverage and watch their claim drop. Win win for everyone. Less people admit, pool won't dried up so fast, premium no need increase so much. Customer stick around for longer.

But I don't have any high hopes. Lol.

So what did you tried to follow me? What pendekatan?
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AIA already straight up rewarding customers with cash via the AIA Vitality program.
Just stay active, do the activities that leads you to be healthier!
Get to know your health - Vitality health check, dental checks, etc
Improve your health - step counts, gym check-ins, fitness assessments, etc
Get rewarded - TNG cash vouchers, membership discounts, deductible waivers, etc

Your medical plan is eligible to sign up for Vitality lah.
Why you not making full use of it? Go join the device challenge now lah Nicole David talk until no more saliva d.

I just compare and contrast lo.
COI for medical memang lower on the ILP structure.
Total comms to life planner also lower compared to standalone (if you put 100% regular premiums).
Only downside I can see is that it exposes the insured to market risks.

There is a plan suitable for all market segments.
And those who just want to have total control of their investments, nothing wrong with that either.
Just buy standalone plans.

Is it a burning money affair? You tell me
Whether you buy or don't buy, you would've already bought.
Whoever took the premiums that you're supposed to pay, will be the one footing the medical fees.
If you took it, you pay lah.
There are so many merits to keeping the premiums for yourself too.
There's no such thing as exclusion
Covers even for experimental procedures
Aesthetic procedures cover 100% worldwide
GL will never ever be rejected
Whole world hospitals and doctors are all panel
No annual limit, No lifetime limit
No limits to room and board too
Self-inflicted injuries also no issues

Only downside is no tax benefits.
But, considering the generosity of coverage and the outlandishly low rates, mesti okay la kan?
JIUHWEI
post Oct 10 2023, 02:23 AM

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QUOTE(YoungMan @ Oct 9 2023, 09:47 PM)
Quick questions. Any provider that have insurance for short 2-3 days outdoor recreational activities? Mainly to cover accident or injuries during camping, no need fancy products. If yes, how hard it is to apply for group coverage and the cost of it?
Thank you
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Yes ada. In fact, I do a lot of it.
How big is your group?
JIUHWEI
post Oct 10 2023, 01:22 PM

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QUOTE(YoungMan @ Oct 10 2023, 11:02 AM)
Estimated to be Around 50 to 55 packs, age 18 to 60 years old.
Venue will be at one of the resort in Kuching. Activities yet to be finalise, but comprise some indoor and light outdoor activities at the beach.
Need to know the cost whether can fit in the current budget or not.  If both of you need more info can pm.
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Should be RM10/person.


JIUHWEI
post Oct 13 2023, 05:21 PM

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QUOTE(smallgiant @ Oct 13 2023, 01:56 PM)
I'm still trying to gather all the details.

The premium was paid via deductions,  according to the bank, it was mcis that stopped the payment, though my mom did not receive any notifications. I talked with mcis Cs, she said payment was stopped because it wasn't enough to cover the insurance premium.
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I'm trying to understand your situation, same like everyone else here.
I try to organize it first ya

Policy was bought when?
What kind of policy was it?
When was the last payment made?

The last payment obviously x jadi sebab we're now in the current situation.
So when was the premium due date that was missed?

The premiums, are they charged to a credit card via auto-debit?

The policy, what date was it lapsed?
Wanna see any chance to have it restored.
Please use exactly this term when talking to the CS, because we do not want your mom to go through any waiting periods, etc.
TO RESTORE THE POLICY

If I were you, I'd look up any and all comms (sms, emails, letters) by the insurance company.
Call up the agent, request for it.
At least my admin keeps track of all the correspondence letters with all my clients.
JIUHWEI
post Oct 15 2023, 07:45 AM

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QUOTE(smallgiant @ Oct 14 2023, 11:08 AM)
Agent still active, in fact my mother knows her personally, but of course insurance agent being insurance agent, not very helpful.
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Okay. I shall then cease to even attempt.
JIUHWEI
post Oct 16 2023, 02:27 PM

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QUOTE(mini orchard @ Oct 16 2023, 07:37 AM)
You are trying to be an underwriter and a doctor ?

Just submit the application form to the best of your knowledge and let others do their job. Insurers also know no human is perfect, whether knowingly or otherwise.

Avoid using medical terms in application forms unless confirmed by a doctor, otherwise it is only digging own grave.

Why worry over small matter ? If insurer wants to insured you with certain TNC, then good. Otherwise, just take care of your health and be your own insurer. Is not only you facing this problem.

The only fault is you didn't buy early. The longer you think, think and think, other medical issues may appear and you can forget about buying insurance.
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X cukup stress kot...
JIUHWEI
post Oct 18 2023, 09:25 AM

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Hi guys,
I just wanna make clear again, that the purpose of Life Insurance is not for any sort of returns. The same goes to ILP as well.
ILP exists just as another option to serve the upper-middle market segment and up, as a whole-life non-participating product.

It also does not mean that those in the upper-middle market segment and up cannot access products like a Term Life insurance.

I hope we can steer this great thread back towards needs-based, rather than going off on a tangent, needlessly pegging one product against the others.

I mean, we don't see supermarkets trying to convince anybody why GMOs are one way and organic or local produce are another way kan?
They just have it there, as an option for those who prefers or has certain dietary habits/requirements to get it.

Same goes to just about everything else in our lives la kan.
Can a rich person go squat at roadside stall with me? Can mah
But can I day day spend 3-400 drinking with top 1% people? Cannot mah

This post has been edited by JIUHWEI: Oct 18 2023, 10:05 AM
JIUHWEI
post Oct 22 2023, 04:51 PM

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QUOTE(mini orchard @ Oct 19 2023, 08:16 AM)
I don't agree that buying insurance is similar to buying from a supermarket.

Buying insurance is a personal service by agents similar to visiting a doctor.

Someone enters a clinic and tells the doctor he is sick. The doctor asked few questions and then prescribed some medications and the patient goes home.

If he doesn't get well after few days, he goes back to the clinic and the doctor will prescribed another round of medication and payment.

The patient says he can't afford another payment and the doctor will advise him to either cont with the old medication or visit the public hospital.

The above may not relate 100% to selling insurance but in most personal services, a buyer will normally take 'advise' from his agent that is decided for him.

Coming back to the clinic, the doctors doesn't give options to the patient that there are few other medications that he can take and the charges or even suggesting to buy from a pharmacy. It can be cheaper or more expensive but the choices were never given similar to a supermarket where all products and prices are displayed 🤔

The patient will not doubt the doctor intention that he is doing it for his best interest but then again if the patient financial situation changes, is not his fault thou, there is always a public hospital.

But if the doctor gives option to the patient, then I guess he will rather work in a public hospital and draw a fixed salary instead of thinking how to pay his rental, nurses, utility bills etc.

Bank borrowings are more transparent personal service. They will tell outright whether a borrower is qualified for a loan or a lowered amount. They don't give borrower the money first and sue later because it is their money !

Good sharing from you as an agent pov.

Hopefully my post won't get reported from anyone just because my thoughts differ.
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Quite agree with you on the doctor analogy.
However, we also won't ask the doctor between generic and name-brand medication kan?

JIUHWEI
post Oct 25 2023, 02:53 PM

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QUOTE(mini orchard @ Oct 24 2023, 12:01 PM)
if things can be remedied with Panadol / more sleep / right diet / less alcohol / less drugs / more exercise ... agents have to eat grass. 🤣
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I highly doubt it.
There's so much more to an individual's obligations than just medical insurance.
To put it bluntly, a medical insurance policy is basically guaranteeing the medical service providers that they will be paid accordingly.
Beyond that, what else is there?

Whether or not a person want to take any proactive action on their personal financial needs, either with cash or trust or life insurance, it's entirely up to the individual and the options available to them, given their resources & requirements (if any).
This is when actual valuable discussions happen between life planners like myself and the client/prospect.

But if the client/prospect want to come into the discussion with only the aim of judging the life planner, to see if the life planner can regurgitate whatever they read on the internet... what's the objective, really?
Again with the doctor analogy, what's the point of checking if the doctor's diagnosis is the same with your own diagnosis? And then prescribe the same medicine as what you found on the internet?
Mystery shopper at least gets remunerated by their employers to do these things.
Yes, every insurer has their own team of mystery shoppers to call up and meet with their own reps randomly.
Part of BNM requirements and guidelines too.
JIUHWEI
post Oct 25 2023, 10:50 PM

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QUOTE(contestchris @ Oct 24 2023, 03:48 PM)
I think there must be a revamp of medical insurance as it is. People should be incentivized to not make frivolous claims. Maybe something like NCD for motor insurance. Perhaps having deductibles is one way, but also some kind of rewards for no claims made.
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It's weird that people should be incentivized to not make frivolous claims...
But I guess I catch your train of thought.

Maybe the Takaful model would be what sits well with you.
Every FYE, a portion of the surplus will be shared and distributed accordingly with all the members.
What do you think? Give Takaful a go?

Co-insurance is definitely coming back.
As a consumer, I hate it.
But it works from a macro perspective.

So what's the difference between a "deductible" and "co-insurance"?

Here's how a deductible works:
It is the first portion of the total claims that is paid by the insured. Hence the name - deductible.

Here's how a co-insurance works:
The insured is agreeing into taking care of a portion of the total bill together with the insurer.

TL;DR version:
Any deductible amounts can be claimed from another policy that the insured may or may not have.
But co-insurance amounts x boleh. Sebab the insured agrees to shoulder that obligation.

So yes, we are at the tail end of plans with deductibles.
Co-insurance (a thing of the past) is coming back. Only a matter of time.
Mau beli, beli skang.
Mau tunggu, teruskan menunggu
JIUHWEI
post Oct 26 2023, 09:00 AM

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QUOTE(Ramjade @ Oct 24 2023, 05:25 PM)
There are insurance which offer no claim rewards. The real problem is insurance can save cost if they offer outpatient coverage. As silly as it sounds , outpatient coverage cost less than admissions.

By them making everything must admit then only can it is covered, you can't blame people for admitting for small stuff. After all who wants to pay for medical bills when you already pay for insurance right?
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I beg to differ.

There used to be an insurer in Malaysia that did that, thinking that by offering outpatient coverage to its own customers, it'll somehow bring down the claims ratio, thereby achieving some savings in terms of Cost of Insurance.
Well, what happened was that the portfolio failed and the insurer had to immediately pull that product off the market as claims was through the roof.
I don't know if those sold are still being honored or not.

So yes, I can see how it is easy for consumers to take an attitude of who wants to pay for medical bills when you already pay for insurance.
And, we can continue to take that attitude and continue to blame the big corporates; or we can start looking at insurance policies for what they essentially are: contracts.
The more favorable a contract to your favor, the more you gta cough up. It works the same for both parties that enter into a contract.

So if you want an insurance that "baokaliao"
Then better be prepared to open up your wallet and pay.
It goes both ways.
If your employer demands more of your time or higher service level, you would naturally ask for more pay kan?

I hope I'm making some sense here.
JIUHWEI
post Nov 14 2023, 01:02 PM

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QUOTE(cc1101027 @ Nov 11 2023, 06:39 PM)
Would like to understand is below premium amount is normal? I feel quite expensive with the amount of coverage.

Age: 64
Medical Card Coverage: RM100k per annum
Premium: RM5200 per year

Thank you in advance on any advice.
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Look deeper into the proposal
I believe there is more than just a medical coverage la

Please bother to spend the time to understand it together with whoever it is that gave the proposal to you.
Then also communicate with the person rather than just take it then throw it here for the "cheapest" premium.

Below 3k also can do.
But will it be what you want to live with is another issue altogether.
And you'll be the one living with the plan.

So please take the time to understand it from the life planner that gave you the proposal.
JIUHWEI
post Nov 19 2023, 10:14 AM

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QUOTE(cc1101027 @ Nov 18 2023, 06:53 PM)
It is a existing medical card that we are paying now for few years ad and it is really cover 100k only that it. No cover life, CI or any others.

Any insurance agent interested to assist do pme me. Would like to understand more any possible better coverage for my parents.
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Are there any claims made previously?

Check back with the insurer, if there's any opportunities like guaranteed issue offer, etc.

JIUHWEI
post Nov 23 2023, 10:43 AM

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QUOTE(boyboycute @ Nov 22 2023, 09:33 AM)
Provided you can get a bed or you're category 1&2
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Covid-19 hospitalization only covers for Category 3 onwards, depending on the severity too.
Based on what leh? Doctor's report loh.

I think the consumers at large can now expect their insurance providers to withdraw the exclusion clause on communicable diseases and/or diseases requiring quarantine by law.

But just to leave nothing up to chance, do check back on your policy contracts, or any endorsements issued on older policy contracts.
JIUHWEI
post Nov 27 2023, 02:34 PM

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QUOTE(boyboycute @ Nov 23 2023, 11:32 AM)
Well, good luck in trying to get a bed in private hospital when you're infected. The supply of beds is way way lesser than the number of insurance coverage.

No one is controlling the number of COVID coverage sold to Rakyat. Somebody is minting money here
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So if got slot for you, you gna accept or reject it?

Klo ur policy x cover, you comfortable with it, then okay lah.
Why have to find something negative out of every good thing?
JIUHWEI
post Dec 5 2023, 04:27 PM

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QUOTE(Holocene @ Dec 5 2023, 04:07 PM)
The welcome call initiative was initiated a few years ago. It is also at random, not all policy holders will receive them.

During the welcome call, typically they will ask some questions to verify the policyholder understands what they have signed up for.

If your relative have missed the call, they might get the agent to arrange a time for a call back.

Finally, get your relative to get in touch with them the insurance company.
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For the benefit of everyone reading, the same is true for every insurer.

The random call is betul2 random wan.

AIA called me also to welcome me to AIA and for buying a new policy.
I thanked them for the call and told them the Life Planner that sold the policy to me is very thorough and very handsome too.

All the above is true. And I actually told them exactly that.


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