AFP 6- Risk Management Flashcards

1
Q

What are some personal risks

AFP 6

A

Premature Death
- provide for dependents, funeral costs, estate fees

Ageing and Retirement
- Insufficient income in retirement

Health
- Risk of disability, high medical expenses

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2
Q

Group Life and Health Insurance
5 Fundamental Principles

AFP 6/ FP 2 (4)

A
  1. Each employee must be actively at work on a full-time basis
  2. Employee cannot determine the amount of their coverage
  3. Employee contribution must be paid by payroll deduction
  4. The employer must contribute to the premium in whole or part
  5. There must be sufficient spread of risk
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3
Q

Absolute Assignment

AFP 6/ FP (4)

A

The ownership of a policy can be transferred to another individual through an “absolute assignment”

  • new owner becomes new beneficiary
  • if it is anyone other than family it is subject to tax
  • if beneficiary is irrevocable, you need an existing beneficiary consent
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4
Q

What is revocable beneficiary and irrevocable beneficiary

AFP 6/ FP 2 (4)

A

Revocable: the policyholder can change the beneficiary at any time
–> unless otherwise stated a beneficiary is always revocable

Irrevocable: the policyholder cannot change the beneficiary without the consent
–> for life insurance to be creditor proof the beneficiary must be irrevocable

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5
Q

With Group Insurance who is the Plan Sponsor?
With Group Insurance who is the Certificate Holder?

AFP 6

A

The Policyholder is the group itself, therefore the plan sponsor is the group

policyholder= plan sponsor (group)

The employee would be covered as a “member” and is called the “certificate holder”

member= certificate holder (employee)

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6
Q

What is residual benefit rider?
What is “future income protection” rider?

FP 2(4)

A

Residual disability rider allows for a percentage of your disability benefit to be paid if you were fully disabled for a stated period of time

Future Income Protection Rider

  • add certain amounts of disability without evidence of insurability
  • insured would have to submit financial underwriting
  • -> income justifies added coverage
  • Each time you do this your premium will increase
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7
Q

Subrogation Clause

FP 2 (4)

A
  • injured party is required to co-operate with insurer to pursue 3rd party
  • -> testify in court
  • any payments from 3rd party first reimburses the insurer, any extra goes to the insured
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8
Q

Automobile Insurance

AFP 6/ FP 2 (4)

A
  1. Third-Party Liability
    - pays for bodily injured and property damage to 3rd parties
  2. Statutory Accident Benefit
    - income replacement, medical payments, LTC, death and total disability
  3. Own Damage: pays for loss/ damage to the insured car
    a. Collision and Upset: loss or damage to the car from a collision with another object on the road or upset
    b. Comprehensiveness: protects against any other peril other than collision or upset
    c. Specified perils: covers specific perils
  4. All perils
    - broadens and covers protection from all 3
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9
Q

Capital Needs Analysis or Complete Needs Analysis

AFP 6

A
  1. How much will be required at death?
  2. How much will be available at death
  3. Is there a shortfall

Capital Needs Analysis: how much life insurance is needed to take care of the surviving dependents

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10
Q

Term Insurance

AFP 6

A
  • term insurance has a specific end date and it only suitable for temporary needs
  • has no cash value, which means you will not get your money back if you cancel
  • cheaper than permanent type of insurance
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11
Q

Qualification Period

AFP 6/ FP 2(4)

A

Allows for a percentage of your disability benefits to be paid out if you are fully disabled for a stated period of time

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12
Q

How to Calculate Tax on Life Insurance

AFP 6/ FP 2 (4)

A
  1. Calculate what the policy costs (ACB)
    - before Dec 1, 1982
    - ACB= Premiums- Dividends
  • after Dec 1, 1982 (more tax)
  • ACB= Premiums- Dividends- Net Cost of Pure Insurance (NCPI)
  1. Calculate the Policy Gain
    - policy gain= cash surrender value (CSV)- ACB
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13
Q
Indemnity Contract
Valued Contract
Aleatory Contract
Unilateral Contract
Insurable Interest 

AFP 6/ FP 2 (4)

A

Indemnity Contract: the amount of policy will pay out is not stated because it depends on the loss
–> other than life insurance

Insurable Interest: you cant buy life insurance just because you think someone is gonna die (not a gamble)

Valued Contract: The amount of death benefit is known
–> life insurance

Aleatory Contract: the amount of consideration is not equal
–> life insurance

Unilateral Contract: only the insured can cancel, insurer is bound to contract as per the terms and conditions

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14
Q

C-A-R-E

  1. Cash Surrender Value
  2. Automatic Premium Loan
  3. Reduced Paid-up Insurance
  4. Extended Term Insurance

AFP 6/ FP 2(4)

A
  1. Cash Surrender Value
    - allows you to cancel the policy and receive your fair share
  2. Automatic Premium Loan
    - if you miss a premium the insurer will lend it to you using the cash value as collateral
    - in death you have to pay back with interest
  3. Reduced Paid-up Insurance
    - premiums are eliminated
    - coverage is reduced
    - new coverage is permanent
  4. Extended Term Insurance
    - premiums are eliminated
    - coverage remains the same
    - coverage is now term
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15
Q

What are the ADL

AFP 6

A
  • getting out of bed
  • control bladder
  • toileting (on and off toilet)
  • bathing
  • eating ( consume food that has been prepared
  • assistance with dressing
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16
Q

Homeowner Insurance

AFP 6/ FP 2 (4)

A

The building itself- 80%

Detached structures- 10% of building coverage

Personal Property- 60-70%

Additional living expenses- 20%

Liability- 500k- 1M

17
Q

Incontestability Clause

FP 2 (4)

A

If the insurer becomes aware of material misrepresentation in the first 2 years it can cancel the policy or deny a claim, if it is after 2 years the insurer will have to prove fraud

18
Q

Accident Basis
Occurrence Basis
Type 1
Type 2

A

Accident Basis: injury must be due to an event which is sudden, unintended or unexpected

Occurrence Basis: injury that can happen overtime but it is still unintentional or unexpected

Type 1: Damages which occur during the term of the policy

Type 2: Claims reported during the term of the policy