Asset and Income Protection Flashcards
Concept
is a mechanism for transferring and reducing pure risk through which a large number of individuals share in the financial losses suffered by members of the group as a whole
insurance
Concept
is the contract between the person buying insurance (the insured) and the insurance company (the insurer)
insurance policy
Concept
is any condition that increases the probability that a peril will occur
hazard
List
three types of hazards
- physical hazard
- morale hazard
- moral hazard
Concept
particular characteristic of the insured person or property that increases the change of loss
physical hazard
Concept
exists when a person is indifferent to a peril
morale hazard
Concept
relates to the possibility that the insured person will want or even cause a peril to occur in order to collect reimbursement from the insurance company
moral hazard
Name the hazard
an insurance company may limit or deny coverage
if a loss occurs as a result of a morale or moral hazard
Concept
states that insurance will pay no more than the actual financial loss suffered.
principle of indemnity
Describe
principle of indemnity
- states that insurance will pay no more than the actual financial loss suffered.
- an automobile insurance policy will pay only the actual cash value—the replacement value less the value of depreciation
Concept
is a method by which the insured and the insurer share proportionately in the payment for a loss
coinsurance
Formula
deductible and coinsurance reimbursement formula
R = (1-CP)(L-D)
Where
* R = reimbursement
* CP = coinsurance percentage
* L = loss
* D = deductible
Concept
an action taken by the insured to lessen the severity of a loss if a peril occurs
loss reduction
insurance consists of two basic elements
- the reduction of risk and
- the sharing of losses
Concept
individual insurance purchasers benefit regardless of whether they actually suffer a loss
reduction of risk
* this is the essence of insurance
List
four types of applicants in order of desirability
- preferred
- standard
- substandard
- unacceptable
Concept
other structures on the property aside from the main residence
appurtenant structures
Describe
named-peril policies
cover only those losses caused by perils that are specifically mentioned in the policy
Concept
cover only those losses casued by perils that are specifically mentioned in the policy
named-peril policies
Concept
covers losses caused by all perils other than those specifically excluded by the policy
all-risk policies, also called open-peril policies
List
perils specifically excluded from all-risk policies
- flood
- earthquake
- sewage backup
- tsunami
Describe
HO-1 (Basic Form)
- Perils 1-4, 6, 8-12
- based on replacement cost
- Comprehensive - $300,000; personal - $1,000; liability - $500
Describe
HO-2 (Broad Form)
- Perils 1-16
- based on replacement cost
- special limits of liability
Describe
HO-3 (Special Form)
- All perils except those specifically excluded for buildings
- 1-16 on personal property (does not include glass breakage)
- based on replacement cost
- special limits of liability
Describe
HO-4 (renter’s insurance)
- perils 1-16
- structure not insured
- maximum $500 per item
Describe
HO-6 (condominium insurance)
- perils 1-16
- structure not covered unless owned solely by the insured
Concept
is the most common type purchased by homeowners
HO-3 Special Form
Concept
is a named-perils policy that provides actual-cash value protection on the dwelling; not replacement protection.
HO-8 older home form
List
in keeping with the large loss principle you need to select appropriate amounts of coverage on your
- dwelling,
- its contents, and
- liability losses
Concept
stipulates that a home must be insured for a specified percentage of its replacement value
replacement-cost requirement
Describe
inflation guard protection
protection provided by your insurance company that increases your coverage automatically each year to keep up with inflation
Concept
is a special insurance endorsement that pays for demolishment and/or repairs to meet modern building standards
law and ordinance protection
Concept
insurance for:
* if a home was built a long time ago, and is likely out of code, and;
* is in an area that has experienced natural disasters
law and ordinance protection
Concept
historically, property insurance policies paid only this amount, which represents the purchase price of the property less depreciation
actual-cash value (ACV)
instances of special limits of liability for HO-2, HO-3
- money, coins, bank notes - $200
- computers - $5,000
- securities, stocks, deeds - $1,000
- watercraft, trailers, outboard motors - $1,000
- jewelry, watches, furs - $1,000
- silverware, goldware - $2,500
four distinct types of coverage
automobile insurance
- liability insurance
- medical payments insurance
- protection against uninsured and underinsured motorist, and
- insurance for physical damage to the insured automobile
Describe
100/300/50 policy
- $100,000 per-person bodily injury limit
- $300,000 per-accident bodily injury limit
- $50,000 per-accident property damage liability limit
Why are losses caused by floods, sinkholes, and earthquakes excluded from standard homeowner’s policies?
These types of losses are subject to adverse selection
* occurs when people who are most likely to suffer such losses will know that
which losses are uninsurable
- fortuitous loss
- financial losses
Define
fortuitous loss
- unexpected in terms of both their timing and their magnitude
- a loss caused by a lightning strike and fire to your home is fortuitous
Concept
a loss that unexpected in terms of both its timing and its magnitude
fortuitous loss
Define
financial loss
- any decline in the value of income or assets in the present or future
Concept
- is the price charged for each unit of insurance coverage
insurance rate
Concept
- represents the average cost of providing coverage to various classes of insureds
insurance rates
Concept
provides health insurance coverage of the uninsured to:
* lower-income Americans via a federally-funded expansion of Medicaid
ACA
Concept
provides subsidized policies to be sold by private insurers, who cannot discriminate based on medical history, and subsidized according to one’s income
ACA
Concept
required the 15 percent of Americans without health insurance to purchase coverage or pay a penalty tax
ACA
Concept
provided coverage to the children of a covered parent whose children were under the age of 26
ACA
Describe
rights of the ACA
- coverage cannot be dropped for any reason except fraud
- eliminates annual and lifetime limits on health care
- mandates insurers cover wellness and preventative services with no out-of-pocket costs
Concept
a healthcare plan that meets the government’s standard for its required “10 essential benefits” of adequate coverage
quality healthcare plan
Concept
The ACA law requires that all Americans and legal residents buy health coverage no matter how sick and regardless of any pre-existing health problems
individual mandate
purpose of
individual mandate
to encourage all Americans to buy health insurance bencause anyone receives free urgent medical care passes the costs onto society
Concept
if you do not have health insurance, you will be assessed a tax penalty
individual shared responsibility fee
Per individual mandate
how long are you allowed to have a gap in coverage
up to three months
List
essential health benefits
established by ACA
1. ambulatory patient services
2. emergency services
3. hospitalization
4. maternity and newborn care
5. mental health and substance use disorder
6. prescription drugs
7. rehabilitative service and devices
8. laboratory services
9. preventive and wellness services
10. pediatric services
Describe
modified adjusted gross income
- is the figure the IRS uses to calculate one’s health care penalty
- for most people, MAGI is the same as AGI