Chapter 6 - Income Protection Flashcards
What is the definition of an Income Protection policy?
A long term insurance policy that pays a monthly or weekly income if the insured is unable to work due to illness or incapacity
Income Protection is also known as PHI. Why is this?
This stands for Permanent Health Insurance and it is because it can not be cancelled by the insurer once in force, regardless of number of claims
Income Protection is subject to which regulatory regime?
Insurance Conduct of Business (ICOBS)
Name 2 different types of Income Protection policy and briefly describe the features.
Any 2 from;
- Standard – pays out after a deferred period and continues until the insured returns to work or policy ceases. Max benefit is usually 50-60% for individual policies or up to 75% for employer policies (as they are taxable)
- Limited term – benefit payment period may only be for a limited time (1-5 years)
- Day one/back to day one – for self employed and have no deferred period, i.e. pay out from day one of sickness. Expensive option. Back to day one will have a waiting period but then pays benefit backdated to day one, cheaper than day one cover.
- Investment linked – worked like a unit linked WOL and contain an investment element. Subject to COBS.
- Unemployment insurance – usually written as a separate policy to standard PHI
What are the 3 main types of incapacity definition for Income Protection?
Own occupation
Suited occupation
Any occupation
What is the widest definition of incapacity?
Own occupation
What is the tightest definition of incapacity?
Any occupation
With regard to incapacity categories, what is own occupation?
Unable to do ones own occupation – widest definition on when will pay out
With regard to incapacity categories, what is suited occupation?
Unable to do any occupation to which the insured is suited to through education training or experience
With regard to incapacity categories, what is any occupation?
Unable to do any occupation whatsoever – tightest definition on when wont will pay out
What is the deferred period in respect to Income Protection policies?
The period of time that must elapse before a claim will be paid
Which would be the cheapest Income Protection policy.
A policy with a 4 week deferred period
or
A policy with a 52 week deferred period
A: 52 weeks.
The longer the deferred period the cheaper the policy (less chance of having to pay out).
What is waiver of premium?
A form of PHI. Usually linked to a pension plan or WOL policy to ensure that premiums are still paid if off work and unable to pay premiums
What is the maximum benefit under an Income Protection plan?
Benefit is usually capped at 50-60% of earnings (Individual).
Benefit could be up to 75% from employer schemes as these are taxable.
How does the medical underwriting of Income Protection differ to Life Assurance?
It is based on morbidity rather than mortality.
This is the likelihood of being ill rather then the likelihood of premature death