Exam Tips - Ethics, Fundamentals, & Insurance Flashcards
ALWAYS bar list for becoming CFP certified
- Felony conviction for theft, embezzlement, or other financially based crimes
- Felony conviction for tax fraud or other tax-related crimes
- Revocation of a financial professional license, unless the revocation is administrative in nature
- Felony conviction for any degree of murder or rape
- Felony conviction for any other violent crime within the last five years
PRESUMED bar list for becoming CFP certified
- Two or more personal or business bankruptcies
- Revocation or suspension of a non-financial professional license, unless the revocation is administrative in nature
- Suspension of a financial professional license, unless the suspension is administrative in nature
- Felony conviction for nonviolent crimes (including perjury) within the last five years
- Felony conviction for violent crimes other than murder or rape that occurred more than five years ago
Which of the following is not an element of the CFP Board requirement of Fiduciary Duty?
a) Duty of Diligence
b) Duty of Loyalty
c) Duty of Care
d) Duty to Follow Client Instructions
A. Duty of Diligence
- The Duty of Diligence requires a CFP professional to provide services to their clients in a timely and thorough manner. Diligence is not a required element of Fiduciary Duty.
Amber applied for CFP® certification and was denied. Her prior conduct falls under the “presumed list” and she wants
to appeal. Which of the following is true regarding the review process?
a) She must call the Professional Review staff within 15 days and tell them that she plans to submit to the review
process.
b) A fee will be charged.
c) A final decision whether to deny or grant the petition will be made within 120 days of application.
d) The Disciplinary and Ethics Commission’s decision regarding a petition for consideration is final and may never
be appealed.
B. A fee will be charged
There is nor requirement to call, nor is there any set day in which a decision must be made, a written petition for reconsideration must be submitted. A decision may be appealed if relevant professional revocation or suspension is vacated or the relevant felony conviction is overturned
- Ralph, a CFP® professional, was the financial advisor for Sue and her husband Bob, who had recently passed away.
Bob’s assets included an IRA with Sue as the named beneficiary. Ralph advised Sue that she could disclaim her interest
as beneficiary of the IRA, which would allow its value to pass to her two children. However, Ralph did not notify the
custodian issuer of the IRA that Sue had disclaimed her interest in the IRA. Ralph acknowledged during his hearing with
the Disciplinary and Ethics Commission that he could have annuitized the existing annuity in the IRA, which would have
been less costly for Sue than purchasing a new annuity for each of her children. The Commission determined that
annuitizing the existing annuity would have avoided early withdrawal penalties and the effects on taxable income on Sue’s
children, and issued a Public Letter of Admonition to Ralph. The Commission ordered Ralph to complete, in addition to
the 30 hours of continuing education for renewal, 12 hours of continuing education, including four hours
each in estate planning, investments and estate distributions. Ralph violated all of the following provisions
of the Code of Ethics EXCEPT?
a) Failed to exercise reasonable and prudent professional judgment in providing professional services
b) Failed to act in the best interest of the Client
c) Failed to modify the scope of the agreement and to bring in an estate planning attorney
d) Failed to make and/or implement only recommendations that were suitable for the Client
C. Failed to modify the scope of the agreement and to bring in an estate planning attorney
- Ralph failed to apply knowledge and skill in Bob’s passing. Ralph did not act as a fiduciary nor recommend options to maximize the potential of meeting client goals. The fact pattern does not indicate Ralph failed to identify and select goals.
For many years, Samuel has been employed as a financial advisor at a leading brokerage firm where he conducts
suitability reviews and makes investment recommendations for his clients. He recently obtained his CFP® certification and
has just signed an agreement with Thomas, a new client, for a comprehensive financial plan. According to the Code of
Ethics, all of the following represent additional requirements for Samuel in his engagement with Thomas compared with
his other clients EXCEPT:
a) Samuel must understand the new client’s personal and financial circumstances by gathering qualitative and
quantitative information.
b) Samuel must Identify and prioritize goals through the financial planning process.
c) Thomas must receive an oral disclaimer identifying Samuel’s sources of compensation.
d) Thomas must receive a written notice of confidentiality policies at the time of engagement
C. Thomas must receive an oral disclaimer identifying Samuel’s source of compensation.
- A CFP professional engaged for Financial Planning must clearly describe and provide clients with their methods of compensation in writing.
John is a CFP® professional and is engaged in the financial planning process with his client Frank. John is in the data
gathering process and has collected bank statements, insurance policies, estate documents, and all other relevant
information with the exception of tax returns. Frank refuses to supply the tax returns or any documents that support his
income claims. John’s best course of action is to?
a) The CFP Board’s Code of Ethics and Standards of Conduct require John to disengage from the client until such
time Frank is willing to supply tax returns or other documents to support his income.
b) If John suspects that Frank is evading taxes or underreporting his income, John is required by the Code of Ethics
and Standards of Conduct to report his suspicions to the appropriate regulatory authorities.
c) John should contact the IRS and request a copy of tax returns for the past three years, with or without the consent
of the client.
d) John may limit the scope of the engagement to recommendations for which he has sufficient and relevant
information or disengage from the client.
D. John may limit the scope of the engagement to recommendations for which he has sufficient and relevant information or disengage from the client.
- According to Practice Standard 1.ii: Obtaining Quantitative Information and Documents, if the practitioner is unable to obtain sufficient and relevant quantitative information and documents to form a basis for recommendations, the
practitioner shall either: restrict the scope of the engagement to those matters for which sufficient and relevant information is available or terminate the engagement. Answer A is incorrect because the Practice Standard permits the practitioner to either limit the scope of the engagement or disengage. Answer B is incorrect because the Standards of Professional Conduct do not require a CFP® professional to report suspicions to the appropriate regulatory authority. Answer C is incorrect because John must receive the information from his client. He cannot request copies of the tax returns without the consent of his client
Mary is a CFP® professional and is in the analyzing and evaluating step of the financial planning process. Mary is
developing a capital needs analysis for her client and has established assumptions for tax rates, investment returns and inflation rates. Her client disagrees with Mary’s assumptions regarding inflation and other economic variables used in the retirement needs analysis calculation. What should Mary do next?
a) If Mary and her client are unable to agree on the assumptions used for the retirement capital needs analysis,
Mary should limit the scope of the engagement and exclude retirement capital needs analysis from her
recommendations.
b) Mary should use the assumptions that result in the most conservative recommendations for retirement funding.
c) The CFP Board’s Code of Ethics and Standards of Conduct require Mary to disengage from the client.
d) Mary should provide her client with multiple projections, consistent with all varying assumptions.
A. If Mary and her client are unable to agree on the assumptions used for the retirement capital needs analysis, Mary should limit the scope of engagement and exclude retirement capital needs analysis from her recommendations.
- According to Practice Standard 2.a. Identifying Potential Goals. A CFP® professional must discuss with the Client the CFP® professional’s assessment of the Client’s financial and personal circumstances, and help the Client identify goals, noting the effect that selecting a particular goal may have on other goals. In helping the Client identify goals, the CFP® professional must discuss with the Client, and apply, reasonable assumptions and estimates. These may include life expectancy, inflation rates, tax rates, investment returns, and other Material assumptions and estimates.”
RIA Exceptions “to Registration” with the SEC
The exception is that TABLEs are incidental:
- Teachers
- Accountants
- Brokers
- Lawyers
- Engineers
RIA Exemptions “From Registration”
VIPS are SaFE from exemptions:
- Venture Capital
- Insurance
- Private funds less than $150M
- home State
- Foreign advisors
- securities not on a national Exchange
Accredited Investor
1, 2 , 3, 4 Test:
- $1 million net worth (exclusive of a personal residence) reviewed at least every 4 years
- Make a minimum of $200,000 per year on average if single
- Make a minimum of $300,000 per year on average if married
Brad, just out of college, has finished studying for his series exams. Brad passed both the Series 6 & 7 secu-rities licensing exams. Brad can now sell all of the following except:
a) Mutual Funds.
b) Options.
c) Variable Life Insurance.
d) UIT.
C. Variable Life Insurance
- Based on the question, we can infer that Brad has not passed a state insurance licensing exam. We know that he can now sell mutual funds, options, and UITs.
The Financial Planning Process
Even God Admits Dat It’s Mesmerizing!
- Establish client - planner relationships
- Gathering client data - determining goals and expectations
- Analyze and evaluate client’s financial status
- Developing and presenting the financial plan
- Implementing the financial plan
- Monitoring the financial plan
Three-Panel Approach (Risk): Life Insurance & Health Insurance Coverage
Life Insurance - 10-16 x gross pay
Health Insurance - >= $1M lifetime benefit
Three-Panel Approach(Risk): Disability Coverage
60-70% of gross pay
Three-Panel Approach (Risk): Property - Home and Auto Coverage
<= FMV
Three-Panel Approach (Risk): LTC Coverage
Inflation-protection 36-60 months
Three-Panel Approach (Risk): PLUP
$1-3M
Three-Panel Approach (Short-Term Savings & Investments): Emergency Fund
3-6 months
= current assets / monthly non-discretionary cash flows
Three-Panel Approach (Short-Term Savings & Investments): Housing Ratio 1
28% of GROSS INCOME
= PITI / Monthly Gross Income
Principal Interest Taxes (homeowner’s) Insurance
Three-Panel Approach (Short-Term Savings & Investments): Housing Ratio 2
36% of GROSS INCOME
= (PITI + Recurring Debt Payments) / Monthly Gross Income
Three-Panel Approach (Short-Term Savings & Investments): Debt Analysis
Good - anytime the useful life of the asset far exceeds the term of debt; Ex) 15-year mortgage or 3-year car loan
Bad - Ex) includes carrying credit card debt each month
Reasonable - Ex) 30-year mortgage or 5-year car loan
Three-Panel Approach (Long-Term Savings & Investments): Education Funding
$3000/$6000/$9000 per child per year for 18 years
Three-Panel Approach (Long-Term Savings & Investments): Retirement Amount, Savings Rate, Return, & Risk
Amount = 16 x Pre-Retirement Income
Savings Rate = 10-12%
Retirement Return = 8-10% (expected)
Risk/STD = 8-14%
Three-Panel Approach (Long-Term Savings & Investments): Legacy Documents
Will, Durable Power of Attorney for Healthcare, and Advanced Medical Directive
Business Life Cycle: Peak - Inflation, Interest Rates, Unemployment, & GDP
Inflation - Highest
Interest Rates - Highest
Unemployment - Lowest
GDP - Highest
Business Life Cycle: Recession - Inflation, Interest Rates, Unemployment, & GDP
Inflation- Decreasing
Interest Rates - Decreasing
Unemployment - Increasing
GDP - Decreasing
Business Life Cycle: Trough - Inflation, Interest Rates, Unemployment, & GDP
Inflation - Lowest
Interest Rates - Lowest
Unemployment - Highest
GDP - Lowest
Business Life Cycle: Expansion - Inflation, Interest Rates, Unemployment, & GDP
Inflation - Increasing
Interest Rates - Increasing
Unemployment - Decreasing
GDP - Increasing
Time Associated with a Recession
6 months / 2 quarters
Time Associated with a Depression
18 months / 6 quarters
Leading Economic Indicators
- Initial unemployment claims
- Stock prices
- Money supply (M2)
- New manufacturing orders
- New private housing units
- Consumer sentiment
Coincident Economic Indicators
- Employees on payroll
- Personal Income
- Industrial protection
- Manufacturing sales
Lagging Economic Indicators
- Average duration of unemployment
- Change in the CPI
- Change in labor cost per unit
- Consumer credit to income
- Value of outstanding loans
- Average prime rate charged by banks
Discount Rate
Overnight interest rate at which member banks can borrow from the Federal Reserve to meet their reserve requirements
Fed Funds Rate
Overnight borrowing rate between banks
An INCREASE in the Reserve Requirement (Money Supply, Interest Rates, Policy)
Money Supply - DECREASE
Interest Rates - INCREASE
Policy - CONTRACTIONARY
An INCREASE in the Discount Rate (Money Supply, Interest Rates, Policy)
Money Supply - NO CHANGE
Interest Rates - INCREASE
Policy - CONTRACTIONARY
SALES of Treasuries in Open Market (Money Supply, Interest Rates, Policy)
Money Supply - DECREASE
Interest Rates - INCREASE
Policy - CONTRACTIONARY
An INCREASE in the Excess Reserve Rate (Money Supply, Interest Rates, Policy)
Money Supply - DECREASE
Interest Rates - INCREASE
Policy - CONTRACTIONARY
A DECREASE in the Reserve Requirement (Money Supply, Interest Rates, Policy)
Money Supply - INCREASE
Interest Rates - DECREASE
Policy - EXPANSIONARY
A DECREASE in the Discount Rate (Money Supply, Interest Rates, Policy)
Money Supply - NO CHANGE
Interest Rates - DECREASE
Policy - EXPANSIONARY
BUYING Treasuries in Open Market (Money Supply, Interest Rates, Policy)
Money Supply - INCREASE
Interest Rates - DECREASE
Policy - EXPANSIONARY
A DECREASE in the Excess Reserve Rate (Money Supply, Interest Rates, Policy)
Money Supply - INCREASE
Interest Rates - DECREASE
Policy - EXPANSIONARY
Debts not discharged through Chapter 7 Bankruptcy
- Student loans
- 3 years of back taxes
- Alimony
- Child support
- Debts related to fraud are not discharged but debts associated with negligence are discharged
Assets that are exempt from creditors through Chapter 7 Bankruptcy
- Contributory traditional and Roth IRAs up to $1M
- Qualified plans along with converted IRAs have an unlimited exemption (Converted IRAs, aka rollover, must be clearly marked rollover and have no other contributions commingled
Chapter 7 Bankruptcy
Provide relief through liquidation
Chapter 11 Bankruptcy
Provides relief through reorganization for businesses or the self-employed
Chapter 13 Bankruptcy
Provides relief through adjusting debts
Low interest rates and high unemployment would be characteristic of?
Trough
All of the following are examples of monetary policy except?
a) Open market operations.
b) Discount rate.
c) Reserve Requirement.
d) Prime Lending Rate
D. Prime Lending Rate
- The Fed does NOT control the prime lending rate, only the overnight or discount rate
What skills are necessary to effectively communicate with a client?
I. Frequent eye contact.
II. Monitoring voice pitch and tone
III. Mirroring
I, II, and III
Monetary Policy
- Federal Reserve
- 1) Reserve Requirement
- 2) Discount Rate
- 3) Open Market Operations
- 4) Excess Reserves
Fiscal Policy
- Congress
- 1) Taxation
- 2) Spending
- 3) Debt Management
As a planner, it’s critical to determine a client’s life cycle position because:
a) Must know how many dependents the client has.
b) Life cycle position impacts a client’s goals and behavior.
c) Net worth is critical to the planning process.
d) Life cycle position impacts risk tolerance and time horizon
b) Life cycle position impacts a client’s goals and behavior
- Definition of life cycle position.
Cash & Cash-Equivalents
Ex) Cash, checking accounts, money market, CD (12 months or less maturity
- Laddered CDs set to mature every 6 months
- Anything client expects to convert to cash within one year
- Does NOT include EE savings bonds
Invested Assets
Ex) stocks, bonds, mutual funds, retirement accounts, business ownership and any assets maturing in greater than 12 months
Personal Use Assets
Ex) personal residence, car, furniture, boat and clothing
- Include assets used to maintain the client’s lifestyle
Current Liabilities
Obligations that are due within the next 12 months
It excludes interest unless already incurred
ex) credit cards, taxes payable and any unpaid bills such as utilities, cable cell phone bills, etc
Long-Term Liabilities
The remaining balance on any outstanding debt beyond 12 months
Ex) Includes the balance on a loan for a client’s house, car, boat or any other outstanding loan
Consumer debt payments should not exceed __ of ___ income
20% ; NET
Savings Ratio
Performance Ratio
10-12%
Annual Savings (EE + ER Contributions) / Annual Gross Income
Return on Investments (ROI)
Performance Ratio
(Ending Investments - Beginning Investments - Savings - Gifts Received) / (Average Invested Assets)
Avg Invested Assets = (Beg Inv + End Inv) / 2
John currently pays $3,000 per month on his revolving credit card debt that has an outstanding balance of $45,000. John’s home has a fair market value of $500,000, with an outstanding mortgage of $280,000. John has the following investments:
• Life insurance with a cash value of $10,000.
• $35,000 in a money market mutual fund earning 1% per year.
• $20,000 in a certificate of deposit earning 1.25% per year. ·
Which of the following would you recommend John doing to eliminate the credit card debit and maximize his overall cash flow?
a) Pay off the credit card debt by liquidating the certificate of deposit first, then payoff the balance of the credit card using the money market mutual fund.
b) Pay off the credit card debt by borrowing $45,000 against his home equity.
c) Pay off the credit card debt using money market mutual fund and borrowing the remainder from the cash value of his life insurance.
d) Pay off the credit card debt by liquidating the money market mutual fund first, then payoff the balance of the credit card debt using the certificate of deposit
d) Pay off the credit card debt by liquidating the money market mutual fund first, then payoff the balance of the credit card debt using the certificate of deposit
- Use the money market mutual fund, as it has the lower rate of return, followed by the certificate of deposit, as it pays a higher rate of return. The question asks about “maximizing” overall cash flow, so taking a home equity loan is not the “best” answer, and after 12/15/2017 the interest would not be deductible.
Which of the following statements is most accurate regarding a variable rate mortgage?
a) The most appropriate time to use a variable rate mortgage is when interest rates are expected to increase.
b) The most appropriate time to use a variable rate mortgage is when future interest rate movements are uncertain.
c) The most appropriate time to use a variable rate mortgage is when income is expected to significantly increase in the future or you anticipate staying in the house for a short period of time.
d) The most appropriate time to use a variable rate mortgage is when income is expected to increase in the future or you anticipate staying in the house for a long period of time.
c) The most appropriate time to use a variable rate mortgage is when income is expected to significantly increase in the future or you anticipate staying in the house for a short period of time.
When preparing a client’s statement of financial position, which of the following is true?
a) A reserve liability account for taxes owed on the sale of assets should be listed.
b) Assets with more volatility should be listed first in the investment assets section.
c) All expenditures should be categorized as fixed or variable.
d) Anticipated liabilities, such as a potential car purchase in 10 years should be reported and recorded at its net present value.
a) A reserve liability account for taxes owed on the sale of assets should be listed
Federal Pell Grant
- Strictly NEED based and dependent on the EFC (Expected Family Contribution) amount
- The EFC determines a student’s eligibility and how much is awarded
- Only students that have not earned a bachelors or professional degree qualify
Stafford Loan
- Primary type of financial aid provided by the US Department of Education
- Stafford loans are student loans
- Repayment begins after a 6-month grace period of leaving school or falling below part-time status (6 semester hours)
- Not appropriate if the parents intend to repay them loans
Subsidized Stafford Loan
- The interest is paid for by the federal government while the student is in school
- NEED based
Unsubsidized Stafford Loan
- Interest begins to accrue when the funds are disbursed
- NOT need based
Parent Loans for undergraduate Students (PLUS)
- Loan for parents to pay for their children’s undergrad studies
- NOT need based, but depends on the parent’s credit score
- Are not subsidized
- Appropriate for parents who can afford to make a loan payment, but may not have saved anything for education
Grad PLUS loan for Graduate Students (PLUS Direct)
- A graduate or professional student enrolled at least half-time at an eligible school in a program leading to a professional or graduate degree or certificate
- Depend on student credit score
- Maximum PLUS loan amount you can borrow is the cost of attendance minus any other financial assistance you receive
- Begin making payments six months after you graduate, leave school, or drop below half-time enrollment
- Interest accrues as you go, you can pay it as you go or let it be added to your balance
Federal Perkins Loan Program
- Is for students with exceptionally low EFC
- Is NEED based
- Program expired on 9/30/17
American Opportunity Tax Credit & Lifetime Learning Credit - Important Considerations
- An individual MAY claim an AOTC or LLC in the same year as a distribution from a 529 plan, just NOT for the same expenses
- An individual may NOT claim both an AOTC and LLC for the same child, in the same year
- An individual may NOT use an AOTC or LLC for the SAME expense paid by a qualified tuition program
- An individual MAY use the AOTC or LLC in the same year a distribution from a qualified tuition plan, just NOT the same expenses
Prepaid Tuition (Benefit, Limits Per Year, Appropriate Expenses)
- B: Pay for college credit in today’s dollars
- LPY: None
- AE: Tuition & fees
529 Plan (Benefit, Limits Per Year, Appropriate Expenses)
- B: Tax free if used for qualified education expenses
- LPY: State dependent
- AE: tuition & fees, books & supplies, equipment, room & board (if >= 1/2 time)
Coverdell ESA (Benefit, Limits Per Year, Appropriate Expenses)
- B: tax-free growth if used for qualified education expenses
- LPY: $2,000
- AE: tuition & fees, books & supplies, equipment, room & board
Roth IRA (Benefit, Limits Per Year, Appropriate Expenses)
- B: no 10% penalty if used for qualified education expenses
- LPY: $6,000
- AE: tuition & fees, books & supplies, equipment, room & board (if >= 1/2 time)
EE Bond (Benefit, Limits Per Year, Appropriate Expenses)
- B: Interest excluded from income if used for qualified educational expenses
- LPY: None
- AE: tuition & fees
Student Loan Interest Deduction (Benefit, Limits Per Year)
- B: Deduct student loan interest before AGI
- LPY: $2,500
Lifetime Learning Credit (Benefit, Limits Per Year, Appropriate Expenses)
- B: 20% tax credit on $10,000 worth of education expenses
- LPY: $2,000
- AE: tuition & fees, books & supplies, equipment*
- (paid directly to the University)
American Opportunity Tax Credit (Benefit, Limits Per Year, Appropriate Expenses)
- B: 100% of first $2,000 and 25% of second $2,000 in expense - applies to first four years
- LPY: $2,500
- AE: tuition & fees*, books & supplies, equipment
- (paid directly to the university)
Harry and Sally are contemplating making a contribution to their grandchildren’s education fund. Harry and Sally are both retired, have a significant amount of discretionary income and are concerned about estate transfer taxes. Which of the following education planning techniques would you recommend?
529 Savings Plan
All of the following statements are true, except?
a) The American Opportunity Tax Credit is available for the first four years of post-secondary education.
b) The Lifetime Learning Credit is only available for the first two years of post-secondary education.
c) The American Opportunity Tax Credit is awarded on a per student basis.
d) The Lifetime Learning Credit is awarded on a per family basis
b) The Lifetime Learning Credit is only available for the first two years of post-secondary education.
- AOTC is good for first 4 years
- LLC is available throughout your life-time
- AOTC is per student
- LLC is per family
What is one of the primary differences between a Coverdell ESA and a 529 Savings Plan?
a) Coverdell can be used for private elementary, middle or high school.
b) A Coverdell does not have a phase-out limit for participation.
c) A 529 Plan has a phaseout limit for participation.
d) A 529 Saving Plan allows 5-year proration of contributions
d) A 529 Saving Plan allows 5-year proration of contributions
- Both the Coverdell and the 529 Savings Plan can be used for private elementary, middle, or high school
- A 529 Savings Plan does not have a phase-out
- A 529 Savings Plan allows a 5-year proration of contributions; a Coverdell does not.
Severity
Actual dollar amount of a loss
Law of Large Numbers
Specifies that when more units are exposed to a similar loss the predictability of such a loss to the entire pool increases
Perils
The actual cause of a loss
- Ex) fire, wind, tornado, earthquake, burglary, and collision
Hazard
Condition that increases the likelihood of a loss occurring
Moral Hazard
- A character flaw
- A character flaw would lead to a filing a false claim
- Ex) A famous Ohio State running back claimed his car was broken into and $10,000 worth of CDs were stolen. There certainly wasn’t $10,000 worth of CDs in his car and thus is an example of a moral hazard
Morale Hazard
- The indifference created because a person is insured
- Ex) Beth goes to the convenience store to get milk for her baby. Beth leaves the keys in her car and the car running while she goes into the store, not concerned that her car may get stolen because she has car insurance
Physical Hazard
- Tangible condition that increases the probability of a peril occurring
- Ex) Icy or wet roads, poor lighting, or defective equipment
Insurable Risks
CHAD
- not Catastrophic for the insurer
- Homogeneous exposure
- Accidental from the insured’s POV
- measurable and Determinable
Elements of a Valid Contract
COALL
- Competent parties
- Offer and
- Acceptance
- Legal consideration
- Lawful purpose
Insurable Interest
- An insured must have an emotional or financial hardship resulting from damage, loss, or destruction
- Property and Liability Insurance - the insured must have insurable interest at the time of policy inception and at time of loss
- Life Insurance - the insured only needs an insurable interest at the time of policy inception
- Life insurance policies are considered long-term investments
Characteristics of Insurance Contracts
Adhesion
Aleatory
Unilateral
Conditional
Characteristics of Insurance Contracts - Adhesion
- An insurance policy is basically “take it or leave it.” There are no negotiations over terms and conditions
- As a result, any ambiguities in an insurance contract are found in favor of the insured
Characteristics of Insurance Contracts - Aleatory
- The money exchanged may be unequal
- In other words, there’s a small premium, but the insured may receive a large benefit
Characteristics of Insurance Contracts - Unilateral
- Only one promise is made by the insurer which is to pay in the event of a loss
- The insured is not obligated to pay premiums. If the premiums are not paid, then there’s no promise by the insurer.
Characteristics of Insurance Contracts - Conditional
- The insured must abide by the terms and conditions of the insurance contract. If terms and conditions are not followed, the insurer may not pay a claim
Express Authority
- Given through an agency or written agreement
- Insurer is responsible for acts of an agent based on express authority
Implied Authority
- Authority that the public perceives, and a valid agency agreement exists
- The actual delivering of an insurance contract and accepting a premium is an example of implied authority
- Insurer is still responsible even if a client is misled
Apparent Authority
- When the insured believes that the agent has authority to act on behalf of the insurer when in fact, no authority actually exists
- Could be inferred based on business cards or a sign on the wall, but the agency agreement actually expired
- If an agent represents that insured can pay the premium late, but is wrong, then the insurer is still responsible
National Association of insurance Commissioners (NAIC)
- Provides a watch list of insurance companies based on financial ratio analysis
- Ratios measure the financial health of insurance companies
- NAIC has NO regulatory power over the insurance industry, but is involved in accrediting state insurance regulatory offices
- NAIC issues “model legislation” that state legislatures may or may not adopt
- Regulation occurs at the state level
Six Steps of Risk Management
DIE DIE
- ) Determine the objectives of the risk management program
- ) Identify the risks to which the client is exposed
- ) Evaluate the identified risks as to probability of occurrence and potential loss
- ) Determine alternatives for managing risks, and select the most appropriate alternative for each
- ) Implement the program
- ) Evaluate, monitor, and review (control)
Risk Avoidance
Use for the most serious types of risk
Risk Transfer
Using insurance where the financial risk is severe but the frequency is low
Risk Retention (Reduction)
Appropriate where the financial risk is low and frequency is high because it would be too expensive to insure
Ex) Dings in your car, minor injuries/illnesses and deductibles
What type of hazard results from the indifference a person has to the potential loss because of the existence of insurance?
a) Peril.
b) Physical Hazard.
c) Moral Hazard.
d) Morale Hazard.
d) Morale Hazard
- Moral hazard is a character flaw or dishonesty (ex: burning your house down)
- Morale hazard is the indifference a person has towards loss because of insurance (ex: leaving the keys in the car and the car running)
Chris walks into his insurance agent’s office and notices his agent’s name on a business card and the insurer’s name on letterhead. If the agent has a valid agency agreement, what type of authority does Chris believe his agent has to enter into an insurance contract?
a) Express Authority.
b) Implied Authority.
c) Apparent Authority.
d) None of the Above.
b) Implied Authority
- Implied Authority is based upon the agents business card, letterhead, and insurance company sign on the door
- Express Authority is the agency agreement between the insurance agent and insurance company
- Apparent Authority is when no authority actually exists
If coverage is less than the coinsurance requirement, then insurer pays the greater of actual cash value or the following formula:
(Face Value / Coinsurance) x Loss - Deductible
Coinsurance = 80% x Replacement Cost