FP512- Risk Mgt, Insurance & EE benefits Flashcards

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1
Q

Which of the following limits an insurer’s liability for covered losses?

I. Misrepresentations by an agent acting within the agent’s authority
II. An insurable interest by the insured
III. Other insurance coverage
IV. The actual cash value of a loss

A) II, III, and IV
B) I, III, and IV
C) I, II, and IV
D) II and IV

A

Explanation
A) The answer is II, III, and IV.

Options II, III, and IV are factors limiting an insurer’s liability for covered losses, but I is not. An insurer is bound by an agent’s misrepresentations while acting within the scope of the agent’s authority.

LO LO 1.3.1

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2
Q

Which of the following are important when selecting an insurance company?

I. Competence
II. Training
III. Ratings by the ratings companies
IV. History

A) III and IV
B) I, II, III, and IV
C) I and III
D) III only

LO LO 1.8.1

A

Explanation

A) The answer is III and IV.

Options III and IV, along with the NAIC Watchlist, the size and age of the company, operating ratios, persistency, average policy size, lines of business, investment returns, and direct recognition, are all things one should look at when evaluating an insurance company. Competence and training are important when evaluating insurance producers, not companies.

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3
Q

Which of the following is an insurance producer who has the authority to hire agents to work for them?

A) A career agent
B) A captive agent
C) A broker
D) A producing general agent

LO LO 1.3.1

A

Explanation
D) The answer is a producing general agent. Producing general agents may, but do not have to, hire agents to work for them. The other options represent individual producers.

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4
Q

Which section of an insurance contract includes information provided by the applicant?

A)The insuring agreement
B)The conditions section
C)The exclusions section
D)The declarations section

A

Explanation
The answer is the declarations section. The declarations section includes information provided by the applicant, and it may be transcribed from the application, or the application itself may be attached. The insuring agreement identifies what is insured, for what amount, and under what conditions. The exclusions section identifies circumstances or situations that would preclude the company from paying a claim. The conditions section states the rights and duties of the insurance company and the policy owner.

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5
Q

Which of the following is an example of a moral hazard?

A) A person falls and breaks her hip.
B) A homeowner carelessly burns leaves on a windy day, resulting in fire damage to his house.
C) A car is damaged by a hailstorm.
D) A driver slams on her brakes for no reason other than to cause the driver behind her to rear-end her car.

A

Explanation
D) The answer is a driver slams on her brakes for no reason other than to cause the driver behind her to read-end her car.

A moral hazard occurs when dishonesty causes a loss or causes the amount of the loss to be overstated on a claim. Intentionally causing a loss is an example of a moral hazard.

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6
Q

The pairs and sets option of loss settlement under a homeowners policy allows the insurance company to

A) sell the damaged property as a pair or set only.

B) repair or replace any part of the pair or set to its value before the loss.

C) sell the pair or set for its salvage value.

D)pay the full replacement cost of the pair or set.

LO 1.7.1

A

Explanation
B) The answer is repair or replace any part of the pair or set to its value before the loss.

This option allows the insurer to repair or replace any part of a set or pair, or pay the insured the difference between the actual cash value of the pair or set before and after the loss.

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7
Q

18 of 20

Which of the following statements concerning the collateral source rule are CORRECT?

I. The rule states that a person who commits a tort will be liable for full damages.

II. The person who commits a tort is liable for full damages, even though the plaintiff has other sources of recovery available.

III. The collateral source rule prevents the person who committed the tort from benefiting because of fortuitous circumstances.

IV. The collateral source rule prevents an insurance company from receiving a portion of the insured’s right to recover from the defendant.

A) II, III, and IV
B) I, II, III, and IV
C) I and II
D) I, II, and III

A

Explanation

D) The answer is I, II, and III.

The collateral source rule states that a person who commits a tort is not entitled to a reduction of damages simply because the injured person has other sources of recovery, such as insurance.

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8
Q

Which of the following statements regarding insurance contracts are CORRECT?

I. An insurance policy is conditional, in that the insurer is obligated to compensate the insured only if certain conditions are met.

II. A warranty is merely a promise made by the insured to the insurer that is part of the insurance contract and, as such, must be adhered to by the insured.

III. Representations are statements made by the proposed insured to the insurer in the application process.

IV. Concealment occurs when the insured is silent about a fact that is material to the risk.

A) I and II

B) I, II, III, and IV

C) II, III, and IV

D) I and III

LO 1.6.1

A

Explanation

The answer is I, II, III, and IV. All of the statements are correct.

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9
Q

Which of the following are particular risks?

I. Premature death
II. Disability
III. Unemployment
IV. Earthquake

A) I, II, and III

B) I and II

C) II and III

D) I, II, III, and IV

A

Explanation

A) The answer is I, II, and III.

The risk of premature death, disability, and unemployment directly affect an individual. Particular risks are risks that affect only individuals, such as the possibility of the loss of income or assets because of the inability to earn income (e.g., premature death, dependent old age, sickness, disability, unemployment).

The risk of an earthquake is a fundamental risk.

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10
Q

You have a meeting with Oscar, 26, and his wife Judith, 25, this afternoon to review their risk management plan. They have two children, two cars, a home, and a boat. Oscar works at the local bank, and Judith works at an engineering firm. Which of the following statements regarding their risk management plan is CORRECT?

I. They have a limited amount of liability exposure.

II. They have a higher probability of becoming disabled versus experiencing premature death.

III. Having liability insurance on their cars is more important than collision coverage.

IV. Long-term care insurance should not be a priority within their risk management plan.

A) III and IV

B) II, III, and IV

C) I, II, and III

D) IV only

A

Explanation
B) The answer is II, III, and IV.

They have unlimited liability exposure. A car accident could lead to an unlimited amount of liability depending on the circumstances, as well as the possibility of negligence occurring on their property. Statements II, III, and IV are correct. There is a higher probability of becoming disabled than of experiencing premature death, and it is much more important to have liability insurance on a vehicle than collision coverage. Liability claims may be much higher than any type of collision damage to a vehicle. Both Oscar and Judith are too young to consider long-term care insurance at this time.

LO 1.2.1

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11
Q

Frank is severely injured in an automobile accident caused by another driver, Henry. At trial, the court orders Henry to pay Frank $100,000 as compensation for the pain and suffering resulting from his injuries. Which of the following types of damages for which the award was granted is CORRECT?

A) Comparative

B) General

C) Punitive

D) Special

LO 1.5.1

A

B)
The answer is general. General damages compensate an injured party for intangible losses, such as pain and suffering, which cannot be measured monetarily.

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12
Q

Augusto and Celena have an HO-3 homeowners policy on their home. The dwelling is insured for $150,000. As the result of a kitchen fire, their home suffers extensive structural and smoke damage and is made uninhabitable for nine months. They rent a hotel room while the damage is repaired, incurring expenses of $13,500. It also costs them $4,000 for meals during their hotel stay, for a total of $17,500. Which of the following statements regarding the couple’s coverage under their HO-3 policy is CORRECT?

A) The HO-3 policy covers the entire $17,500 in expenses.

B) The HO-3 policy does not cover any of their living expenses while their house is uninhabitable.

C) The HO-3 policy covers the full $13,500 in rental expenses but does not cover the $4,000 for meals.

D) The HO-3 policy covers only the first $15,000 of the $17,500 in expenses.

A

Explanation
A)
The answer is the HO-3 policy covers the entire $17,500 in expenses.

Coverage D of a homeowners policy pays living expenses, including lodging costs and meals, incurred when the house is made uninhabitable by a covered peril. Under an HO-3 policy, Coverage D is limited to 20% of the Coverage A limit on the dwelling. In Augusto and Celena’s case, coverage under Coverage D is $30,000 ($150,000 × 20%), so their lodging expenses and meals are fully covered.

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13
Q

Which of the following homeowners policies is designed for the owners of condominium units and cooperative apartments?

A) HO-8

B) HO-2

C) HO-6

D) HO-4

A

Explanation
The answer is HO-6. HO-6: Unit Owner Form (for Condominium Owners) covers the personal property of the insured for the same named perils listed in a HO-2 policy, except HO-6 insurance is for people residing in a condominium or cooperative apartment. This type of policy also provides liability protection.

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14
Q

James is a delivery driver for ABC Pizza. He gets into an accident and is ticketed for speeding while delivering one of ABC Pizza’s delivery orders. The victim’s attorney plans on going after ABC Pizza for special and punitive damages. Which of the following terms best describe why ABC Pizza being held liable for this accident?

A) Strict liability
B) Comparative negligence
C) Vicarious liability
D) Contributory negligence

A

Explanation
The answer is vicarious liability.

Vicarious liability results from when a person is liable for torts committed by someone else. For example, parents may be liable for the torts committed by their children, and employers can be liable for the torts committed by their employees.

The principle of strict liability holds tortfeasors—parties who commit a tort—liable for damages sustained by their actions or from their products, whether or not they were deemed at fault.

Under the contributory negligence rule, a person cannot recover damages if his own negligence contributed in any way to his injuries.

Under comparative negligence, damages are adjusted to reflect the extent to which the injured party’s own negligence contributed to his injuries.

LO 2.4.2

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15
Q

A personal liability umbrella policy (PLUP)

I. is written only for persons with substantial underlying liability insurance.

II. provides additional coverage to the underlying policies.

III. has a drop down limitation that will apply in most cases.

A) II and III
B) I, II, and III
C) I and II
D) I and III

A

The answer is I, II, and III. All of these statements correctly describe a characteristic of the PLUP.

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16
Q

Which of the following statements regarding personal auto policy (PAP) Part B Medical Payments coverage is CORRECT?

I. Part B of the PAP provides payment for the reasonable and necessary medical expenses of an insured as a result of an automobile accident.

II. The insureds under Part B include the named insured, spouse, and any family members while they are occupying a motor vehicle, or when, as a pedestrian, they are struck by a vehicle.
A) I only

B) II only

C) Both I and II

D) Neither I nor II

A

C) Both I & II

The answer is both I and II. Part B: Medical Payments coverage provides payment for the reasonable and necessary medical expenses of the insured as a result of an automobile accident. Expenses must be incurred within three years of the incident, and limits are provided on a per-person, per-occurrence basis. Individuals covered by Part B include the named insured, spouse, and any family member while they are occupying a motor vehicle, or when, as a pedestrian, they are struck by a vehicle.

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17
Q

A client is shopping for homeowners insurance. He wants a policy that will provide open-perils coverage on both the dwelling and his personal property. Which of the following policies without an endorsement will meet his needs?

I. HO-2
II. HO-3
III. HO-5

A) I only

B) I, II, and III

C) II and III

D) III only

A

The answer is III only. The only policy that provides open-perils coverage on both the dwelling and personal property without an endorsement is an HO-5 policy. Coverage under an HO-2 policy provides named-perils coverage on both the dwelling and personal property. An HO-3 policy provides open-perils coverage on the dwelling but named-perils coverage on personal property.

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18
Q

The National Flood Insurance Program provides subsidized flood insurance for property owners in qualified areas and

A) is mandatory for all people in qualified areas.
B) is considered to be in force immediately if elected during the first 30 days in which the insurance becomes available to a community.
C) does not provide coverage for any personal property.
D) does not have a deductible.

A

B) The answer is is considered to be in force immediately if elected during the first 30 days in which the insurance becomes available to a community. Coverage is effective immediately if elected within the first 30 days of availability. Although not mandatory, mortgage lenders generally require homeowners to purchase flood insurance in flood-prone areas. Contents coverage applies to household and personal property usual or incidental to the occupancy of the dwelling. In addition, a deductible may apply to any claims.

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19
Q

Steven has a dog that has been known to wander through the neighborhood. His home is covered by an HO-3 policy. If Steven’s dog bites a mailman three blocks away from his home, which of the followings statements regarding Steven’s homeowners insurance coverage is CORRECT?

I. Steven will not have any coverage because the bite did not take place at his personal residence.

II. Coverage E of Steven’s policy may apply or provide coverage if he is found to be legally liable (dog bite lawsuit).

III. Coverage F of Steven’s policy may be applied to any medical bills, typically up to $1,000.

A) II and III
B) I only
C) II only
D) III only

A

The answer is II and III. Steven will be covered if his dog bites the mailman on or off his property. Coverage E will apply only if he is found to be legally liable, and Coverage F will apply to any medical bills typically up to $1,000. Coverage F does not require Steven to be at fault to provide coverage.

LO 2.2.2

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20
Q

Milt has an HO-3 homeowners policy, and his home is for $200,000. He has two detached garages on the premises—one is for personal use, and he operates a small home-based business in the other. Each garage has a replacement cost of $25,000. How much coverage does Milt have under Coverage B (Other Structures) of his homeowners policy?

A) $20,000
B) $40,000
C) $25,000
D) $50,000

A

The answer is $20,000. The coverage under Coverage B of a homeowners policy is 10% of the coverage on the dwelling ($200,000 × 10% = $20,000). Coverage B does not apply to the garage used for business purposes.

LO 2.1.1

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21
Q

Which of the following vehicles is NOT eligible to be covered under a personal auto policy (PAP)?

A) An automobile owned by a corporation
B) A snowmobile
C) A motorcycle
D) A pick-up truck

A

The answer is an automobile owned by the corporation. An automobile must be owned by an individual to be eligible for PAP coverage. Motorcycles and snowmobiles are considered nonstandard vehicles. Though not included under the definition of a covered auto, these can be added to a personal auto policy with an endorsement.

LO 2.3.1

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22
Q

Rebecca owns a gift shop near her home, which she also owns. She takes the bus everywhere she goes. In her spare time, she occasionally engages in activities that could possibly result in bodily injury to innocent bystanders if anything accidentally went wrong. Which of the following forms of insurance should Rebecca consider to avoid risk exposures from potential tort liability?

I. Homeowners policy
II. Personal auto policy
III. Umbrella liability policy
IV. Commercial liability policy

A) II and IV
B) III and IV
C) I and II
D) I, III, and IV

A

D) The answer is I, III, and IV.

As a businessowner, Rebecca should have a commercial liability policy for her business, most likely as a part of a businessowner’s policy. As a homeowner, she should have homeowners insurance, and since she is a businessowner and potentially a target for lawsuits, a liability umbrella policy is also a good idea. Since she does not drive, she has no need for a personal auto policy.

LO 2.4.2

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23
Q

All of the following are exclusions from Coverage C: Personal Property of a Homeowners Policy except

A) animals, birds, and fish.
B) jewelry.
C) property of roomers or boarders.
D) credit cards.

A

The answer is jewelry. Jewelry is covered under Coverage C; however, coverage is typically limited to a maximum dollar amount of $1,500. The addition of an endorsement can increase the coverage limit for jewelry and other personal property items.

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24
Q

Comprehensive personal liability coverage (CPL) can be acquired in which of the following ways?

I. as an endorsement to a personal auto policy (PAP).
II. as an individual CPL policy.
III. as part of a homeowners policy.

A) I and III
B) III only
C) I, II, and III
D) II and III

A

The answer is II and III. CPL coverage is not available through PAPs.

LO 2.2.2

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25
Q

Which of the following statements regarding Coverage E and Coverage F within a standard homeowners insurance policy is CORRECT?

I. Medical payments coverage (Coverage F: Medical Payments to Others) will automatically pay for bodily injuries, regardless of fault, typically up to $1,000 per occurrence on or off the premises.

II. Personal liability coverage (Coverage E: Personal Liability) protects the insured homeowner and all resident family members against personal liability for bodily injury and property damage that may occur on or off the premises due to negligence, up to $300,000 per occurrence.

III. Coverage E may cover the insured for injuries or property damage caused while playing golf.

A) II only
B) I and III
C) I only
D) I, II, and III

A

The answer is I and III.

Coverage F is protection that will automatically pay for bodily injuries regardless of fault.

In contrast, Coverage E only pays for bodily injury and property damage for which the insured is legally liable.

If the insured causes damage to property or others while golfing, Coverage E will cover the insured up to the policy limit of $100,000. Also, Coverage E may cover the insured for injuries or property damage resulting from negligence while on the golf course.

LO 2.2.2

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26
Q

Which of the following policy sections do homeowners and auto policies share?

I. Liability coverage
II. Comprehensive coverage
III. Medical payments coverage
IV. Duties after a loss

A) I, III, and IV
B) I and III
C) I only
D) I, II, III, and IV

A

A) I,III & IV

The answer is I, III, and IV. All of these sections are included in both homeowners and auto policies, except comprehensive coverage, which is only a part of a personal auto policy.

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27
Q

Which of the following statements regarding the basis for policy premiums on a personal automobile policy (PAP) is NOT correct?

A) Young male drivers have the highest rate of automobile accidents.

B) A multicar discount is generally available for insureds who own more than one automobile.

C) Farm-use vehicles generally have higher premiums.

D) An automobile that is driven only for pleasure costs less to insure than one that is driven to work daily.

A

Explanation

The answer is farm-use vehicles generally have higher premiums. Farm-use vehicles generally have reduced premiums.

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28
Q

Which of the following are types of automobile insurance coverage under a personal auto policy (PAP)?

I. Uninsured motorists
II. Liability insurance
III. Medical payments
IV. Property damage

A) III and IV
B) I, II, and III
C) I and II
D) I, II, III, and IV

A

The answer is I, II, III, and IV. All of these are types of insurance coverage under a PAP.

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29
Q

Which of the following is true for property coverage in a commercial package policy (CPP)?

I. A CPP provides broader coverage but is a bit more expensive than a collection of monoline forms.

II. No customization is allowed, as all potential risks are covered in the standard CPP.

III. The standard CPP includes building, contents, and commercial automobile coverage.

IV. The CPP is designed for larger businesses.

A) I, II, III, and IV

B) III and IV

C) I, II, and III

D) IV only

A

Explanation
The answer is IV only.

A CPP is a standard package of what used to be monoline forms offered at a discount. The standard CPP includes coverage for buildings, contents, and liability coverage. Additional coverage is available for things like commercial autos, glass, and specific, unique-to-the-business causes of loss. Thus, a CPP is customizable so it can accommodate many different businesses. The CPP is designed for larger businesses, while the business owner policy is designed for smaller businesses.

LO 2.4.1

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30
Q

Jeff owns a life insurance policy on his own life. The policy is not a modified endowment contract (MEC). His basis in the policy is $10,000. This year, he pays premiums of $1,000 on the policy, receives dividends of $300 in cash, and takes a withdrawal of $5,000. In addition, the cash value of the policy increases by $2,000. Which of the following statements regarding the income tax consequences of this policy is CORRECT?

I. The premiums of $1,000 are tax deductible.

II. The $2,000 increase in cash value is excluded from gross income.

III. The dividends of $300 are included in gross income.

IV. The withdrawal of $5,000 is included in gross income.

A) I, II, III, and IV
B) I and III
C) II only
D) II and IV

A

C) II only

The answer is II only.

The increase in cash value of a life insurance policy is not taxable to the owner of the policy as long as it remains in the policy.

Premiums on individual life insurance policies are not tax deductible.

Dividends are generally considered to be a return of premium and are not taxable.

Withdrawals from non-MEC contracts are not taxable unless they exceed the owner’s basis.

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31
Q

Which of the following factors should be considered when utilizing the financial needs analysis method in determining the required amount of life insurance?

I. The family expenses that will remain after the wage earner dies
II. The value of the wage earner’s life
III. The income that can be generated by the surviving spouse
IV. The number of dependents

A) I, III, and IV
B) II only
C) I, II, and III
D) I, II, III, and IV

A

The answer is I, III, and IV.

The value of the life lost is not considered in the needs approach. Rather, the focus is on the financial needs and remaining resources of the surviving dependents.

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32
Q

Policies that pay dividends are said to be participating policies. Which of the following policies pay dividends?

A) Annual term policies
B) Universal life policies
C) Multi-year term life policies
D) Whole life policies

A

D). The answer is whole life policies. Only participating whole life policies pay dividends that are essentially a return of premium when a mutual life insurance company has better-than-expected operating results. While universal life policies pay interest, neither universal nor term life policies pay dividends.

LO 3.3.2

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33
Q

Whole life insurance nonforfeiture options allow a policyowner to

I. surrender a whole life insurance policy and receive the net cash value (cash value less any applicable surrender charges and/or outstanding policy loans).

II. stop paying premiums on a whole life insurance policy and exchange the net cash value for a reduced paid-up single-premium permanent life insurance policy.

III. stop paying premiums on a whole life insurance policy and use the net cash value as a single premium to purchase a paid-up term life insurance policy with a face amount equal to the face amount of the original policy for a specified period.

A) III only
B) II and III
C) I and II
D) I, II, and III

A

The answer is I, II, and III.

There are three common nonforfeiture options available when surrendering or discontinuing premium payments on a whole life insurance policy. Under the cash surrender value option, a policy owner can surrender the policy and receive the net cash value.

By electing the reduced paid-up insurance option, a policy owner leaves the net cash value of the original life insurance policy with the company and receives a smaller amount of fully paid-up insurance of the same type.

If the policy owner chooses the extended term insurance option, the net cash value is used as a net single premium to purchase a paid-up term insurance policy.

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34
Q

Carolyn was the beneficiary of her spouse’s life insurance policy with a face amount of $1,000,000 She elected the single life annuity settlement option. The settlement option will pay her $4,500 per month, and her life expectancy is 30 years. How much of each monthly payment is taxable?

A) $2,777.85
B) $0
C) $1,722.15
D) $3,033.95

A

The answer is $1,722.15.

The total amount Carolyn will receive from the settlement option is $1,620,000 ($4,500 × 360). Her tax basis is $1,000,000, so her exclusion ratio is 0.6173 ($1,000,000 ÷ $1,620,000).

Therefore, $2,777.85 of each payment is excluded from gross income ($4,500 × 0.6173), and the remainder ($1,722.15) is taxable.

In addition, the taxable income may be subject to the 3.8% Medicare contribution tax.

LO 3.2.5

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35
Q

Which of the following statements concerning federal income tax and annuities is CORRECT?

I. The premium invested in the annuity accumulates on a tax-deferred basis.

II. Generally, amounts received as withdrawals during an annuity’s accumulation period are taxable, to the extent the withdrawal represents gains earned by the contract.

A) Neither I nor II
B) II only
C) I only
D) Both I and II

A

The answer is both I and II.

When contributions are left to accumulate, the earnings credited to the contract are not taxable until withdrawn by the annuitant.

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36
Q

If a client wishes to be rewarded with lower life insurance premiums for maintaining good health, which of the following types of life insurance policies would be most appropriate?

A) Decreasing term
B) Whole life
C) Convertible term
D) Reentry term

A

The answer is reentry term. Reentry term is a policy under which the insurance company may renew coverage at a lower premium rate than the guaranteed renewal rate, provided that, at the time of renewal, the insured furnishes satisfactory evidence of continued insurability. A reentry term policy, therefore, rewards individuals who remain in good health as they continue to age while maintaining insurance coverage for other insureds who no longer qualify for lower rates.

LO 3.2.1

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37
Q

Nancy and Joe are married and in need of permanent life insurance. They anticipate their incomes substantially increasing in the next three to eight years, but right now, they are on a tight budget. Which of the following is the best form of permanent life insurance for the couple?

A) Decreasing term insurance
B) Modified premium whole life
C) Limited-pay whole life
D) Current assumption whole life

A

The answer is modified premium whole life.

With a modified premium whole life insurance policy, premiums are lower for the initial three to five years after issue and then increase once thereafter. As such, modified whole life is simply an ordinary life policy with a unique premium payment structure that accommodates a policy owner who expects to experience an increasing salary in the near future.

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38
Q

Assume Greg dies of a heart attack, and Jackie receives the $50,000 death benefit provided by his group life insurance policy and $150,000 from his individually owned universal life insurance policy as lump-sum payments. What amount must Jackie include in her gross income?

A) $150,000
B) $50,000
C) $0
D) $200,000

A

The answer is $0. When Greg dies, Jackie receives a $50,000 death benefit under his 20-year level term policy and a $150,000 death benefit (two times his salary of $75,000) under his group life policy. Because she receives the benefits in one lump sum, they are not included in her gross income.

LO 3.2.5

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39
Q

Which of the following correctly identifies the primary purpose of a buy-sell agreement funded with life insurance?

A) To allow the business to purchase a deceased owner’s share of the business from the estate
B) To pay the deceased’s estate tax liability
C) To guarantee marketability of closely held stock
D) To include policy cash values as a corporate asset

A

The answer is to allow the business to purchase a deceased owner’s share of the business from the estate.

The primary purpose of a buy-sell agreement funded with life insurance is to provide the cash required by the agreement to allow the surviving partner(s) to buy the deceased partner’s share from his heirs or estate in the event he dies before retiring.

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40
Q

Which of the following statements regarding the misstatement of age clause in a life insurance policy is CORRECT?

I. The face amount of the policy will be adjusted to the amount of insurance that the premium paid would have purchased based on the insured’s correct age.

II. In many cases of misstatement of age, insured’s understate their age to reduce the premiums.

A) II only
B) Neither I nor II
C) Both I and II
D) I only

A

C) The answer is both I and II.

By understating their age, insureds could reduce life insurance premiums. The misstatement of age clause provides that if a misstatement of the insured’s age is discovered after the policy is issued, the insurance company can adjust the face amount of the policy to an amount that the premium would have purchased had the insured’s age been stated correctly.

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41
Q

A client just purchased a house and took out a $300,000 mortgage with a repayment term of 15 years. She wants to purchase a life insurance policy that will provide a death benefit equal to the unpaid mortgage balance if she dies with a mortgage. She wants a level premium and does not feel she will need life insurance once the mortgage is paid off. Which of the following life insurance policies best meets the client’s needs?

A) Decreasing term life insurance
B) 30-year level term life insurance
C) Whole life insurance
D) Decreasing whole life insurance

A

The answer is decreasing term life insurance. A decreasing term life insurance policy is the best choice for this client because it provides a level premium and a death benefit that decreases over time. Historically, this type of policy has been used as mortgage protection insurance because the decrease in death benefit approximates the declining principal as mortgage payments are made by the homeowner. Level term life insurance provides fixed premiums, but the face amount remains constant. Decreasing whole life insurance is not a type of policy. Whole life insurance is not appropriate because, although the premiums are fixed, the face amount remains constant, and the policy provides a cash value.

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42
Q

Settings
Which of the following factors should be analyzed when assessing the cost of a universal life insurance policy?

I. The actual interest rate credited to the policy

II. The actual mortality charge assessed to the policy

III. The guaranteed interest rate specified in the policy

A) II and III

B) I, II, and III

C) I and II

D) I and III

A

The answer is I, II, and III. All of these factors should be analyzed when assessing the cost of a universal life insurance policy.

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43
Q

Under which life insurance settlement option are proceeds paid to the beneficiary at a set dollar amount per month until all principal and interest are exhausted?

A) Interest only
B) Fixed period
C) Life income
D) Fixed amount

A

D) The answer is fixed amount.

Under the fixed-amount option, a fixed amount is paid until both the principal and interest are exhausted. The amount paid remains unchanged, but the period in which the payments are made depends on how much is to be paid each period.

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44
Q

Norberto and Maria are considering purchasing an annuity to provide additional retirement income, but they are concerned about needing to withdraw funds from the annuity before they retire. Which of the followings statements regarding withdrawals from their annuity is CORRECT?

I. Withdrawals will consist of taxable earnings until all the earnings have been withdrawn (LIFO rule).

II. Withdrawals may be subject to a 10% penalty tax if taken before age 59½.

A) II only
B) Neither I nor II
C) Both I and II
D) I only

A

C) The answer is both I and II.

Withdrawals will consist of taxable earnings until all the earnings have been withdrawn (LIFO rule), and withdrawals may be subject to a 10% penalty tax if taken before age 59½.

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45
Q

Settings
Jalen purchased a term life insurance contract with a death benefit of $200,000 and a two-year suicide clause. He committed suicide less than six months after he purchased the policy. What is the required payment from the insurance company to the beneficiary?

A) The insurance company would pay half of the death benefit.
B) The insurance company would not pay anything.
C) The insurance company would pay the full $200,000 death benefit.
D) The insurance company would return all premiums without interest to the beneficiary.

A

D) The answer is the insurance company would return all premiums without interest to the beneficiary. The suicide clause stipulates that, if the insured commits suicide within a specified period (usually two years), the insurance company is only liable for a return of the insured’s premium payments, not the policy’s death benefit.

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46
Q

Donald is married and has two small children. Both he and his spouse are employed outside the home. They spend both incomes, have a mortgaged home, keep credit cards with outstanding balances each month, have little savings, and care for aging parents.

Based on Donald’s current life risk exposures, which of the following can be addressed with life insurance?

I. Death before debt repayment
II. Death before accomplishing personal goals
III. Death of an income earner
IV. Estate tax liability

A) III and IV
B) I and III
C) II and IV
D) I and II

A

The answer is I and III. In this situation, the risks Donald should address are paying off debt and replacing lost income. Given these facts, there is no concern for estate taxes, and personal goals are not something that can be insured against.

LO 3.1.1

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47
Q

7 of 30
Which of the following universal life options pay a level death benefit?

I. Option A
II. Option B

A)II only
B)I only
C)Neither I nor II
D) Both I and II

A

B) I only??

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48
Q

Question #10 of 30

Several years ago, Diego purchased a $400,000 whole life insurance policy on his life. He has paid cumulative premiums over the years of $20,000 and has accumulated a cash value of $25,000. This year, he was diagnosed with a rare liver disease, and, as a result, his life expectancy is only six months. Because of his large medical costs, he is considering selling his policy to a viatical settlement company. The company has offered him $250,000 for the policy. He would also like to explore other ways to generate cash from the policy.

Which of the following statements regarding Diego’s situation are CORRECT?

I. If Diego sells his policy to the viatical settlement company, he will be taxed on any gain from the sale if he dies more than two years later.

II. If the viatical company collects the death benefit as a result of Diego’s death, the proceeds will be tax free to the company.

III. If Diego sold the policy to his cousin for $250,000, his cousin would be subject to ordinary income tax on a portion of the life insurance benefit when Diego dies.

IV. If Diego takes a loan from the policy, some or all of the loan will be subject to ordinary income tax if the policy is classified as a modified endowment contract (MEC).

A) I and II
B) I, II, and IV
C) III and IV
D) II and III

A

The answer is III and IV.

Because Diego is terminally ill (i.e., expected to die within two years), he will not be taxed on the proceeds received from the viatical settlement company, even if he lives longer than two years.

When the viatical settlement company receives the death benefit, part of the death benefit will be taxed at ordinary income tax rates to the company.

The sale of the policy to Diego’s cousin would be considered a transfer for value. His cousin would be taxed on the death benefit (less any amounts paid) because the transfer-for-value rules cause the death benefit to become taxable.

With a MEC, loans or distributions from the policy are taxed on a last in, first out basis, meaning that any earnings in the policy are taxed first.

LO 3.2.4

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49
Q

Question #11 of 30

Which of the following characteristics of life insurance contracts create favorable tax treatment?

I. Death benefits paid to a beneficiary are not usually taxable as income.
II. Income taxes on investment gains are tax-deferred.
III. The earnings on the cash value are not taxed during the accumulation period.

A) I and III
B) II and III
C) I and II
D) I, II, and III

A

The answer is I, II, and III. All of these are income tax characteristics of a life insurance policy. Generally, such a policy is accorded favorable tax treatment under law.

LO 3.2.5

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50
Q

12 of 30
Which of the following statements regarding variable universal life insurance is CORRECT?

I. This policy contains investment options and no minimum guaranteed rate of return.

II. Planners must have state variable insurance and securities licenses to sell variable universal life insurance.

III. Cash values can decline to zero, causing the policy to lapse unless additional premium payments are made.

IV. Variable universal life insurance policies are suited for individuals with lower risk tolerances and investment experience.

A) I, II, III and IV
B) II and III
C) I and IV
D) I, II, and III

A

The answer is I, II, and III. Variable universal life insurance policies are suited for individuals with higher, not lower, risk tolerances and investment experience.

LO 3.2.5

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51
Q

14 of 30

Which of the following statements regarding the reinstatement clause in a life insurance policy is true?

A) Policy loans are forgiven due to the lapse.
B) The owner can reinstate a lapsed policy without repaying missed premiums.
C) Proof of insurability is never required prior to reinstatement.
D) No insurance coverage will have been in place from the date of the lapse to the date all reinstatement requirements are submitted.

A

D). The answer is no insurance coverage will have been in place from the date of the lapse to the date all reinstatement requirements are submitted. Assuming reinstatement is granted, no coverage is available during the lapsed period.

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52
Q

Question #15 of 30

Which of the following is NOT a whole life insurance policy dividend option?

A) Fifth dividend option
B) Cash option
C) Paid-up additions
D) Life income option

A

D). The answer is life income option. Life income is a settlement option.

LO 3.3.2

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53
Q

Question #20 of 30

Which of the following statements regarding the accidental death benefit (ADB) rider is CORRECT?

I. The ADB rider is no longer synonymous with the term double indemnity.

II. For large amounts of life insurance, the maximum amount of ADB rider offered by an insurance company is usually substantially less than the face amount.

A) II only
B) Both I and II
C) I only
D) Neither I nor II

A

B) The answer is both I and II. Both statements are true of the ADB rider.

LO 3.3.3

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54
Q

Question #21 of 30

In calculating life insurance needs, which of the following can be defined as the present value of the family’s share of the decedent breadwinner’s future earnings?

A) Net present value
B) Human life value
C) Conversion value
D) Portfolio value

A

B) The answer is human life value. Human life value is the family’s share of the earnings of the breadwinner. The projected value of the decedent breadwinner’s future earnings is discounted to its present value to determine the human life value.

LO 3.4.1

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55
Q

23 of 30
Antonio is looking for ways to reduce expenses in retirement. He has been paying premiums on a whole life policy. His health is not great, and his life expectancy will be shorter than a normal person his age. Which of the following strategies and reasons would be appropriate for Antonio?

A) Antonio could take a reduced paid-up life policy and eliminate future premiums. Since his health is not great, this would give his heirs the maximum inheritance if he died within the next 10 years.

B) Antonio could convert his policy to an extended term policy. According to the insurance company, his policy would last past a normal life expectancy, and the full death benefit would go to his heirs without additional out-of-pocket expenses, as long as he passes away within the extended term period.

C) Antonio could surrender the policy for cash because he could invest the money for his heirs at a better return and still reduce his expenses.

D) “Antonio could add an accidental death and disability (AD&D) rider.”

A

B) The answer is Antonio could convert his policy to an extended term policy. According to the insurance company, his policy would last past a normal life expectancy, and the full death benefit would go to his heirs without additional out-of-pocket expenses, as long as he passes away within the extended term period.

Because of his shortened life expectancy, taking a cash surrender would provide the least amount of money for his heirs. Utilizing an extended term policy would create the most resources for his heirs. The AD&D rider would do nothing to benefit Antonio.

LO 3.5.1

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56
Q

25 of 30
Under a Section 1035 exchange, which of the following policies may be exchanged on a tax-free basis?

I. An endowment policy exchanged for another endowment policy, in which the beginning date for regular payments is no later than the original contract qualified long-term care contract, or annuity contract

II. One annuity contract exchanged for another annuity contract

III. A life insurance policy exchanged for another life insurance policy(on the same insured), annuity, or endowment contract

IV. An annuity contract exchanged for a life insurance policy

A) I, II, and III

B) I and IV

C) I and II

D)II and III

A

A) The answer is I, II, and III. Statement IV is not an eligible tax-free exchange under Section 1035. A taxable event occurs if an annuity is exchanged for a life insurance policy or endowment contract.

LO 3.5.2

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57
Q

All of the following statements concerning categories of annuities are correct except

A) a joint-and-last-survivor annuity provides income that ceases only upon the last death among the covered lives.

B) a straight life annuity provides periodic (usually monthly) income payments that continue as long as the annuitant lives and terminates at the annuitant’s death.

C) an annuity may be paid periodically in a fixed amount for a period determined by the insurer.

D) a deferred annuity is one in which the first benefit payment is made one payment interval after the date of purchase.

A

D) The answer is a deferred annuity is one in which the first benefit payment is made one payment interval after the date of purchase.

A single premium immediate annuity is one in which the first benefit payment is made one payment interval after the date of purchase.

LO 3.6.1

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58
Q

All of the following statements regarding indemnity health insurance plans are correct except

A) these plans are sometimes called traditional plans.

B) these plans include neither a deductible nor a coinsurance provision but reimburse the insured according to a scheduled list of allowed costs.

C) these plans are no longer common.

D) these plans allow for generous limits on the amount payable for any event.

A

D) The answer is these plans allow for generous limits on the amount payable for any event. Plans that provide indemnity coverage impose rigid limits on the amount payable for each event.

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59
Q

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)

I. provides former employees with continuation of group health insurance for a maximum of 12 months.

II. allows the premium for continuation of group health insurance coverage to be as high as 102% of the existing group rate.

III. applies to covered employees, their spouses, and dependents.

IV. requires employers with 20 or more employees to provide for the continuation of group health insurance in the event of termination or other qualifying events.
A) I, II, III, and IV

B) IV only

C) II, III, and IV

D) I and II

A

Explanation
The answer is II, III, and IV. COBRA provides for the continuation of group health insurance coverage for employees in the event of termination or other qualifying events for 18–36 months. This assumes the employee pays the premium, which can be as high as 102% of the current group rate.

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60
Q

Which of the following services are covered by Medicare Part B?

I. Physicians’ services
II. Routine exams for eyeglasses
III. Drugs that cannot be self-administered
IV. Routine foot care exams

A) I and III
B) I and IV
C) I, II, and III
D) II and IV

A

A) The answer is I and III. Medicare Part B does not cover routine exams for eyeglasses or foot care.

LO 4.4.1

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61
Q

Arthur is a full-time employee of the ABC Company. ABC has 18 full-time and eight part-time employees, and it provides a group health plan for its full-time employees. This year, Arthur turns 65 and voluntarily terminates his employment with ABC in order to retire. Assuming Arthur was covered by the ABC health plan when he retired, which of the following statements regarding Arthur’s eligibility for COBRA continuation coverage is CORRECT?

A) Arthur is not eligible for continuation coverage because he is eligible for Medicare.

B) Arthur is not eligible for continuation coverage because he voluntarily resigned.

C) Arthur is eligible for up to 18 months of continuation coverage.

D) Arthur is not eligible for continuation coverage because ABC has fewer than 20 full-time employees.

A

Explanation
C) The answer is Arthur is eligible for up to 18 months of continuation coverage. Termination of employment, including voluntary resignation and retirement, is a qualifying event for purposes of COBRA, as is becoming eligible for Medicare. Each of ABC’s eight part-time employees counts as half an employee for purposes of the 20-employee rule, so ABC is subject to the COBRA requirements.

LO 4.1.1

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62
Q

Which of the following statements regarding Medigap required provisions is CORRECT?

I. Medigap policies must be guaranteed renewable.

II. Medigap policies must have a 90-day free-look period.

III. Medigap policy benefits must be automatically adjusted for changes in Medicare,

IV. Pre-existing condition limitations may not last longer than 12 months from the date of issue.

A) IV only

B) I, II, and IV

C) I and III

D) II and III

A

c) The answer is I and III.

Medigap policies must have a 30-day free-look period. Pre-existing condition limitations may not last longer than six months from the date of issue.

LO 4.4.2

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63
Q

Which of the following disability income policy riders provide a benefit if an insured returns to work at lesser pay?

A) The residual disability rider

B) The future increase option

C) The partial disability rider

D) The social insurance substitute benefit

A

Explanation
The answer is the residual disability rider. The residual disability rider provides a benefit to an insured who has returned to work at lesser pay. In order to qualify, the insured must have at least a 20% reduction in pay.

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64
Q

Which of the following statements concerning long-term care (LTC) insurance is CORRECT?

I. The types of benefits provided by LTC policies include skilled nursing care, intermediate care, custodial care, home health care, and adult day care.

II. To qualify for favorable tax treatment, Alzheimer’s disease may not be excluded from LTC policies.

A) Neither I nor II

B) II only

C) Both I and II

D) I only

A

The answer is both I and II. There are seven basic types of services covered by the standard LTC policy, including skilled nursing care, intermediate nursing care, custodial care, home health care, assisted living, adult day care, and hospice care. To qualify for favorable tax treatment, LTC policies must have certain consumer protection features (e.g., contracts cannot exclude any specific illness, including Alzheimer’s disease).

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65
Q

All of the following types of Medicaid assets generally count when calculating one’s eligibility for Medicaid except

A) checking and savings accounts.
B) certificates of deposit.
C) stocks and bonds.
D) life insurance with a face amount of less than $1,500.

A

The answer is life insurance with a face amount of less than $1,500. In addition, one motor vehicle, personal property and household belongings, and one’s primary residence, with some limitations, generally do not count when calculating eligibility for Medicaid.

LO 4.1.2

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66
Q

Which of the following statements regarding Medicare is CORRECT?

I. Medicare coverage would be secondary to any health insurance coverage carried by individuals through their employer health plans.

II. Medicare Part A provides hospice care.

III. Medicare Part B provides routine foot care exams.

IV. Medicare is a federal government health insurance plan.

A) II, III, and IV
B) II and III
C) I, III, and IV
D) I, II, and IV

A

The answer is I, II, and IV. Medicare Part B does not provide routine foot care exams.

LO 4.4.1

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67
Q

Noncancelable disability income insurance policies are different from guaranteed renewable disability income insurance policies because noncancelable disability income policies

A) can be canceled by the insurance company midterm.

B) cannot have a premium change.

C) are not guaranteed renewable.

D) are less expensive than guaranteed renewable disability policies.

A

B) The answer is cannot have a premium change.

A noncancelable disability income insurance policy is a continuous term contract guaranteeing the right to renew for a specified period with a guaranteed premium. Therefore, all noncancelable disability income policies are also guaranteed renewable.

Guaranteed renewable disability income contracts allow for automatic renewal but permit the insurance company to raise the premium for an entire class of insureds. Noncancelable policies are more expensive than guaranteed renewable policies.

LO 4.5.1

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68
Q

Which of the following statements concerning the tax treatment of qualified long-term care (LTC) insurance is CORRECT?

I. Self-employed persons may not deduct premiums paid for qualified LTC insurance policies.

II. Persons who itemize deductions can deduct the premiums for qualified LTC policies, subject to certain limits.

A) II only

B) Neither I nor II

C) I only

D) Both I and II

A

Explanation

A) The answer is II only. Self-employed persons may deduct premiums paid for qualified LTC insurance policies.

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69
Q

Which one of the following statements accurately describes a provision of the health insurance continuation coverage requirements of COBRA?

A) Employers with 20 or more employees must offer continuing health care coverage to former employees and/or their dependents upon the occurrence of a qualifying event.

B) Continuation coverage need not be offered to employees who voluntarily terminate employment if the employer typically employs fewer than 30 persons.

C) Continuation coverage need not be offered to employees who are terminated involuntarily, but must be offered to employees who voluntarily terminate their employment.

D) If an employee voluntarily terminates employment, continuation coverage must be offered to the employee for 24 months after the date of termination, regardless of whether the employer still carries such coverage on remaining employees.

A

Explanation
The answer is employers with 20 or more employees must offer continuing health care coverage to former employees and/or their dependents upon the occurrence of a qualifying event. In most cases, employees may maintain group health insurance benefits for up to 18 months after leaving work. Employers with 20 or more employees normally have to offer this extended health insurance coverage to terminated employees. The Department of Labor identifies several events that may allow for COBRA coverage, including voluntary or involuntary termination of the covered employee’s employment for reasons other than gross misconduct and reduced hours of work for the covered employee.

LO 4.1.1

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70
Q

Which of the following are common characteristics of preferred provider organizations (PPOs).

I. Participating providers are paid on a fee-for-service basis as their services are used.

II. Covered individuals have financial incentives to receive treatment within the PPO.

A) II only
B) I only
C) Neither I nor II
D) Both I and II

A

Explanation
The answer is both I and II. Participating providers are paid on a fee-for-service basis as their services are used, and covered individuals have financial incentives to receive treatment within the PPO.

LO 4.2.1

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71
Q

Which of the following single-coverage health plans qualify as a high-deductible health plan that can be used in conjunction with a health savings account in 2019?

I. Plan A: $1,000 deductible; $4,000 maximum out of pocket

II. Plan B: $2,500 deductible; $4,000 maximum out of pocket

III. Plan C: $3,000 deductible; $5,000 maximum out of pocket

A) III only

B) I only

C) I, II, and III

D) II and III

A

The answer is II and III. For 2019, a high-deductible single-coverage health plan must have a deductible of at least $1,350 and a maximum out of pocket of $6,750. Both Plan B and Plan C meet this test.

LO 4.2.1

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72
Q

Under the Health Insurance Portability and Accountability Act, a chronically ill person is unable to perform how many activities of daily living (ADLs) for a period of at least how many days?

A) 3, 30

B) 2, 90

C) 3, 60

D) 2, 60

A

Explanation
B) The answer is 2, 90.

Under a qualified long-term care policy, a chronically ill person is expected to be unable to perform, without substantial assistance from another person, two ADLs for 90 days.

LO 4.1.1

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73
Q

Which of the following disability income policy continuation provisions guarantees the renewal of the policy for a stated period without any increase in premium?

A) Conditionally renewable

B) Optionally renewable

C) Noncancelable

D) Guaranteed renewable

A

Explanation
The answer is noncancelable.

A disability income insurance policy that is noncancelable provides the greatest amount of security for the insured (at the greatest premium outlay). With this provision, the insurance company guarantees the renewal of the policy for a stated period without any increase in future premiums.

LO 4.5.1

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74
Q

Anniki purchases a disability income insurance policy for which she and Frank pay all of the premiums. She is unable to work for several months due to an accident, and she receives $10,000 in disability benefits under her policy. Which of the following statements regarding the income tax treatment of the premiums and benefits of this policy is CORRECT?

A) The premiums are deductible and the benefits are tax free.

B) The premiums are deductible and the benefits are taxable.

C) The premiums are not deductible and the benefits are tax free.

D) The premiums are not deductible and the benefits are taxable.

A

Explanation
The answer is the premiums are not deductible and the benefits are tax free. The premium for an individual disability income insurance policy is a nondeductible personal expense, and the benefits are tax free.

LO 4.5.1

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75
Q

When evaluating medical insurance coverage, which of the following factors would NOT be important?

I. Whether the doctors and hospitals the client wishes to use are in network.

II. Total projected out-of-pocket costs including deductibles, copays, and maximum out-of-pocket expense limits.

A) Neither I nor II
B) Both I and II
C) I only
D) II only

A

B) The answer is both I and II. Both of these factors should be considered.

LO 4.3.1

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76
Q

Loretta has a $200 deductible and a 20% coinsurance for her medical expense plan. Her first medical bill of the year is $1,200. Loretta will pay the $200 deductible. How much money must she pay in addition to the deductible?

A) $240
B) $800
C) $200
D) $1,000

A

Explanation
The answer is $200. Her first bill of the year is $1,200. She pays her $200 deductible and will still owe 20% of the $1,000 left over after the deductible is subtracted ($1,200 – $200 (deductible) = $1,000 × 20% coinsurance = $200).

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77
Q

Judson recently turned 75 and has been blind for two years. He has trouble walking and is unable to cook for himself. His family told him that he needs to consider moving into an assisted living facility. Judson previously purchased a tax-qualified long-term care insurance policy. After analyzing the scenario, will he be considered chronically ill and trigger the benefits of the policy?

A) No, Judson is not considered chronically ill. Sight is not considered an activity of daily living, although cooking is.

B) Yes, Judson is considered chronically ill. He has been unable to perform two activities of daily living for more than 90 days.

C) No, Judson is not considered chronically ill. Neither sight nor cooking is considered an activity of daily living.

D) Yes, Judson is considered chronically ill, as long as he can prove to the insurance company that he is blind and unable to cook for himself.

A

Explanation

C) The answer is no, Judson is not considered chronically ill. Neither sight nor cooking is considered an activity of daily living. Therefore, Judson is not considered chronically ill, and his benefits will not be triggered.

LO 4.6.1

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78
Q

When evaluating medical insurance coverage, which of the following factors would NOT be important?

I. Whether the doctors and hospitals the client wishes to use are in network.

II. Total projected out-of-pocket costs including deductibles, copays, and maximum out-of-pocket expense limits.

A) Neither I nor II
B) Both I and II
C) I only
D) II only

A

B) The answer is both I and II. Both of these factors should be considered.

LO 4.3.1

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79
Q

Which of the following objectives might be satisfied by an employer’s use of a nonqualified retirement plan?

I. The employer wishes to exceed the maximum benefit and contribution limitations of a qualified plan.

II. The employer wishes to reduce the reporting and disclosure workload required by a qualified plan.

III. The employer wants to provide a stand-alone benefit that allows highly compensated employees to defer current income as a means of supplementing retirement income.

A) I and II

B) II and III

C) I and III

D) I, II, and III

A

D)
The answer is I, II, and III. All of these statements describe situations in which an employer might choose to use a nonqualified retirement plan.

LO 5.1.1

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80
Q

Which of the following funding vehicles used in nonqualified deferred compensation (NQDC) planning allows the executive/employee to defer income tax until he receives payments from the plan?

I. A secular trust

II. A rabbi trust

III. Stock that is subject to a substantial risk of forfeiture

A) I, II, and III

B) I only

C) III only

D) II and III

A

Explanation
The answer is II and III. An executive/employee covered under an NQDC plan can defer taxation if the assets used to fund the plan are subject to a substantial risk of forfeiture or are in a rabbi trust. A secular trust does not afford income tax deferral to the executive/employee.

LO 5.2.1

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81
Q

Which of the following are restrictions imposed on distributions from nonqualified plans by the American Jobs Creation Act of 2004?

A) Executives who leave a company cannot take a distribution from the plan for at least one year after the date of separation.

B) Plan distributions are generally payable only upon separation of service.

C) The period over which the distribution will be paid may be determined by the participant immediately before leaving the company.

D) A significant restriction is imposed on the use of offshore rabbi trusts designed to avoid U.S. income tax.

A

D)
The answer is a significant restriction is imposed on the use of offshore rabbi trusts designed to avoid U.S. income tax.

The American Jobs Creation Act of 2004 imposed a significant restriction on the use of rabbi trusts designed to avoid U.S. income tax.

The act also provides that executives who leave the company cannot take a distribution from a nonqualified plan for at least six months after the date of separation. The period over which the distribution will be paid may not be determined by the participant, but must be specified in the plan document. Plan distributions are generally payable upon separation of service, death, disability, change in ownership of the company, or unforeseeable emergency (as defined by the IRS).

LO 5.1.2

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82
Q

Which of the following statements regarding a rabbi trust is CORRECT?

A) It is a trust that involves formal funding of the nonqualified deferred compensation (NQDC), thereby making the value of the trust assets immediately taxable to the trust beneficiary.

B) It is a trust used solely and exclusively for religious institutions.

C) Trust earnings are not currently taxable to the employer.

D) It is a trust in which the assets remain available to the claims of the employer’s general creditors, thereby constituting informal funding of the arrangement.

A

Explanation
D) The answer is it is a trust in which the assets remain available to the claims of the employer’s general creditors, thereby constituting informal funding on the arrangement.

A rabbi trust is an irrevocable trust in which the assets remain available to the claims of the employer’s general creditors and is a common method of informally funding an NQDC plan.

LO 5.2.1

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83
Q

Which of the following statements regarding the substantial risk of forfeiture requirement of nonqualified deferred compensation plans is CORRECT?

A) If there is a substantial risk of forfeiture, the deferred compensation will be treated as constructively received.

B) If there is a substantial risk of forfeiture, the executive is considered to have current taxable compensation income.

C) An unsecured promise to pay qualifies as a substantial risk of forfeiture because there is no guarantee that the executive will receive the deferred compensation.

D) A rabbi trust qualifies as a substantial risk of forfeiture because the funds set aside for the executive may not be used to satisfy the employer’s creditors.

A

Explanation
C) The answer is an unsecured promise to pay qualifies as a substantial risk of forfeiture because there is no guarantee that the executive will receive the deferred compensation. If there is a substantial risk of forfeiture, the deferred compensation will not be treated as constructively received, and the executive is not considered to have current taxable income. A rabbi trust qualifies as a substantial risk of forfeiture because the funds set aside for the executive may be used to satisfy the employer’s creditors.

LO 5.1.2

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84
Q

Which of the following are disadvantages of an excess benefit plan?

I. The plan is subject to ERISA.

II. Vesting schedules may not favor highly compensated employees.

A) II only

B) Neither I nor II

C) Both I and II

D) I only

A

Explanation
The answer is neither I nor II. Excess benefit plans are not subject to ERISA requirements because they are unfunded plans.

LO 5.1.1

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85
Q

A cashless exercise of stock options

I. provides the employee with cash only.

II. provides the employee with stock only.

III. involves no cash outlay by the employee.

IV. works best for employees with insufficient cash to exercise the option.

A) I, II, III, and IV

B) III and IV

C) I, II, and III

D) I and II

A

Explanation
B) The answer is III and IV. The employee receives the net amount of the stock (the stock remaining after the sale of shares) or all cash. When an option is exercised, the employee has to pay to buy the shares. If the employee does not have enough cash to exercise the options, then a cashless option becomes a viable choice. The option is exercised, after which sufficient stock is immediately sold for the fair market value to realize the cash needed to pay for the exercise and any costs and taxes associated with the sale. The employee receives the net amount of the stock in either stock or cash.

LO 5.4.1

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86
Q

Which of the following statements pertaining to nonqualified deferred compensation plans is CORRECT?

I. The salary continuation approach uses some portion of the executive’s current compensation to fund the promised compensation benefit.

II. With a pure deferred compensation arrangement, the plan is funded with money the employer has set aside from current earnings to benefit the executive in the future.

A) II only
B) I only
C) Both I and II
D) Neither I nor II

A

Explanation
D) The answer is neither I nor II. The pure deferred compensation arrangement uses some portion of the executive’s current compensation to fund the promised compensation benefit. With a salary continuation approach, the plan is funded with money the employer has set aside from current earnings to benefit the executive in the future.

LO 5.2.1

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87
Q

The economic benefit doctrine (Section 83) requires

A) that stock options are deductible by the employer in the year granted.

B) that the present value of a not-to-compete restriction be included as employee income.

C) future consulting fees that are paid after retirement to be currently included as employee income.

D) restricted stock to be included as employee income if there is no longer a substantial risk of forfeiture.

A

D)
The answer is restricted stock to be included as employee income if there is no longer a substantial risk of forfeiture. Section 83 requires the employee to include as income any property that the employee has the right to enjoy, or the employee’s right to the property is no longer subject to a substantial risk of forfeiture. Consulting services after retirement are subject to risk of forfeiture.

LO 5.3.2

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88
Q

Which of the following are nonqualified deferred compensation plans?

I. Salary reduction arrangement

II. Pure deferred compensation arrangement

III. Salary continuation arrangement

IV. Ultimate benefit arrangement

A) I, II, and III
B) I and II
C) II and III
D) II, III, and IV

A

Explanation
The answer is I, II, and III.

There are two broad ways to structure a nonqualified plan. The first is as a salary reduction or pure deferred compensation arrangement. With this approach, the plan uses some portion of the executive’s current compensation to fund the promised compensation benefit, usually payable at the executive’s retirement date.

Alternatively, the plan may be structured with a salary continuation approach. To implement this arrangement, the plan is funded with money that the employer has set aside from current earnings to benefit the executive. The salary continuation approach is preferred by most executives because they are not sacrificing any of their own compensation to fund the benefit.

LO 5.3.1

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89
Q

In which of the following situations is implementing a nonqualified plan appropriate for an employer?

I. When an employer wants to provide a deferred compensation benefit for all employees

II. When an employer wants to provide additional deferred compensation benefits to an executive who is already receiving the maximum benefits/contributions under the employer’s qualified plan

III. When the employer wants to provide all employees with tax-deferred compensation benefits

IV. When an executive wants the employer to help with meeting certain financial planning goals

A) II and IV

B) I and IV

C) II, III, and IV

D) II and III

A

Explanation
The answer is II and IV. Statements I and III do not describe situations that are appropriate for implementing a nonqualified plan. An employer will use a nonqualified plan to provide a deferred compensation benefit to an executive or group of executives, or when the employer wants to provide certain key employees with tax-deferred compensation benefits.

LO 5.3.1

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90
Q

Incentive stock option (ISO) requirements include which of the following?

I. ISOs must be part of a written plan approved by the stockholders.

II. The expiration date cannot exceed 10 years from the date of grant.

III. The exercise price of the ISO must be at least 25% less than the market price of stock at the time of the grant.

IV. The shares received through the exercise of ISOs cannot be sold within one year from the date of grant and two years from the date of exercise in order to maintain favorable tax treatment.

A) I, II, III, and IV
B) I and II
C) III and IV
D) I, II, and III

A

Explanation
The answer is I and II. ISOs must be part of a written plan approved by the stockholders. The expiration date cannot exceed 10 years from the date of grant.

The exercise price of the option cannot be less than the market price of the stock at the date of the grant. The shares received as a result of exercising the ISOs cannot be sold within two years from the date of grant and one year from the date of exercise, otherwise the favorable tax treatment will be lost.

LO 5.4.1

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91
Q

A phantom stock plan

I. is a type of unfunded deferred compensation plan.

II. pays benefits in cash.

III. is based on the value and transactions of an imaginary stock that mirrors the value and transaction of the employer’s stock.

IV. has an exercise date that is controlled by the employer.

A) II, III, and IV
B) I, II, and III
C) II and III
D) I, II, III, and IV

A

The answer is I, II, III, and IV. All of these statements are correct. The primary purpose of this plan is to reward executives for achieving specific performance goals.

LO 5.5.2

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92
Q

Which of the following statements regarding excess benefit plans is CORRECT?

I. They provide excess retirement income to executives.

II. They provide the executive with the difference between the amounts payable under his qualified plan and the amount that he would have received if the Section 415 plan limitation did not exist.

Iii. They can discriminate in favor of highly compensated employees.

A) I only
B) II only
C) I and III
D) I, II, and III

A

The answer is I, II, and III.

Excess benefit plans provide excess retirement income to executives, provide the executive with the difference between the amounts payable under his qualified plan and the amount that he would have received if the Section 415 plan limitation did not exist, and can discriminate in favor of highly compensated employees.

LO 5.5.1

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93
Q

Settings
Malone’s employer recently offered him stock appreciation rights (SARs) with respect to 10,000 shares of the company’s stock. The terms of the SARs entitle Malone to be paid the difference between the fair market value (FMV) of the stock at the time of exercise and the FMV of the stock at the time of the grant. If the FMV of the stock was $5 on the date of the grant and $9 when Malone exercised the SARs, what is the amount of the award Malone will receive?

A) $90,000
B) $50,000
C) $40,000
D) $0

A

C) $40,000

Explanation
The answer is $40,000. Malone is entitled to receive an award of $4 per share, or $40,000 (10,000 shares × $4 difference between value at grant and value at exercise).

LO 5.5.2

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94
Q

Bargain Element

A

Difference between market value of stock at a particular time and option’s exercise price.

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95
Q

20 of 30
Jonathan was granted enough nonqualified stock options (NQSOs) to purchase 10,000 shares of Capital, Inc. stock at $10 per share two years ago. He exercised the options this year when Capital, Inc. stock was
$25 per share. Three years later, Jonathan sells the 10,000 shares for $100 per share. Which of the following statements regarding the tax ramifications of Jonathan’s transactions are CORRECT?

I. Capital gains tax is due the year the options are granted to Jonathan.

II. Jonathan’s cost to exercise all of the NQSOs is $50,000.

III. Jonathan will have a $750,000 capital gain when he sells the stock at $100 per share.

IV. Jonathan will have an additional $150,000 included in his W-2 compensation income, which is a type of ordinary income, subject to payroll taxes this year.

A) I, II, III, and IV
B) I, II, and III
C) I and II
D) III and IV

A

The answer is III and IV. Jonathan will have a $750,000 capital gain when he sells the stock at $100 per share. His adjusted tax basis is $25 per share,

LO 5.4.1

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96
Q

27 of 30
Closely held corporations that would like to reward valuable employees but do not want additional shareholders may consider using

A) junior class shares.
B) NQSOs.
C) phantom stock.
D) restricted stock.

A

The answer is phantom stock. Closely held corporations wishing to reward their highly valued employees without adding more shareholders may use phantom (or shadow) stock arrangements. Such arrangements are structured as fictional deferred compensation accounting entries, where the base value is equal to the current value of the corporation’s common stock.

LO 5.5.2

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97
Q

Which of the following statements regarding the substantial risk of forfeiture doctrine and nonqualified deferred compensation plans is CORRECT?

I. If there is a substantial risk of forfeiture, the executive will be considered to have received taxable income.

II. If there is a substantial risk of forfeiture with respect to the set-aside assets in a nonqualified plan, the deferred compensation will not be treated as constructively received.

A) Neither I nor II
B) II only
C) Both I and II
D) I only

A

The answer is II only. Only statement II is correct. If the funds within a nonqualified plan are subject to a substantial risk of forfeiture, the executive will not have received taxable income.

LO 5.1.2

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98
Q

Which of the following may create a current income tax liability upon exercise?

A) Incentive stock option
B) Nonqualified stock option
C) Neither a nonqualified stock option nor an incentive stock option
D) Both a nonqualified stock option (NQSO) and an incentive stock option (ISO)

A

Explanation
The answer is both a nonqualified stock option (NQSO) and an incentive stock option (ISO). Both ISOs and NQSOs may create a current income tax liability. The exercise of an NQSO creates additional W-2 compensation or ordinary taxable income that is subject to FICA or payroll taxes. The exercise of an ISO creates an individual alternative minimum tax (AMT) adjustment item. This item, if large enough, may result in current AMT liability.

LO 5.1.2

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99
Q

Which of the following statements correctly describes a concept related to nonqualified deferred compensation?

I. The availability of deferred compensation plan funds to the employee, without substantial restriction, generally results in constructive receipt.

II. Substantial risk of forfeiture exists when the employee’s receipt of deferred compensation benefits is contingent upon performance of substantial services in the future.
III. An example of substantial risk of forfeiture provisions would be the employee’s loss of rights to the plan benefits because of disability or premature death.

IV. The employee’s receipt of anything that can be assigned a cash value results in economic benefit and taxation.

A) I, II, and IV
B) I and II
C) III and IV
D) I, II, III, and IV

A

The answer is I, II, and IV. Statement III is incorrect because disability or premature death does not create a substantial risk of forfeiture.

LO 5.3.2

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100
Q

Which of the following statements regarding the tax implications of employee stock purchase plans are CORRECT?

I. Alternative minimum tax (AMT) is applied at the time of exercise.

II. There are no tax ramifications at the date of grant.

III. There are no tax ramifications at the date of exercise.

IV. Upon sale of the stock, ordinary income is recognized.

A) II, III, and IV
B) I, II, and III
C) I and II
D) III and IV

A

The answer is II, III, and IV.

There are no AMT consequences at the time of exercise. There are no tax ramifications at the date of grant or date of exercise. Upon disposition of the shares, the employee will recognize ordinary income based on the lesser of the fair market value (FMV) of the stock at the grant date, less the option price, or the FMV of the stock on the disposition date (or date of death, if sooner), less the option price. The balance of any gain is treated as capital gain. If the option is equal to the FMV of the stock at the date of grant, all gain upon disposition will be a capital gain as long as the shares are held by the employee for at least two years from grant of the option and one year after the exercise.

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101
Q

Becky, a key executive at ABC, Inc., is a new participant in the company’s phantom stock plan. Her supervisor told her that this is a long-term incentive plan used by businesses to award executives for exemplary performance. Which of the following are features of this type of plan?

I. It is a type of unfunded deferred compensation plan.

II. It pays benefits in cash.

III. It is based on the value and transactions of an imaginary stock that mirrors the value and transaction of the employer’s stock.

IV. It has an exercise date that is controlled by the employer.

A) I, II, III, and IV
B) II, III, and IV
C) I, II, and III
D) II and III

A

The answer is I, II, III, and IV.

All of these statements are correct regarding phantom stock plans. The primary purpose of this plan is to reward executives for achieving specific performance goals.

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102
Q

Andrea was in an accident this year and is now disabled. She is receiving disability benefits from a disability policy that was paid for by her employer. Which of the following statements regarding the disability benefits is CORRECT?

A) The entire benefit will be tax free.

B) The entire benefit will be taxable.

C) Only the benefit received over $50,000 will be taxable.

D) The benefits received from her employer’s policy will reduce the amount of Social Security disability benefits that she is eligible to receive.

A

Explanation
B) The answer is the entire benefit will be taxable. Because the employer paid the premiums, the entire amount of disability benefits received will be taxable. Social Security disability benefits will not be reduced by other disability benefits. However, if Andrea is eligible to receive Social Security benefits, the disability benefits from her employer disability policy may be reduced.

LO 6.3.1

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103
Q

Which of the following types of life insurance (offered as group life) is beneficial to both the employer and the employee from a tax standpoint?

A) Group term life insurance

B) Group universal life insurance

C) Group ordinary life insurance

D) Group paid-up life insurance

A

A)
The answer is group term life insurance. Group term life insurance premiums are deductible by the employer and excludable from income by the employee if the face value does not exceed $50,000.

LO 6.1.1

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104
Q

What is the length of the coverage period for a terminated employee under COBRA?

A) 0 months
B) 29 months
C) 36 months
D) 18 months

A

D) 18 months
Explanation
The answer is 18 months. Terminated employees qualify under COBRA, and the required coverage period is 18 months. If an employee meets the definition of Social Security disability, the required period of coverage under COBRA is 29 months.

LO 6.2.3

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105
Q

Settings
Which of the following is the definition of copayments in a group health insurance policy?

A) The most the insured will have to pay in any given year before the insurance company pays 100% of claims

B) The percentage of medical expenses that are paid by the insurance company once the deductible has been met

C) The premium paid in order to obtain coverage

D) A flat amount that is paid per service, such as for doctor visits or emergency room visits

A

Explanation
The answer is a flat amount that is paid per service, such as for doctor visits or emergency room visits. Copayments are a flat amount that is paid per service, such as for doctor visits or emergency room visits. Copayments are not premiums. Coinsurance is a percentage of the expenses that are paid by the insurance company once the deductible has been met for covered services.

LO 6.2.1

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106
Q

Settings
Which of the following statements regarding flexible spending accounts is CORRECT?

I. The maximum salary reduction election for the dependent care FSA for married couples in 2019 is $5,000.

II. The maximum amount available for reimbursement of incurred medical expenses of an employee (and dependents and other eligible beneficiaries) under the health FSA for a plan year cannot exceed $2,700 in 2019.

III. An employee can elect to participate in both the dependent care FSA and the health FSA for a total of $7,700 of elected salary reductions annually.

IV. An employee can only elect to participate in either the health FSA or the dependent care FSA in a particular plan year.

A) II only
B) I only
C) I, II, and III
D) I, II, and IV

A

C) The answer is I, II, and III. In 2019 an employee can elect to participate in both FSAs for a total of $7,700 in annual elected salary reductions.

LO 6.2.2

107
Q

Which of the following is the definition of copayments in a group health insurance policy?

A) The most the insured will have to pay in any given year before the insurance company pays 100% of claims

B) The percentage of medical expenses that are paid by the insurance company once the deductible has been met

C) The premium paid in order to obtain coverage

D) A flat amount that is paid per service, such as for doctor visits or emergency room visits

A

Explanation
D) The answer is a flat amount that is paid per service, such as for doctor visits or emergency room visits. Copayments are a flat amount that is paid per service, such as for doctor visits or emergency room visits. Copayments are not premiums. Coinsurance is a percentage of the expenses that are paid by the insurance company once the deductible has been met for covered services.

LO 6.2.1

108
Q

Jolene is insured through her employer in a group major medical health insurance plan. Her annual deductible is $250, after which she must pay 30% of all additional charges, to a maximum out of pocket of $10,000. In her first claim of the year, Jolene has $6,000 of covered medical expenses. How much will the insurance company pay toward the claim?

A) $5,750
B) $4,025
C) $5,500
D) $1,975

A

Explanation
The answer is $4,025. Subtract the $250 deductible from the $6,000 of covered expenses, then multiply the remaining $5,750 by 70%, which represents the insurer’s share because Jolene’s share is 30%. ($6,000 – $250) × 70% = $3,850.

LO 6.2.1

109
Q

Lisa, 70, is retired. As part of her retirement package, her former employer provides her with $50,000 of group term life insurance coverage. Lisa does not contribute toward the cost of the coverage. The cost of $1,000 of protection per month for someone in Lisa’s age bracket is $2.06. What amount is included in Lisa’s annual gross income as a result of her group term life insurance coverage?

A) $0
B) $618
C) $103
D) $1,236

A

Explanation
The answer is $0. Nothing is included in Lisa’s gross income as a result of her group term life insurance coverage. The $50,000 group term life insurance exclusion applies to both current and former employees, including retirees.

LO 6.1.1

110
Q

Rudolph’s employer maintains a group term life insurance plan for its employees. He is 55 and receives $200,000 in coverage under the plan. He is not a key employee. The cost of $1,000 of protection per month for someone in Rudolph’s age bracket is $0.43, and Rudolph contributes $240 annually toward the cost of the coverage. What amount is included in Rudolph’s annual gross income as a result of his group term life insurance coverage?

A) $294
B) $534
C) $0
D) $774

A

Explanation
The answer is $534. Rudolph’s excess coverage is $150,000 ($200,000 − $50,000 = $150,000). The monthly cost of his excess coverage is $64.50 (150 × $0.43 = $64.50), and the annual cost is $774 ($64.50 × 12 = $774). The annual cost of the excess coverage, less Rudolph’s contribution, is $534 ($774 − $240 = $534).

LO 6.1.1

111
Q

If Bonita pays for her group disability income with pretax dollars, how would benefit payments she receives be taxed?

A) They would be subject to income tax.
B) They would be subject to an additional 10% penalty if the insured is under age 59½.
C) They would not be subject to income tax.
D) They would be tax deductible.

A

Explanation
A) The answer is they would be subject to income tax. If disability premiums are paid with pretax dollars, any benefits received would be subject to income tax, and the employer would be required to match the FICA portion of payroll taxes.

LO 6.3.1

112
Q

Robert’s employer provides him with $150,000 of group term life insurance. Robert is 43 and not a key employee. The cost of $1,000 of protection per month for someone in Robert’s age bracket is $0.10. Robert’s employer also provides him with health care coverage at an annual cost of $10,000. Robert does not contribute toward the cost of either plan. What amount is included in Robert’s annual gross income as a result of his health insurance and group term life insurance coverage?

A) $10
B) $0
C) $120
D) $100

A

Explanation
The answer is $120. Robert must include the cost of his excess group term life insurance in his gross income. His excess coverage is $100,000 ($150,000 − $50,000). The monthly cost of his excess coverage is $10.00 (100 × $0.10), and the annual cost is $120 ($10 × 12 = $120). He must include the entire $120 in gross income because he does not contribute toward the cost of the coverage. Employer-paid premiums for health insurance are excluded from the employee’s gross income.

LO 6.1.1

113
Q

Settings
Which of the following benefits may NOT be offered or included in a Section 125 cafeteria plan?

I. Scholarships and fellowships
II. Educational assistance
III. Employee discounts
IV. Nonqualified plan benefits

A) I only
B) II and III
C) II, III, and IV
D) I, II, III, and IV

A

Explanation
The answer is I, II, III, and IV. All of these benefits are not included in a Section 125 plan.

LO 6.4.1

114
Q

Settings
Which of the following statements concerning disability income insurance is CORRECT?

I. Employer contributions for an employee’s disability income insurance are fully deductible by the employer as an ordinary and necessary business expense.

II. Contributions by an individual employee are considered payments for personal disability income insurance and are not tax deductible.

A) II only
B) Both I and II
C) Neither I nor II
D) I only

A

The answer is both I and II. Premiums paid toward a group disability contract for an employee are deductible as an ordinary and necessary business expense by the employer. Any disability benefit received by the employee under this arrangement is fully taxable. Employee contributions on split premium disability income insurance policies are not tax deductible to the employee, and benefits received are not taxable.

LO 6.3.

115
Q

Greg, 61, is covered by a health savings account (HSA) provided by his employer. His marginal federal income tax rate is 24%. This year, he takes a $5,000 distribution from the HSA but fails to apply it to qualified medical expenses. Which of the following statements regarding the income tax consequences of this distribution is CORRECT?

A) Greg owes tax of $1,200 but no penalty.
B) Greg owes no tax and no penalty.
C) Greg owes tax of $1,200 and a penalty of $1,000.
D) Greg owes tax of $1,200 and a penalty of $500.

A

Explanation
The answer is Greg owes tax of $1,200 and a penalty of $1,000. A distribution from an HSA that is not used for qualified medical expenses is taxable and, if made before age 65, is subject to an additional 20% penalty.

LO 6.2.3

116
Q

Which of the following statements regarding individual medical expense insurance is CORRECT?

I. The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires that group health plans allow employees and certain beneficiaries to elect to have their current health insurance coverage extended at group rates for up to 36 months following a qualifying event that results in the loss of coverage for a qualified beneficiary.

II. COBRA applies to all employers that maintain group health plans.

A) I only
B) Neither I nor II
C) II only
D) Both I and II

A

Explanation
The answer is I only. COBRA applies only to employers with 20 or more employees. A part-time employee counts as half an employee for purposes of the 20-employee rule.

LO 6.2.3

117
Q

All of the following statements regarding unemployment insurance are correct except

A) unemployment compensation is taxable to the recipient.
B) typically, unemployment benefits are paid out for 52 weeks.
C) the employer pays a tax to fund the unemployment benefit to the out-of-work employee.
D) benefits are determined by previous wage levels.

A

Explanation
The answer is typically, unemployment benefits are paid out for 52 weeks. Typically, unemployment benefits are paid out for 26 weeks.

LO 6.4.1

118
Q

Sergei has a traditional IRA with a balance of $26,000 invested in various mutual funds. He is expecting to incur close to $18,000 in medical bills in the next couple of months. Could Sergei simply transfer the $18,000 from his IRA to an HSA and pay for his medical expenses with qualified tax-free distributions from his HSA?

A) Sergei could make a one-time trustee-to-trustee transfer of a maximum of $10,000 from his traditional IRA to his HSA.

B) No, this transaction is not allowed by the IRS.

C) Sergei could make a one-time trustee-to-trustee transfer from his traditional IRA to his HSA for the maximum allowable HSA annual contribution limit, provided he has not already made his contribution for the year.

D) Yes, Sergei could make a one-time trustee-to-trustee transfer of $18,000 from his traditional IRA to an HSA.

A

Explanation
The answer is Sergei could make a one-time trustee-to-trustee transfer from his traditional IRA to his HSA for the maximum allowable HSA annual contribution limit, provided he has not already made his contribution for the year. An individual can make a one-time trustee-to-trustee transfer from a traditional IRA to an HSA. This transfer is not subject to income tax but is limited to the maximum annual HSA contribution limit.

LO 6.2.2

119
Q

Rollie voluntarily resigns from International Shipping Co. to go on an extended missionary trip. The International Shipping Co. group health plan is subject to the COBRA continuation requirements. Which of the following statements regarding Rollie’s COBRA rights under the health plan is CORRECT?

A) Rollie is eligible for continuation coverage for up to 29 months.

B) Rollie is eligible for continuation coverage for up to 18 months.

C) Rollie is not eligible for continuation coverage because his termination of employment was voluntary.

D) Rollie is eligible for up to 36 months of continuation coverage.

A

Explanation
B) The answer is Rollie is eligible for continuation coverage for up to 18 months.

Termination of employment is a qualifying event under COBRA, regardless of whether it is voluntary or involuntary. The maximum period of continuation coverage following a termination of employment is 18 months for the employee and covered dependents.

LO 6.2.3

120
Q

Which of the following are among the characteristics of cafeteria plans?

I. Each employee has a certain number of dollars or credits that can be spent on a variety of benefits.

II. One type of cafeteria plan, a flexible spending account (FSA), consists of various tax-free benefits that are funded through salary reductions elected by employees each year.

III. Qualified benefits, which exclude the cash option, are an exception to the constructive receipt rules of income taxation.

IV. It includes a cash option.

A) I and IV
B) I, II, III, and IV
C) II and III
D) II, III, and IV

A

Explanation
The answer is I, II, III, and IV. Under a cafeteria plan, employees may, within limits, choose the form of employee benefits from options provided by their employer. Such a plan must include a cash option that is taxable as ordinary income. Qualified benefits, which exclude the cash option, are an exception to the constructive receipt rules of income taxation. A cafeteria plan that is funded entirely through employee salary reductions (with no employer contribution) is known as an FSA.

LO 6.2.2

121
Q

20 of 30
CDE, Inc., has recently started paying for the long-term care policies for its 45 employees. How are the payments treated for federal income tax purposes if the policies are qualified policies?

A) Employer payments for group premiums are tax deductible to the employer but are taxable income to the employee on the basis of the coverage schedule.

B) Employer payments for the group premiums are not tax deductible to the employer but are taxable income to the employee on the basis of the coverage schedule.

C) Employer payments for group premiums are tax deductible to the employer and not taxable income to the employee.

D) Employer payments for the group premiums are not tax deductible to the employer and not taxable income to the employee.

A

C)
The answer is employer payments for group premiums are tax deductible to the employer but are not taxable income to the employee.

LO LO 6.2.3

122
Q

Which of the following statements regarding group vs. individual disability plans is CORRECT?

I. Benefits are often less in group policies, which accounts for the lower cost.

II. A group disability policy is less expensive because the risk is spread over more participants.

A) II only
B) Neither I nor II
C) Both I and II
D) I only

A

Both

123
Q

Question #24 of 30

If Wanda paid her entire premium for her group disability coverage, how much of her benefits from this coverage would be subject to tax?

A) 100%
B) Depends on her tax bracket
C) 0%
D) 50%

A

The answer is 0%. If the employee pays her own premiums, the benefit is tax-free, and the premiums are not deductible by the employer.

LO LO 6.3.1

124
Q

25 of 30
The elimination period in a group disability income policy may be thought of as

A) a dollar amount deductible.
B) a time deductible.
C) a dollar amount copayment.
D) a time copayment.

A

Explanation
The answer is a time deductible. The elimination period is the time period before the benefits will pay after a disability occurs.

LO LO 6.3.1

125
Q

Which of the following are principles of the workers’ compensation laws?

I. In exchange for benefits, an employee gives up the right to sue the employer, except in extreme cases.

II. The costs for workers’ compensation benefits are funded through payroll taxes, and the employee is expected to contribute.

III. The injured employee is not required to prove negligence on the part of the employer.

IV. The benefits payable under workers’ compensation are periodic payments.

A) I, III, and IV
B) II and III
C) I and IV
D) II, III and IV

A

A) The answer is I, III, and IV.

Statement II is incorrect. Workers’ compensation is funded through premiums paid solely by the employer.

LO LO 6.4.1

126
Q

Which of the following are benefits of prepaid legal services?

I. Legal services for divorce
II. Adoption assistance
III. Bankruptcy
IV. Estate planning document preparation

A) III and IV
B) I, II, and IV
C) I, II, III, and IV
D) I and II

A

The answer is I, II, III, and IV.

Legal services for divorces, bankruptcy, adoption assistance, and estate planning document preparation are commonly included within prepaid legal coverage.

LO LO 6.4.1

127
Q

Which of the following are classes of benefits payable under workers’ compensation laws?

I. Rehabilitation benefits
II. Disability benefits
III. Survivors death benefits
IV. Medical expenses

A) I and IV
B) II and IV
C) I, II, III, and IV
D) I and III

A

C) all of them

128
Q

Jan pays for her group disability income policy via a flexible spending account. What amount of her benefit would be taxable as ordinary income if she became disabled?

A) 0%
B) 50%
C) The amount in excess of 2% of adjusted gross income
D) 100%

LO LO 6.3.1

A

Explanation
The answer is 100%. Group disability benefits received via a plan funded with pretax dollars are fully taxable to the employee.

129
Q

The main difference between traditional health insurance arrangements and health maintenance organizations (HMOs) is that

A) HMOs provide both the health care service and the health care financing, but traditional health care insurance companies provide only the financing.

B) traditional health care insurance companies provide both the health care service and the health care financing, but HMOs provide only the health care service.

C) traditional health insurance companies provide both the health care service and the health care financing, but HMOs provide only the health care financing.

D) HMOs provide both the health care service and the health care financing, but traditional health care insurance companies provide only the service.

A

A) The answer is HMOs provide both the health care service and the health care financing, but traditional health care insurance companies provide only the financing.

LO LO 6.2.1

130
Q

Which of the following describes a characteristic of a self-funded plan?

A) The insurance company assumes the risk and administrative burden.

B) Medical and short-term disability insurance are less common in self-funded plans.

C) Life and long-term disability insurance are less common in self-funded plans.

D) The employer pays the premium, communicates information regarding coverage, and collects any employee contributions.

A

Explanation
The answer is life and long-term disability insurance are less common in self-funded plans. It is uncommon for life or long-term disability plans to be self-funded plans.

An insurance company assumes the risk and administrative burden in a traditional plan.

Employers pay the premium in a traditional plan. Self-funded plans are normally medical or short-term disability coverage because of their relative predictability.

131
Q

All of the following statements regarding torts are correct except

A) an individual can only be liable for torts he personally committed.

B) torts can either be intentional or unintentional.

C) a tort is a private wrong that occurs when one person infringes on the rights of another.

D) negligence is a type of tort.

A

A) The answer is an individual can only be liable for torts he personally committed. A person may be liable for torts committed by someone else. For example, parents may be liable for torts committed by their children, and employers may be liable for the torts committed by their employees. This type of liability is known as vicarious liability.

LO 1.6.1

132
Q

Which of the following established that regulation of the insurance industry would be left up to the states?

A) The McCarran Ferguson Act of 1945
B) ERISA
C) HIPAA
D) The Department of Labor

A

Explanation
The answer is the McCarran Ferguson Act of 1945. The McCarran Ferguson Act of 1945 left direct regulation of the insurance industry to the states.

LO 1.4.1

133
Q

Which of the following types of risk is most suited to treatment by insurance?

A) Low probability, high severity
B) Low probability, low severity
C) High probability, low severity
D) High probability, high severity

A

The answer is low probability, high severity. Insurance (or the transference of risk) is most suited to those losses that have a low probability or frequency of occurring and potentially high severity.

134
Q

Which of the following statements regarding personal auto policy (PAP) Part B Medical Payments coverage is CORRECT?

I. Part B of the PAP provides payment for the reasonable and necessary medical expenses of an insured as a result of an automobile accident.

II. The insureds under Part B include the named insured, spouse, and any family members while they are occupying a motor vehicle, or when, as a pedestrian, they are struck by a vehicle.

A) Both I and II
B) Neither I nor II
C) II only
D) I only

A

Explanation
The answer is both I and II. Part B: Medical Payments coverage provides payment for the reasonable and necessary medical expenses of the insured as a result of an automobile accident. Expenses must be incurred within three years of the incident, and limits are provided on a per-person, per-occurrence basis. Individuals covered by Part B include the named insured, spouse, and any family member while they are occupying a motor vehicle, or when, as a pedestrian, they are struck by a vehicle.

LO 2.3.1

135
Q

Which of the following statements regarding professional liability insurance is CORRECT?

I. Professional liability insurance covers a wide variety of insurance policies for many occupations and protects against liability for failing to use the degree of skill expected of a person in a particular occupation.

II. Professional liability insurance includes both medical malpractice insurance and errors and omissions insurance.
A) I only
B) II only
C) Neither I nor II
D) Both I and II
A

The answer is both I and II. Professional liability insurance covers a wide variety of insurance policies for many occupations and protects against liability for failing to use the degree of skill expected of a person in a particular occupation. Professional liability insurance includes both medical malpractice insurance and errors and omissions insurance.

136
Q

Which of the following statements concerning the tax treatment of qualified long-term care (LTC) insurance is CORRECT?

I. Self-employed persons may not deduct premiums paid for qualified LTC insurance policies.

II. Persons who itemize deductions can deduct the premiums for qualified LTC policies, subject to certain limits.

A) Neither I nor II
B) II only
C) I only
D) Both I and II

A

Explanation
The answer is II only. Self-employed persons may deduct premiums paid for qualified LTC insurance policies.

LO 4.6.2

137
Q

All of the following types of Medicaid assets generally count when calculating one’s eligibility for Medicaid except

A) certificates of deposit.
B) checking and savings accounts.
C) life insurance with a face amount of less than $1,500.
D) stocks and bonds.

A

c)

138
Q

Which of the following single-coverage health plans qualify as a high-deductible health plan that can be used in conjunction with a health savings account in 2019?

I. Plan A: $1,000 deductible; $4,000 maximum out of pocket
II. Plan B: $2,500 deductible; $4,000 maximum out of pocket
III. Plan C: $3,000 deductible; $5,000 maximum out of pocket

A) II and III
B) I only
C)I, II, and III
D) III only

A

Explanation
The answer is II and III. For 2019, a high-deductible single-coverage health plan must have a deductible of at least $1,350 and a maximum out of pocket of $6,750. Both Plan B and Plan C meet this test.

LO 4.2.1

139
Q

An architect wants to purchase disability income insurance. She is concerned about becoming totally disabled but also about a reduction in income if she is obliged to reduce her workload because of a less-than-total disability. To satisfy these concerns, which of the following should be included in her disability income coverage?

A) A change-of-occupation provision
B) Dismemberment benefits
C) A relation of earnings-to-insurance provision
D) Residual disability benefits

A

Explanation
The answer is residual disability benefits. The architect is concerned about total disability and the risk of reduction in income due to partial disability. A residual disability benefit is usually payable in proportion to the insured’s reduced earnings as a result of a less-than-total disability—within a certain range, such as 20%–80%.

140
Q

All of the following are consumer protection features under HIPAA that a long-term care policy must have in order to qualify for favorable tax treatment except

A) the policy must offer inflation protection.

B) the policy must be guaranteed renewable.

C) the policy cannot exclude any specific illness.

D) the policy must pay for expenses reimbursable under Medicare.

A

The answer is the policy must pay for expenses reimbursable under Medicare. The contract cannot pay for expenses reimbursed under Medicare.

LO 4.6.1

141
Q

Which of the following statements concerning the need for long-term care insurance is CORRECT?

I. A skilled nursing benefit for Alzheimer’s disease or mental dementia is not permitted under Medicare Part A because a patient’s condition would not be expected to improve in either case.

II. Medicare is inadequate because it does not provide coverage for custodial care.

A) Neither I nor II
B) II only
C) Both I and II
D) I only

A

Explanation

The answer is both I and II. A skilled nursing benefit for Alzheimer’s disease or mental dementia is not permitted under Medicare Part A because a patient’s condition would not be expected to improve in either case, and Medicare is inadequate because it does not provide coverage for custodial care.

LO 4.6.2

142
Q

Evelyn recently turned 65 and signed up for Medicare parts A, B, and D. She is concerned with how she’ll pay for the deductibles and copayments. Which policy would you recommend she purchase to manage those expenses?

A) An HSA
B) A supplemental insurance policy
C) A Medicaid policy
D) A Medicare supplement policy

A

Explanation
The answer is a Medicare supplement policy. Medicare supplement policies are specifically designed to help manage the out-of-pocket costs not covered by original Medicare.

LO 4.4.2

143
Q

Which one of the following statements accurately describes a provision of the health insurance continuation coverage requirements of COBRA?

A) Continuation coverage need not be offered to employees who are terminated involuntarily, but must be offered to employees who voluntarily terminate their employment.

B) If an employee voluntarily terminates employment, continuation coverage must be offered to the employee for 24 months after the date of termination, regardless of whether the employer still carries such coverage on remaining employees.

C) Continuation coverage need not be offered to employees who voluntarily terminate employment if the employer typically employs fewer than 30 persons.

D) Employers with 20 or more employees must offer continuing health care coverage to former employees and/or their dependents upon the occurrence of a qualifying event.

A

Explanation
The answer is employers with 20 or more employees must offer continuing health care coverage to former employees and/or their dependents upon the occurrence of a qualifying event. In most cases, employees may maintain group health insurance benefits for up to 18 months after leaving work. Employers with 20 or more employees normally have to offer this extended health insurance coverage to terminated employees. The Department of Labor identifies several events that may allow for COBRA coverage, including voluntary or involuntary termination of the covered employee’s employment for reasons other than gross misconduct and reduced hours of work for the covered employee.

LO 4.1.1

144
Q

Maria has a major medical policy with a $500 deductible and an 80% coinsurance clause with a stop-loss limit of $7,500. Assuming Maria has recently incurred a medical expense of $10,000, what is the maximum out of pocket amount she will pay?

A) $6,450
B) $10,000
C) $7,500
D) $2,000

A

Explanation
The answer is $2,000. The maximum out of pocket Maria will pay is $2,000, consisting of the deductible amount of $500 and 20% of the amount up to the stop-loss limit, or $1,500 ($7,500 × 0.20). After that amount is paid, her insurance company will pay 100% of the expense.

LO 4.3.1

145
Q

In order to receive long-term care from Medicare, which of the following must be true?

I. The patient must have a three-day hospital stay as an admitted patient.

II. The patient must pay the coinsurance for the first 20 days of the stay.

III. The patient must enter a Medicare-approved facility within 30 days of release from the hospital.

IV. The care must be at least at a skilled nursing care level.

A) I, III, and IV
B) I, II, III, and IV
C) I and III
D) II and IV

A

Explanation

The answer is I, III, and IV.

Only statement II is incorrect. Skilled nursing care essentially means that a registered nurse is available and supervises the care 24 hours a day, and the care is required by a physician. If this is the case, the first 20 days in the facility are fully paid by Medicare. The next 80 days are also covered, but with a daily coinsurance.

LO 4.6.2

146
Q

Which of the following services are covered by Medicare Part B?

I. Physicians’ services

II. Routine exams for eyeglasses

III. Drugs that cannot be self-administered

IV. Routine foot care exams

A) II and IV
B) I and III
C) I and IV
D) I, II, and III

A

The answer is I and III. Medicare Part B does not cover routine exams for eyeglasses or foot care.

LO 4.4.1

147
Q

Settings
Harry is covered by Medicare Part B. He incurs $10,000 in medical bills for outpatient hospital services and doctor care. How much will Medicare Part B pay toward these expenses, assuming Harry has satisfied the Part B deductible?

A) $0
B) $10,000
C) $2,000
D) $8,000

A

Explanation
The answer is $8,000. Medicare will pay 80% of the covered expenses after Harry has satisfied the Part B deductible.

LO 4.4.1

148
Q

Which of the following disability income policy riders provide a benefit if an insured returns to work at lesser pay?

A) The future increase option
B) The social insurance substitute benefit
C) The partial disability rider
D) The residual disability rider

A

The answer is the residual disability rider. The residual disability rider provides a benefit to an insured who has returned to work at lesser pay. In order to qualify, the insured must have at least a 20% reduction in pay.

LO 4.5.2

149
Q

Which of the following statements regarding Medigap required provisions is CORRECT?

I. Medigap policies must be guaranteed renewable.

II. Medigap policies must have a 90-day free-look period.

III. Medigap policy benefits must be automatically adjusted for changes in Medicare,

IV. Pre-existing condition limitations may not last longer than 12 months from the date of issue.

A) II and III
B) I, II, and IV
C) IV only
D) I and III

A

Explanation
The answer is I and III. Medigap policies must have a 30-day free-look period. Pre-existing condition limitations may not last longer than six months from the date of issue.

150
Q

Which of the following family-coverage health plans qualify as a high-deductible health plan that can be used in conjunction with a health savings account in 2019?

I.Plan A: $2,000 deductible; $6,000 maximum out of pocket
II. Plan B: $2,500 deductible; $15,000 maximum out of pocket
III. Plan C: $3,000 deductible; $10,000 maximum out of pocket

A) II only
B) I, II, and III
C) I only
D) III only

A

The answer is III only.

For 2019, a high-deductible family-coverage health plan must have a deductible of at least $2,700 and a maximum out of pocket of $13,500. Plan C is the only plan that meets this test.

LO 4.2.1

151
Q

Which of the following individuals could be covered by Medicare?:

I. Individuals who are at least 65 years old

II. Individuals who have been receiving Medicaid benefits for at least 12 months

III. Individuals who have been receiving Social Security disability benefits for at least 24 months

IV. Individuals who are on kidney dialysis treatment and in end-stage renal failure

A) I, II, III, and IV
B) I and II
C) I and III
D) I, III, and IV

A

The answer is I, III, and IV. Medicare will cover individuals who have been receiving Social Security disability benefits for at least 24 months.

LO 4.4.1

152
Q

All of the following are features of the Medicaid program except

A) that it provides health care benefits for the indigent and impoverished.

B) that potential beneficiaries must pass an asset test in order to be eligible for Medicaid.

C) that it includes a provision defining a look-back period of 60 months for assets transferred to others (usually adult children) designed to impoverish the donor to become eligible for Medicaid.

D) that it is administered solely by the federal government.

A

The answer that it is administered solely by the federal government. The Medicaid program is administered by each individual state. The states remit payments to eligible participants and are partially reimbursed by the federal government.

LO 4.1.2

153
Q

When evaluating the appropriateness of long-term disability coverage for clients, planners should focus on

I. the definition of disability.

II. an appropriate elimination period and benefit amount.

III. whether the benefit term matches the client’s work-life expectancy.

A) I and III
B) I and II
C) II and III
D) I, II, and III

A

The answer is I, II, and III.

In addition to these factors, planners should ensure that the policy covers both sickness and accidents, that the client has emergency funds sufficient to cover the elimination period plus 30 days (because benefits will be paid in arrears), that the policy is noncancelable or guaranteed renewable, and that the premium is competitive.

154
Q

Which of the following statements concerning long-term care (LTC) insurance is CORRECT?

I. The types of benefits provided by LTC policies include skilled nursing care, intermediate care, custodial care, home health care, and adult day care.

II. To qualify for favorable tax treatment, Alzheimer’s disease may not be excluded from LTC policies.

A) II only
B) Neither I nor II
C) I only
D) Both I and II

A

The answer is both I and II.

There are seven basic types of services covered by the standard LTC policy, including skilled nursing care, intermediate nursing care, custodial care, home health care, assisted living, adult day care, and hospice care.

To qualify for favorable tax treatment, LTC policies must have certain consumer protection features (e.g., contracts cannot exclude any specific illness, including Alzheimer’s disease).

LO 4.6.1

155
Q

Reginald is the beneficiary of his father’s life insurance policy. The face amount of the policy is $250,000, and Reginald selects the single life annuity settlement option. His life expectancy is 20 years. Assuming Reginald lives for only 12 years after payments begin, which of the following statements regarding payments to him under this settlement option is CORRECT?

I. Payments will continue to Reginald’s designee for an additional eight years.

II. A portion of each payment Reginald receives is includible in his gross income.

III. Any unrecovered tax basis in the settlement option that remained at Reginald’s death is deductible on his final income tax return.

A) I only
B) II only
C) I and III
D) I and II

A

The answer is II only. Under the single life annuity settlement option, the annuity payments stop when the beneficiary dies. Each payment includes a taxable interest component and a nontaxable principal component. A beneficiary of an annuity from a life insurance settlement option who dies before his life expectancy cannot deduct any unrecovered basis.

156
Q

Which of the following items are covered, but are subject to a specific dollar limit, under the personal property provision of a homeowners policy?

I.Furs
II. Jewelry
III. Coin collections

A) I and II
B) II and III
C) I and III
D) I, II, and III

A

The answer I, II, and III.

All of these items have dollar limits under the standard homeowners policy. To increase this limit to an agreed-upon value, items need to be scheduled or endorsed.

LO 3.3.1

157
Q

Whole life insurance nonforfeiture options allow a policyowner to

I. surrender a whole life insurance policy and receive the net cash value (cash value less any applicable surrender charges and/or outstanding policy loans).

II. stop paying premiums on a whole life insurance policy and exchange the net cash value for a reduced paid-up single-premium permanent life insurance policy.

III. stop paying premiums on a whole life insurance policy and use the net cash value as a single premium to purchase a paid-up term life insurance policy with a face amount equal to the face amount of the original policy for a specified period.

A) I and II
B) I, II, and III
C) II and III
D) III only

A

The answer is I, II, and III.

There are three common nonforfeiture options available when surrendering or discontinuing premium payments on a whole life insurance policy.

Under the cash surrender value option, a policyowner can surrender the policy and receive the net cash value.

By electing the reduced paid-up insurance option, a policyowner leaves the net cash value of the original life insurance policy with the company and receives a smaller amount of fully paid-up insurance of the same type.

If the policyowner chooses the extended term insurance option, the net cash value is used as a net single premium to purchase a paid-up term insurance policy.

LO 3.2.2

158
Q

Policies that pay dividends are said to be participating policies. Which of the following policies pay dividends?

A) Whole life policies
B) Universal life policies
C) Annual term policies
D) Multi-year term life policies

A

The answer is whole life policies. Only participating whole life policies pay dividends that are essentially a return of premium when a mutual life insurance company has better-than-expected operating results.

While universal life policies pay interest, neither universal nor term life policies pay dividends.

LO 3.3.2

159
Q

Universal life insurance gives policyowners the ability to adjust

I. the premiums.
II. the death benefit.
III. the cash values.
IV. the policy expenses.

A) I and II
B) II and III
C) II, III, and IV
D) I, II, and III

A

The answer is I, II, and III. Universal life insurance policies allow policyowners to adjust the premiums, death benefit, and cash values. They do not allow policyowners to change the policy expenses.

LO 3.2.3

160
Q

Which of the following life insurance policy riders was developed in response to viatical settlements?

A) Long-term care rider
B) Family income benefit rider
C) Accelerated death benefits rider
D) Critical illness rider

A

The answer is accelerated death benefits rider. The accelerated death benefits rider was developed in response to increased demand for viatical settlements (where policyowners sell their life insurance policy for a portion of the value of the death benefit). Once an insured meets the definition of terminally ill per the policy, a portion of the death benefits as defined by the policy (ranging between 25% and 98%) may be accessed.

LO 3.3.3

161
Q

Carolyn was the beneficiary of her spouse’s life insurance policy with a face amount of $1,000,000 She elected the single life annuity settlement option. The settlement option will pay her $4,500 per month, and her life expectancy is 30 years. How much of each monthly payment is taxable?

A) $1,722.15
B) $3,033.95
C) $0
D) $2,777.85

A

The answer is $1,722.15.

The total amount Carolyn will receive from the settlement option is $1,620,000 ($4,500 × 360). Her tax basis is $1,000,000, so her exclusion ratio is 0.6173 ($1,000,000 ÷ $1,620,000). Therefore, $2,777.85 of each payment is excluded from gross income ($4,500 × 0.6173), and the remainder ($1,722.15) is taxable. In addition, the taxable income may be subject to the 3.8% Medicare contribution tax.

LO 3.2.5

162
Q

Norberto and Maria are considering purchasing an annuity to provide additional retirement income, but they are concerned about needing to withdraw funds from the annuity before they retire. Which of the followings statements regarding withdrawals from their annuity is CORRECT?

I. Withdrawals will consist of taxable earnings until all the earnings have been withdrawn (LIFO rule).

II. Withdrawals may be subject to a 10% penalty tax if taken before age 59½.

A) II only
B) Neither I nor II
C) I only
D) Both I and II

A

The answer is both I and II. Withdrawals will consist of taxable earnings until all the earnings have been withdrawn (LIFO rule), and withdrawals may be subject to a 10% penalty tax if taken before age 59½.

LO 3.6.2

163
Q

Joint life insurance includes which type of policies?

A) Second-to-die policies
B) Both first-to-die and second-to-die policies
C) First-to-die policies
D) Neither, because life insurance policies can only cover one person

A

The answer is both first-to-die and second-to-die policies. These are joint life policies.

164
Q

Which of the following is the definition of human life value in life insurance planning?

A) An individual’s average earnings over the past 10 years

B) The difference between the family’s total needs at the breadwinner’s death and the existing financial assets

C) The future value of the family’s share of the deceased person’s current earnings

D) The present value of the family’s share of the breadwinner’s future earnings

A

The answer is the present value of the family’s share of the breadwinner’s future earnings. A human life value is a present value amount and represents the family’s share of the present value of a breadwinner’s future earnings that would be lost due to death.

LO 3.4.1

165
Q

Charles was the beneficiary of his mother’s life insurance policy. The face amount of the policy was $500,000, and there was an outstanding policy loan of $25,000 when Charles’s mother died earlier this year. The settlement option for the policy was interest only, payable annually. This year, Charles receives his first payment of $14,250 from the insurance company. Which of the following statements regarding this arrangement is CORRECT?

I. The death benefit payable under the policy was $475,000.

II. The payment of $14,250 consists partly of interest and partly of principal.

III. Charles must include $475,000 in this year’s gross income.

IV. Charles must include $14,250 in this year’s gross income.

A) I and IV
B) II and IV
C) I only
D) II and III

A

The answer is I and IV.

The outstanding policy loan of $25,000 reduces the death benefit payable under the policy to $475,000. Because the settlement option was interest only, the entire payment of $14,250 consists of interest, and the $475,000 principal amount remains on deposit with the insurance company. The principal amount of a life insurance death benefit is income tax free. Charles must include $14,250 in this year’s gross income because the payment consists entirely of interest. In addition, the $14,250 of taxable income may be subject to the 3.8% Medicare contribution tax.

LO 3.2.5

166
Q

Azumi purchased an annuity for $26,000 in the current year. Under the contract, Azumi will receive $300 each month for the rest of her life starting next month. According to actuarial estimates, Azumi will live long enough to collect 100 payments, and she will receive a 3% return on her original investment. Which of the following statements regarding the taxation of Azumi’s annuity income is CORRECT?

A)
If Azumi dies after collecting a total of 50 payments, she has an economic loss that is not tax deductible.
B)
If Azumi collects $3,000 in the current year, the $3,000 is treated as a recovery of basis, and thus, is not taxable.
C)
If Azumi collects more than 100 payments, all amounts received after the 100th payment must be fully included in her gross income.
D)
If Azumi lives to collect more than 100 payments, she must amend her prior years’ tax returns to increase her taxable portion of each payment received in the past.

A

Explanation
The answer is if Azumi collects more than 100 payment, all amounts received after the 100th payment must be fully included in her gross income.

Payments beyond projected life expectancy are fully taxable unless the annuity payments began on or before December 31, 1986. If the annuitant dies before life expectancy and has not completely recovered her basis, the unrecovered basis is deductible on the annuitant’s final income tax return as a miscellaneous itemized deduction not subject to the 2% of adjusted gross income floor. For contracts where annuity payments began after December 31, 1986, the exclusion ratio is only used to the extent of recovering the basis; therefore, the taxpayer will not use the exclusion ratio for payments made after life expectancy and will be taxed on the entire amount.

LO 3.6.2

167
Q

Which of the followings statements regarding annuities is CORRECT?

A) All distributions will be subject to income tax in the year received.

B) Annuitants may start distributions from an annuity before age 59½ without incurring tax penalties.

C) The exclusion ratio applies to all periodic payments from an annuity.

D) Because only insurance companies issue variable annuities, annuities are not considered securities.

A

The answer is annuitants may start distributions from an annuity before age 59½ without incurring tax penalties.

Withdrawals from an annuity contract made before the owner is age 59½ are subject to income tax and a 10% penalty unless an exception applies. The most notable exception is IRC Section 72, which permits the annuity distribution to be paid out as a series of substantially equal periodic payments over the lifetime of the owner.

LO 3.6.2

168
Q

Rosaline was the beneficiary of her father’s variable life insurance policy. The policy had a face amount of $500,000, and Rosaline’s father had a basis in the policy of $300,000. During her life, Rosaline’s father had invested the cash value in subaccounts containing blue-chip stocks, which achieved significant capital appreciation during most of the years the policy was in effect. When her father died, Rosaline received the $500,000 death benefit in a lump sum. How much of the $500,000 death benefit must Rosaline include in her gross income?

A) $200,000
B) $300,000
C) $500,000
D) $0

A

The answer is $0. Lump-sum death benefits received from a life insurance policy as a result of the insured’s death are generally excludable from gross income.

LO 3.2.2

169
Q

Which of the following statements regarding different types of annuities is CORRECT?

I. The owner of a variable annuity contract directs the investment of the contract’s cash value among subaccounts and bears the investment risk.

II. The variable annuity prospectus contains all of the variable annuity’s investment choices as well as the fees, expenses, investment objectives, investment strategies, risks, performance, and pricing for each investment choice.

III. A bonus annuity may offer a bonus in the form of a credit that may be added to the initial premium (investment).

IV. An equity-indexed annuity (EIA) is a specialized type of annuity whereby the insurance company credits the contract owner with a return that is based on changes in an equity index, such as the Standard & Poor’s 500 Index.

A) II and III
B) IV only
C) III and IV
D) I, II, III, and IV

A

Explanation
The answer is I, II, III, and IV.

In a variable annuity, the owner of the contract directs the investment of the contract’s cash value among subaccounts and bears the investment risk. Any financial planner who solicits or presents a variable annuity to a client should read and understand the variable annuity prospectus. The prospectus contains, but is not limited to, all of the variable annuity’s investment choices as well as the fees, expenses, investment objectives, investment strategies, risks, performance, and pricing for each investment choice.

Any type of annuity that offers a credit based on a percentage of the premium paid is considered a bonus annuity.

EIAs combine the features of traditional insurance products (e.g., guaranteed minimum return) with those of a security (e.g., returns linked to equity markets).

LO 3.6.1

170
Q

All of the following statements regarding qualified plans are correct except

A) a qualified plan must be established by the end of the calendar year.

B) a qualified plan provides immediate tax benefits to both the employer and participating employees.

C) distributions from qualified plans are generally taxable as ordinary income.

D) if used only for key employees, a qualified plan will not be subject to ERISA nondiscrimination rules requirements.

A

Explanation
D) The answer is if used for key employees, a qualified plan will not be subject to ERISA nondiscrimination rules requirements. Qualified plans are subject to ERISA nondiscrimination rules requirements, regardless of who is covered under the plan.

LO 5.1.1

171
Q

A phantom stock plan

I. is a type of unfunded deferred compensation plan.

II. pays benefits in cash.

III. is based on the value and transactions of an imaginary stock that mirrors the value and transaction of the employer’s stock.

IV. has an exercise date that is controlled by the employer.

A) I, II, III, and IV
B) I, II, and III
C) II and III
D) II, III, and IV

A

Explanation
The answer is I, II, III, and IV. All of these statements are correct. The primary purpose of this plan is to reward executives for achieving specific performance goals.

LO 5.5.2

172
Q

Four years ago, Latarsha was granted enough nonqualified stock options (NQSOs) to purchase 500 shares of her employer’s stock at $20 per share. She would like to obtain as many shares of the stock as she can but does not want any cash outlay when exercising the options. Assuming Latarsha exercises all of the NQSOs when the fair market value (FMV) of the stock is $30 per share and her marginal income tax rate at the time is 24%, how many shares of employer stock can she receive?

A) 127
B) 500
C) 0
D) 373

A

The answer is 127. Latarsha will receive a net amount of 127 shares of stock calculated as follows:

The exercise cost of the NQSO is $10,000 (500 shares × $20 per share). She will have to pay ordinary income taxes of $1,200 on the bargain element [($30 FMV − $20 exercise price) × 500 shares × 0.24]. Therefore, Latarsha’s total cost of exercising the option is $11,200.

In order to cover the cost of the option, 373 shares of the stock must be sold ($11,200 ÷ $30 FMV). This leaves a net amount of 127 shares (500 − 373) that Latarsha will receive.

LO 5.4.1

173
Q

All of the following statements regarding an informally funded nonqualified plan are correct except

A) the most popular type of an informally funded nonqualified plan is the rabbi trust.

B) the plan may defer taxation on the executive’s current compensation.

C) the underlying assets funding the plan are not subject to the claims of the employer’s general creditors.

D) the underlying assets funding the plan are owned by the employer.

A

Explanation
The answer is the underlying assets funding the plan are not subject to the claims of the employer’s general creditors. The underlying assets funding a nonqualified plan are subject to the claims of the employer’s general creditors.

LO 5.3.1

174
Q

Which of the following statements regarding Section 83(b) elections is CORRECT?

I. An employee who receives restricted stock may elect under Section 83(b) to recognize the income immediately, rather than waiting until there is no longer a substantial risk of forfeiture.

II. The Section 83(b) election must be made within one year of receiving the restricted stock.

III. If the election is made, the employee will immediately include (as long-term capital gain) the fair market value of the stock at receipt, less any amount paid for the stock.

IV. If the employee makes the Section 83(b) election and then forfeits the stock, the employee is not allowed a deduction or refund of tax previously paid on income reported.

A) II, III, and IV
B) I and IV
C) II and III
D) I only

A

Explanation
The answer is I and IV.

Statement II is incorrect because the election must be made within 30 days of receiving the restricted stock. Statement III is incorrect because the employee will recognize ordinary income, not capital gain, when the election is made. In the event of forfeiture, the employee may have a capital loss if she paid any amount toward the purchase of the restricted stock.

LO 5.3.2

175
Q

A secular trust

I. can be used to defer taxation to an employee for an employer contribution made on her behalf under a nonqualified plan.

II. differs from a rabbi trust, in that the employer’s creditors cannot attach the funds in the secular trust.

III. provides security to the employee.

IV. is a revocable trust for the exclusive benefit of the employee.

A) II, III, and IV
B) I and II
C) I, II, and III
D) II and III

A

Explanation
The answer is II and III. A secular trust causes immediate or accelerated taxation to the employee for employer contributions to a nonqualified plan. Funds in a secular trust cannot be reached by the employer’s creditors and, as such, provides security for executives. A secular trust is irrevocable.

LO 5.2.1

176
Q

Which of the following statements concerning disability income insurance is CORRECT?

I. Employer contributions for an employee’s disability income insurance are fully deductible by the employer as an ordinary and necessary business expense.

II. Contributions by an individual employee are considered payments for personal disability income insurance and are not tax deductible.

A) Neither I nor II
B) II only
C) Both I and II
D) I only

A

Explanation
The answer is both I and II.

Premiums paid toward a group disability contract for an employee are deductible as an ordinary and necessary business expense by the employer. Any disability benefit received by the employee under this arrangement is fully taxable. Employee contributions on split premium disability income insurance policies are not tax deductible to the employee, and benefits received are not taxable.

LO 6.3.1

177
Q

Settings
Greg, 61, is covered by a health savings account (HSA) provided by his employer. His marginal federal income tax rate is 24%. This year, he takes a $5,000 distribution from the HSA but fails to apply it to qualified medical expenses. Which of the following statements regarding the income tax consequences of this distribution is CORRECT?

A) Greg owes tax of $1,200 but no penalty.
B) Greg owes tax of $1,200 and a penalty of $500.
C) Greg owes tax of $1,200 and a penalty of $1,000.
D) Greg owes no tax and no penalty.

A

Explanation
The answer is Greg owes tax of $1,200 and a penalty of $1,000.

A distribution from an HSA that is not used for qualified medical expenses is taxable and, if made before age 65, is subject to an additional 20% penalty.

LO 6.2.3

178
Q

Andrea was in an accident this year and is now disabled. She is receiving disability benefits from a disability policy that was paid for by her employer. Which of the following statements regarding the disability benefits is CORRECT?

A) The entire benefit will be tax free.
B) The benefits received from her employer’s policy will reduce the amount of Social Security disability benefits that she is eligible to receive.
C) Only the benefit received over $50,000 will be taxable.
D) The entire benefit will be taxable.

A

Explanation
The answer is the entire benefit will be taxable. Because the employer paid the premiums, the entire amount of disability benefits received will be taxable. Social Security disability benefits will not be reduced by other disability benefits. However, if Andrea is eligible to receive Social Security benefits, the disability benefits from her employer disability policy may be reduced.

LO 6.3.1

179
Q

If Bonita pays for her group disability income with pretax dollars, how would benefit payments she receives be taxed?

A) They would be subject to an additional 10% penalty if the insured is under age 59½.
B) They would be tax deductible.
C) They would be subject to income tax.
D) They would not be subject to income tax.

A

C) The answer is they would be subject to income tax.

If disability premiums are paid with pretax dollars, any benefits received would be subject to income tax, and the employer would be required to match the FICA portion of payroll taxes.

LO 6.3.1

180
Q

Which of the following are among the characteristics of cafeteria plans?

I. Each employee has a certain number of dollars or credits that can be spent on a variety of benefits.

II. One type of cafeteria plan, a flexible spending account (FSA), consists of various tax-free benefits that are funded through salary reductions elected by employees each year.

III. Qualified benefits, which exclude the cash option, are an exception to the constructive receipt rules of income taxation.

IV. It includes a cash option.

A) II and III
B) I and IV
C) I, II, III, and IV
D) II, III, and IV

A

Explanation
The answer is I, II, III, and IV.

Under a cafeteria plan, employees may, within limits, choose the form of employee benefits from options provided by their employer. Such a plan must include a cash option that is taxable as ordinary income. Qualified benefits, which exclude the cash option, are an exception to the constructive receipt rules of income taxation. A cafeteria plan that is funded entirely through employee salary reductions (with no employer contribution) is known as an FSA.

LO 6.2.2

181
Q

Question #12 of 85

Which of the following are primary criteria that should be considered when selecting an insurer?

I. A favorable rating from several rating companies
II. The number of agents employed
III. High persistency rate
IV. The fact it is not on the National Association of Insurance Commissioners’ (NAIC) Watchlist

A) I, III, and IV
B) I and II
C) III and IV
D) I, II, III, and IV

A

A) The answer is I, III, and IV.

The number of agents employed is not relevant. An insurer should have a favorable rating from several rating companies, have a high persistency rate (low lapse rate), and not be on the NAIC’s Watchlist.

182
Q

Agents operating under the American agency system who represent several insurance companies and decide on a case-by-case basis where they will place business are also known as which type of insurance producer?

A) Independent agents
B) Career agents
C) Brokers
D) Captive agents

A

Explanation
A) The answer is independent agents. The phrasing in the questions defines independent agents who, ideally, base their decision on where to place business on the needs of the client and the suitability of the insurance company.

183
Q

Question #16 of 85

For which of the following articles are floater policies generally available or advisable?

I. Professional-quality camera and all lenses on trip to Europe
II. DVD player and 100 DVDs on summer road trip
III. Motorboat
IV. Appraised artwork moving between summer and winter residences

A) I, II, and IV
B) I, II, III, and IV
C) I and IV
D) III only

A

Explanation
The answer is I and IV.

Because a DVD player and DVDs are not high-value items, they are most likely covered under the personal property section of the homeowners policy or auto coverage, not under separate floaters. The camera and artwork need to be insured. Motorized boats need their own policy, and while they float, they aren’t covered under this coverage.

LO 2.2.1

184
Q

Which of the following types of insurance may be included in a commercial package policy (CPP)?

I. Workers’ compensation insurance
II. Property insurance
III. Inland marine insurance
IV. Commercial auto

A) II, III, and IV
B) II only
C) I, II, III, and IV
D) I and III

A

Explanation
The answer is II, III, and IV.

Workers’ compensation insurance is not covered under a commercial package policy. Covered forms generally include property, general liability, crime, boiler and machinery, inland marine, commercial auto, and farm.

LO 2.4.1

185
Q

Question #28 of 85

Which of the following are characteristics of a universal life insurance policy?

I. Unbundled structure
II. Flexible premium payment
III. Minimum guaranteed cash value
IV. Flexible death benefit

A) I, II, and IV
B) I, III, and IV
C) II and IV
D) III and IV

A

Explanation
The answer is I, II, and IV.

Universal life insurance has all of the features except for a minimum guaranteed cash value. Universal life insurance has a guaranteed minimum interest rate, but that only applies if there is a cash value.

LO 3.2.3

186
Q

uestion #40 of 85

Assume that a client has the following needs and objectives when purchasing a life insurance policy:

  • Flexible premium payments
  • Possibility of increasing death benefit Investment options
  • Permanent protection

Analyze the needs and objectives to determine a product recommendation.

A) Variable universal life (VUL)
B) Universal life
C) Variable life
D) Whole life

A

The answer is variable universal life (VUL).

A VUL policy is the only type of policy that will meet all the client’s needs. A VUL policy combines the flexibility of universal life with the possibility of an increasing death benefit and a higher cash value than traditional fixed products.

LO 3.5.1

187
Q

Which of the following describe life insurance life income settlement options?

I. The proceeds are paid to the beneficiary on the basis of life expectancy, and payments stop upon the death of the beneficiary.

II. The beneficiary is paid a life income with a minimum number of payments guaranteed.

III. The beneficiary is paid an income for life with any remaining proceeds paid to a contingent beneficiary.

IV. The proceeds are left with the company and interest is paid to the beneficiary.

A) II and IV
B) I, II, and III
C) I, II, III, and IV
D) I and III

A

Explanation
The answer is I, II, and III.

Proceeds held by the company with interest paid to the beneficiary are not an actual life income option. Most companies will not allow proceeds to be left at interest indefinitely, so a life income cannot be provided by this option.

LO 3.6.2

188
Q

Which of the following statements are true concerning health insurance under the Affordable Care Act (ACA) since the passage of the new tax reform bill?

I. The individual mandate has been repealed.

II. The employer mandate is not being enforced.

III. Plans need to provide the essential benefits the ACA mandated.

IV. Subsidies for lower-income families remain available.

A) I and II
B) II, III, and IV
C) I, II, III, and IV
D) I, III, and IV

A

Explanation
The answer is I, III, and IV.

Statement II is incorrect. The ACA employer mandate remains in effect and is currently being enforced.

189
Q

Which one of the following exposures may NOT be protected against with the purchase of disability income insurance?

A) Steve and Carol Jacobs recently purchased a house. They need both incomes to pay both the mortgage payment and their other monthly bills.

B) Joan is paying down her student loans as well as substantial outstanding balances on her credit cards.

C) Three accountants work together in the Smith, Jones, and Swartz CPA firm. They are each responsible for a third of the overhead.

D) David McCorkle is unsure if he could work in another field if his skills become obsolete.

A

Explanation

The answer is David McCorkle is unsure if he could work in another field if his skills become obsolete. While obsolescence of skills may cause a loss of income, it is not considered a disability. Skill obsolescence may in fact cause a loss of earning ability, but no disability insurance policy will cover that possibility.

LO 4.5.1

190
Q

Which one of the following is a correct statement about the constructive receipt doctrine?

A) This doctrine states that when the employee’s benefit has become substantially vested or essentially equivalent to the receipt of cash, current income taxation will result.

B) It may tax income that is made available but is not yet received by a taxpayer.

C) It taxes payments made in the future that are based on a company’s earnings.

D) It prevents a deferred compensation agreement from being informally funded.

A

Explanation
The answer is it may tax income that is made available but is not yet received by a taxpayer. The constructive receipt doctrine taxes income that is made available, even though the income is not actually received. The constructive receipt doctrine applies to formally funded plans, not unfunded (informally funded) plans. Unfunded plans are based on promise only. The economic benefit doctrine states that when the employee’s benefit has become substantially vested or essentially equivalent to the receipt of cash, current income taxation will result.

LO 5.1.2

191
Q

Which one of the following is a CORRECT statement about a funded nonqualified deferred compensation plan that funds future benefits with real estate and is not currently taxable to plan participants?

A) It will provide tax deferral for an employer.
B) The benefit must be protected by a surety bond.
C) It must be subject to a substantial risk of forfeiture.
D) The benefit is subject to the claims of the employer’s creditors.

A

Explanation
The answer is it must be subject to a substantial risk of forfeiture.

To avoid immediate taxation to the participant, a funded nonqualified deferred compensation plan must be nontransferable and subject to a substantial risk of forfeiture.

LO 5.3.1

192
Q

A beneficiary who receives the survivor benefits from a nonqualified deferred compensation plan is subject to which one of the following taxes?

A) Accumulated earnings tax
B) Ordinary income tax
C) Social Security tax
D) Capital gains tax

A

Explanation
The answer is ordinary income tax. Nonqualified deferred compensation death benefits payable to a surviving beneficiary are subject to ordinary income tax as income in respect of a decedent.

LO 5.3.2

193
Q

Which of the following is a characteristic of an employee stock purchase plan (ESPP)?

I. Because an ESPP is not a qualified plan, the plan may discriminate in favor of highly compensated employees.

II. No employee can acquire the right to buy more than $100,000 of stock per year, valued at the time the ESPP option is granted.

III. The employee may be required to recognize ordinary income upon the sale of the employer stock acquired through an ESPP.

A) I, II, and III
B) I and III
C) III only
D) I only

LO 5.4.1

A

Explanation
The answer is the III only.

At the date of disposition of the shares, the employee will recognize ordinary income on the basis of the lesser of (1) the fair market value (FMV) of the stock at the grant date less the option price, or (2) the FMV of the stock on the disposition date (or date of death, if sooner) less the option price. ESPP purchases are limited to a maximum value of $25,000 per calendar year.

194
Q

Which one of the following criteria must be met by a group life insurance plan to meet the nondiscrimination test?

A) The plan benefits a nondiscriminatory class of employees.

B) Coverage for dependents is usually equal to the limits established for employees.

C) At least 70% of participants are not key employees.

D) At least 66% of all employees benefit from the plan.

A
Explanation
The answer is the plan benefits a nondiscriminatory class of employees. The plan will meet the test if it benefits a nondiscriminatory class of employees. At least 70% of all employees benefit from the plan, and at least 85% of participants are not key employees. Coverage for dependents is usually equal to the limits established for employees.

LO 6.1.1

195
Q

Which of the following statements regarding group disability income contracts is CORRECT?

I. A group plan is sometimes broader than an individual plan and is usually less expensive.

II. Short-term disability provides coverage for only up to six months.

III. Long-term disability provides coverage until an employee’s normal retirement age (usually age 65), until death, or for a specified term longer than two years.

IV. Many employers offer group long-term disability insurance with premiums generally paid for by the employee.

A) IV only
B) II and III
C) I, III, and IV
D) I, II, and IV

LO 6.3.1

A

Explanation

The answer is I, III, and IV. Short-term disability provides coverage for up to two years (24 months).

196
Q

Which of the following criteria may be used to classify annuities?

I. The method by which values accumulate
II. The gender and age of the annuitant
III. When payments are to commence
IV. The method of premium payment

A) II, III, and IV
B) I and II
C) I, III, and IV
D) I, II, and IV

A

Explanation
The answer is I, III, and IV. Option II is incorrect because gender and age have nothing to do with annuity classification.

197
Q

Which of the following is NOT true regarding fixed deferred annuities?

A) They carry basic guarantee rates.
B) Tax on accumulated interest is deferred until withdrawal.
C) They carry excess current rates.
D) They require initial premiums in excess of $10,000.

A

Explanation
The answer is they require initial premiums in excess of $10,000. Initial premiums may be as low as $500–$1,000 for qualified accounts and $1,000–$5,000 for nonqualified accounts. Some annuities require higher premiums (some allow for even lower premiums).

LO 3.6.1

198
Q

Which of the following describe life insurance life income settlement options?

I. The proceeds are paid to the beneficiary on the basis of life expectancy, and payments stop upon the death of the beneficiary.

II. The beneficiary is paid a life income with a minimum number of payments guaranteed.

III. The beneficiary is paid an income for life with any remaining proceeds paid to a contingent beneficiary.

IV. The proceeds are left with the company and interest is paid to the beneficiary.

A) II and IV
B) I, II, and III
C) I, II, III, and IV
D) I and III

A

Explanation
The answer is I, II, and III. Proceeds held by the company with interest paid to the beneficiary are not an actual life income option. Most companies will not allow proceeds to be left at interest indefinitely, so a life income cannot be provided by this option.

LO 3.6.2

199
Q

Which of the following of the statements concerning the Affordable Care Act (ACA) is incorrect?

A) Lifetime limits on insurance coverage have been eliminated.

B) Premiums can only be linked to gender and smoking but not health issues.

C) Children may stay on their parents’ group coverage until age 26.

D) Coverage for certain preventive care is now mandated.

A

Explanation
The answer is premiums can only be linked to gender and smoking but not health issues. Under the ACA, premiums cannot be linked to gender or health issues. All of the other statements are true.

LO 4.1.1

200
Q

Which of the following statements are true concerning health insurance under the Affordable Care Act (ACA) since the passage of the new tax reform bill?

I. The individual mandate has been repealed.

II. The employer mandate is not being enforced.

III. Plans need to provide the essential benefits the ACA mandated.

IV. Subsidies for lower-income families remain available.

A) I and II
B) II, III, and IV
C) I, II, III, and IV
D) I, III, and IV

A

Explanation
The answer is I, III, and IV. Statement II is incorrect. The ACA employer mandate remains in effect and is currently being enforced.

LO 4.1.1

201
Q

To be eligible for long-term care benefits under Medicaid, the individual must be

A) eligible for Medicare.
B) previously confined to a hospital.
C) above a certain income level.
D) indigent or impoverished.

A

Explanation
The answer is indigent or impoverished. Medicaid is a state/federal welfare program that provides benefits to those who are indigent or impoverished. Each state determines the level of income and assets that qualifies. An individual does not have to be eligible for Medicare to obtain Medicaid benefits, and there is no requirement for prior hospital confinement.

LO 4.1.2

202
Q

Which one of the following medical policy provisions that can limit recovery by an insured is described correctly?

A) Based on the medical information provided on a policy application, the exclusions clause is written to exclude specific benefits for that applicant.

B) A utilization review is used to determine if the insurance company is being charged the correct amount by providers of medical services.

C) The use of internal limits for things like chiropractic care by an insurance company assures the insured that his or her doctor’s charges will be fully covered.

D) The coordination of benefits clause is designed to prevent the insured from collecting benefits from two policies that together would equal more than 100% of the expense incurred.

A

Explanation
The answer is the coordination of benefits clause is designed to prevent the insured from collecting benefits from two policies that together would equal more than 100% of the expense incurred.

Internal limits are used by insurance companies to limit the amount that is payable under the contract, not to guarantee full payment. The exclusions clause is generally the same for all policies issued by the same company. It lists those treatments, procedures, supplies, and providers for which no benefits will be paid. Utilization review is a process in which the insured generally must have a proposed procedure evaluated and approved by the insurance company prior to having it performed in order to have it be fully covered.

LO 4.2.1

203
Q

Which one of the following statements regarding coinsurance is NOT correct?

A) Coinsurance is different for health care plans than for property insurance.

B) A coinsurance percentage is applied to all covered charges that are above the deductible until the maximum out-of-pocket limit has been reached.

C) Typical coinsurance provisions require that the plan provider pays 20% of the bills and the recipient of the care pays 80%.

D) The coinsurance provision for health care plans applies to the maximum out-of-pocket limit found in health insurance plans.

A

Explanation
The answer is typical coinsurance provisions require that the plan provider pays 20% of the bills and the recipient of the care pays 80%. This would be an uncommon split between providers and recipients, though in some plans an 80/20 split can be found where the insurer pays 80% of the coinsurance split amount. Although the most common coinsurance split is 80% paid by provider and 20% paid by participant, some plans may have 70/30 or 60/40 splits.

LO 4.2.1

204
Q

Mrs. Hopkins has a major medical insurance policy with a $500 deductible and an 80% coinsurance clause. She becomes ill and is admitted to the hospital for several days. When she is discharged, her hospital bill is $7,500 and her doctor bills are $3,250. Calculate the amount Mrs. Hopkins’s insurance will pay.

A) $7,000
B) $8,200
C) $9,250
D) $10,250

A

Explanation
The answer is $8,200. The answer is calculated as follows:

Total loss: $10,750 ($7,500 + $3,250)

Deductible: −500

Equals $10,250

Less 20% −2,050

Insurance $8,200

LO 4.3.1

205
Q

Which one of the following statements is true regarding Medicare?

A) Medicare is the single largest resource for individuals who need long-term care.

B) Individuals who have end-stage renal (kidney) disease are eligible for Medicare regardless of their age.

C) Medicare is a federally initiated program, but it is mostly administered, and at least partially funded, at the state level.

D) The Affordable Care Act (ACA) removed underwriting requirements and preexisting conditions from Medicare eligibility requirements.

A

Explanation
The answer is individuals who have end-stage renal disease are eligible for Medicare regardless of their age. Medicare is a federal health care program for persons age 65 or older, certain disabled persons who qualify for Social Security Disability Insurance (SSDI) after 24 months, and anyone who has end-stage renal (kidney) disease.

LO 4.4.1

206
Q

Which of the following statements regarding Medigap insurance policies is NOT correct?

A) Medigap policies must accept all applicants who apply within the first six months of qualifying for Medicare.

B) Medigap Policy A is the most expensive and most comprehensive form of coverage.

C) Seniors may be sold only one Medigap Policy at a time.

D) Medigap policies were standardized by Health Insurance Portability and Accountability Act (HIPAA) legislation.

A

Explanation
The answer is Medigap Policy A is the most expensive and most comprehensive form of coverage. Medigap Policy A is the least expensive and least comprehensive form of Medigap coverage.

LO 4.4.2

207
Q

Which one of the following exposures may NOT be protected against with the purchase of disability income insurance?

A) Steve and Carol Jacobs recently purchased a house. They need both incomes to pay both the mortgage payment and their other monthly bills.

B) Joan is paying down her student loans as well as substantial outstanding balances on her credit cards.

C) Three accountants work together in the Smith, Jones, and Swartz CPA firm. They are each responsible for a third of the overhead.

D) David McCorkle is unsure if he could work in another field if his skills become obsolete.

A

Explanation
The answer is David McCorkle is unsure if he could work in another field if his skills become obsolete. While obsolescence of skills may cause a loss of income, it is not considered a disability. Skill obsolescence may in fact cause a loss of earning ability, but no disability insurance policy will cover that possibility.

LO 4.5.1

208
Q

Which one of the following terms is correctly defined as it applies to disability income insurance?

A) The presumptive disability clause states that if you cannot work in your own occupation, you are presumed to be disabled.

B) The misstatement of age clause provides that if the insurance company finds that the applicant misstated his or her age on the application in order to obtain lower premiums, the policy can be terminated by the company.

C) The elimination period serves a purpose similar to that of a deductible.

D) The maximum benefit is the maximum cumulative amount an insured can receive over his or her lifetime.

A

Explanation
The answer is the elimination period serves a purpose similar to that of a deductible. The elimination period is the portion of a disability for which the insured must pay all expenses without disability income insurance benefits from the insurance company.

LO 4.5.1

209
Q

Which of the following statements regarding disability insurance policies is CORRECT?

I. An own occupation definition of disability may allow the insured to receive benefits, even if the insured can work in another occupation.

II. Under a residual disability income benefit, the benefit paid is based on percentage of lost income.

III. The insurance company can increase future premiums on a noncancelable disability policy.

IV. An own occupation disability policy is the least expensive.

A) I and II
B) I, II, and III
C) I, II, III, and IV
D) IV only

A

Explanation
The answer is I and II. The insurance company cannot raise premiums on a noncancelable disability policy. An own occupation (own occ) disability policy is the most expensive.

LO 4.5.2

210
Q

Kathy purchased a disability income policy six months ago. She recently had unexpected surgery and will be disabled for at least 6 months. Her policy provides for a monthly benefit of $2,400. Kathy has been unable to work for 60 days but has received only one check for $2,400 from the insurance company.

Identify the most likely reason for this payment amount.

A) Kathy is considered to be 50% disabled.
B) Kathy has owned the policy for less than a year.
C) The policy has a $2,400 deductible.
D) The policy has a 30-day elimination period.

A

Explanation
The answer is the policy has a 30-day elimination period.

Disability income insurance policies do not have deductibles (or coinsurance provisions). If the elimination period is 30 days and Kathy is disabled for 60 days, she will have received only one monthly benefit check for $2,400.

LO 4.5.2

211
Q

The Health Insurance Portability and Accountability Act (HIPAA) includes all of the following as activities of daily living (ADLs) as benefit triggers, except

A) bathing.
B) dressing.
C) cleaning living quarters.
D) eating.

A

Explanation
The answer is cleaning living quarters. Cleaning living quarters is not included as one of the Health Insurance Portability and Accountability Act’s (HIPAA’s) six ADLs. The six ADLs are dressing, eating, bathing, transferring (getting from bed to chair), toileting, and maintaining continence.

LO 4.6.1

212
Q

Which of the following stipulations must be met for Medicare to cover the cost of long-term care?

A) The care can be either skilled or unskilled.
B) The patient’s condition must be expected to improve.
C) The need for care can be determined by the patient’s family.
D) The care can be needed either full or part time.

A

Explanation
The answer is the patient’s condition must be expected to improve. Medicare will not cover long-term care costs if the patient’s health is not expected to improve.

LO 4.6.1

213
Q

Doris Weems, a widow, has asked you to look over a number of long-term care brochures she received. Which one of the following provisions will Doris probably want on a policy?

A) RPL Insurance Co. states that if the insured needs help with only four of the five defined activities of daily living (ADLs), full benefits will be provided.

B) Marston Insurance Co. will cover any level of benefits following one week of hospitalization and/or skilled nursing care.

C) Home care provided by family members is excluded by Ins. Co. of Rock Wells.

D) PILICO material specifies that adult day care qualifies for home care level benefits.

A

Explanation
The answer is PILICO material specifies that adult day care qualifies for home care level benefits. Adult day care is an addition that enhances the flexibility of available benefits and expand the number of options for care.

LO 4.6.2

214
Q

Which one of the following is an important reason for establishing an unfunded nonqualified excess benefit plan?

A) To provide additional retirement benefits for rank-and-file employees.
B) To reduce the employer’s current tax liability
C) To provide additional retirement benefits for highly compensated employees
D) To provide benefits for key employees in the event their employer becomes bankrupt

A

Explanation
The answer is to provide additional retirement benefits for highly compensated employees. An important reason for establishing a nonqualified plan is to provide additional retirement benefits for highly compensated employees. Contributions to a nonqualified plan are not deductible until the plan benefits are actually received by the plan participant. Funds used by the employer to provide an unfunded nonqualified deferred compensation benefit must be available to bankruptcy creditors.

LO 5.1.1

215
Q

Assume that an employer plans to use corporate-owned life insurance to informally fund a nonqualified deferred compensation agreement and would like to have the flexibility to invest in a number of different asset categories. Which one of the following types of life insurance should this employer choose?

A) Variable life insurance
B) Whole life insurance
C) Universal life insurance
D) Term insurance

A

Explanation
The answer is variable life insurance. Variable life insurance permits the cash value of the policy to be invested in a number of different accounts of the insurer, such as indexed equities, blue chip growth, growth and income, international, bonds, and so forth.

LO 5.2.1

216
Q

Which statement does NOT correctly describe a concept related to nonqualified deferred compensation or stock plans?

A) A disqualifying disposition with an incentive stock option (ISO) will result in ordinary income taxes, as well as FICA and FUTA taxes.

B) If an employee makes a Section 83 election upon the grant of restricted stock, he or she will not be taxed when the restricted stock becomes vested.

C) Employee stock purchase plans (ESPPs) can be offered at a discount, unlike ISOs.

D) In a salary reduction plan, the employee elects to give up a specified portion of current compensation.

A

Explanation
The answer is disqualifying disposition with an ISO will result in ordinary income taxes, as well as FICA and FUTA taxes. ISOs, when there is a disqualifying disposition, are subject to ordinary taxes, but they are not subject to FICA or FUTA taxes.

LO 5.3.1

217
Q

Which one of the following is a CORRECT statement about a funded nonqualified deferred compensation plan that funds future benefits with real estate and is not currently taxable to plan participants?

A) It will provide tax deferral for an employer.
B) The benefit must be protected by a surety bond.
C) It must be subject to a substantial risk of forfeiture.
D) The benefit is subject to the claims of the employer’s creditors.

A

Explanation
The answer is it must be subject to a substantial risk of forfeiture. To avoid immediate taxation to the participant, a funded nonqualified deferred compensation plan must be nontransferable and subject to a substantial risk of forfeiture.

LO 5.3.1

218
Q

A beneficiary who receives the survivor benefits from a nonqualified deferred compensation plan is subject to which one of the following taxes?

A) Accumulated earnings tax
B) Ordinary income tax
C) Social Security tax
D) Capital gains tax

A

Explanation
The answer is ordinary income tax. Nonqualified deferred compensation death benefits payable to a surviving beneficiary are subject to ordinary income tax as income in respect of a decedent.

LO 5.3.2

219
Q

Which of the following is a characteristic of an employee stock purchase plan (ESPP)?

I. Because an ESPP is not a qualified plan, the plan may discriminate in favor of highly compensated employees.

II. No employee can acquire the right to buy more than $100,000 of stock per year, valued at the time the ESPP option is granted.

III. The employee may be required to recognize ordinary income upon the sale of the employer stock acquired through an ESPP.

A) I, II, and III
B) I and III
C) III only
D) I only

A

Explanation
The answer is the III only. At the date of disposition of the shares, the employee will recognize ordinary income on the basis of the lesser of (1) the fair market value (FMV) of the stock at the grant date less the option price, or (2) the FMV of the stock on the disposition date (or date of death, if sooner) less the option price. ESPP purchases are limited to a maximum value of $25,000 per calendar year.

LO 5.4.1

220
Q

Which one of the following statements is CORRECT about employee stock purchase plans (ESPPs)?

A) ESPPs require management, but not shareholder, approval.

B) There is a $100,000 annual grant limit on ESPPs.

C) The holding period requirement in order to receive preferential capital gains treatment is two years from the grant date and one year from the date of exercise.

D) The maximum permitted discount from fair market value is 25%.

A

Explanation
The answer is the holding period requirement in order to receive preferential capital gains treatment is two years from the grant date and one year from the date of exercise. This is the holding period requirement in order to receive capital gains treatment.

The annual limit for ESPPs is $25,000, and ESPPs, just like ISOs, do require shareholder approval.

The maximum permitted discount from fair market value is 15%.

LO 5.4.1

221
Q

Stock options give an employee (usually an executive) the right to

A) sell a fixed number of shares of employer stock at a predetermined price over a stated period.

B) purchase a fixed number of shares of employer stock at a predetermined price over a stated period.

C) sell a maximum of 1,000 employer stock shares at a predetermined price over a stated period.

D) purchase a maximum of 500 employer stock shares at a predetermined price over a stated period.

LO 5.5.1

A

Explanation
The answer is purchase a fixed number of shares of employer stock at a predetermined price over a stated period. Stock options give the employee (usually an executive) the right to purchase a fixed number of shares of employer stock at a predetermined price over a stated period.

222
Q

Which one of the following situations would most likely benefit from a supplemental executive retirement plan?

A) Z Corporation wants to provide a tax-free death benefit of $500,000 to a key employee.

B) X Corporation would like to establish an unfunded plan that will provide benefits for a vice president in excess of those provided by the company’s qualified plan.

C) Y Corporation has a president to whom it would like to pay a bonus.

D) W Corporation has $50,000 it would like to set aside as a severance benefit for a key employee.

A

Explanation
The answer is X Corporation would like to establish an unfunded plan that will provide benefits for a vice president in excess of those provided by the company’s qualified plan. A supplemental executive retirement plan is a funded or an unfunded plan providing benefits for select employees in excess of those provided by the employer’s qualified retirement plan.

LO 5.5.2

223
Q

Which of the following describe a characteristic of group term life insurance coverage?

I. Provides payment of face amount to designated beneficiary at death of insured

II. Low cost, simple to administer, and tax advantaged

III. Seldom used because of unfavorable tax treatment

IV. Consists of individual contracts, not a master group policy

A) II and III
B) I and II
C) I, II, and IV
D) III and IV

A

Explanation
The answer is I and II. Characteristics of group term life insurance include payment of a face amount to the beneficiary named at the time of death of the insured and low cost, simple administration, and tax advantages.

LO 6.1.1

224
Q

Which one of the following criteria must be met by a group life insurance plan to meet the nondiscrimination test?

A) The plan benefits a nondiscriminatory class of employees.

B) Coverage for dependents is usually equal to the limits established for employees.

C) At least 70% of participants are not key employees.

D) At least 66% of all employees benefit from the plan.

A
Explanation
The answer is the plan benefits a nondiscriminatory class of employees. The plan will meet the test if it benefits a nondiscriminatory class of employees. At least 70% of all employees benefit from the plan, and at least 85% of participants are not key employees. Coverage for dependents is usually equal to the limits established for employees.

LO 6.1.1

225
Q

Steve and Amy have a son, George, who is 25 years old. Steve has an employer-provided health care plan. George has moved out of the house and is married to Susie, age 23. Susie and George recently purchased their first home and live by themselves in the suburbs. Which of the following statements is CORRECT?

I. Because George has moved out of the house and is married, he can no longer be covered by his father’s health insurance plan.

II. Because George is over 19 years old and not a student, he can no longer be covered by his father’s health insurance plan.

III. Steve can cover George on his health plan until George is age 26.

IV. Steve can cover Susie on his health plan until she is age 26.

A) I only
B) I and II
C) I, II, and III
D) III only

A

Explanation
The answer is III only. The 2010 Health Care Reform Legislation provides that plans covering dependents must allow coverage for adult children until age 26. The child need not live at home or be claimed as a dependent for income tax purposes. The child may be married, but coverage does not extend to the child’s spouse or children.

LO 6.2.1

226
Q

Which of the following statements concerning flexible spending plans is NOT true?

A) Eligible expenses can include out-of-pocket expenses for health, dental, vision, and items such as tutoring for a child diagnosed with a learning disability.

B) A company may allow participants to use expenses in the first 2½ months to spend the prior year’s allocated amount and to roll over $500 into the next year.

C) The amount that can be contributed annually is limited for flexible spending plans.

D) Any funds remaining other than those meeting the federal requirements concerning the next year are forfeited to the company.

A

Explanation
The answer is a company may allow participants to use expenses in the first 2½ months to spend the prior year’s allocated amount and to roll over $500 into the next year. This is incorrect because a company may offer one of these exceptions but not both. They may allow expenses from the first 2½ months to be claimed against the prior year’s balance OR allow a rollover of up to $500 of unused funds into the next year, but not both. All other statements are correct.

LO 6.2.2

227
Q

Choose the CORRECT statement regarding Consolidated Omnibus Budget Reconciliation Act (COBRA) rules for group health plans.

A) Continuation of coverage is automatic once a qualifying event occurs.

B) The rules require the employee or dependent to notify the employer within 60 days of a qualifying event, such as a divorce.

C) The rules allow an employer to charge up to 120% of the cost of an active employee to cover administrative costs.

D) The rules apply to any employer with a health plan and more than 15 covered employees.

A

Explanation
The answer is the rules require the employee or dependent to notify the employer within 60 days of a qualifying event, such as a divorce.

COBRA rules apply to an employer with 20 or more total (not just covered) employees.

The employer can charge up to 102% (not 120%) of the cost of an active employee to cover administrative costs.

Finally, the beneficiary/participant must request coverage after a qualifying event occurs because coverage is not automatic.

LO 6.2.3

228
Q

Which of the following statements regarding group disability income contracts is CORRECT?

I. A group plan is sometimes broader than an individual plan and is usually less expensive.

II. Short-term disability provides coverage for only up to six months.

III. Long-term disability provides coverage until an employee’s normal retirement age (usually age 65), until death, or for a specified term longer than two years.

IV. Many employers offer group long-term disability insurance with premiums generally paid for by the employee.

A) IV only
B) II and III
C) I, III, and IV
D) I, II, and IV

LO 6.3.1

A

Explanation

The answer is I, III, and IV. Short-term disability provides coverage for up to two years (24 months).

229
Q

Which of the following benefits would not create taxable income for employees, assuming that the plans are nondiscriminatory?

I. Country club dues paid by the employer
II. De minimis fringe benefits
III. Qualified employee discounts
IV. Business use of an employer-owned automobile

A) I and II
B) II and III
C) II, III, and IV
D) I, II, III, and IV

A

Explanation
The answer is II, III, and IV. The payment of country club dues by the employer would create taxable income. The other benefits listed are excludible.

LO 6.4.1

230
Q

Which of the following benefits are provided by workers’ compensation?

I. Medical expense reimbursement
II. Disability income
III. Death benefits
IV. Rehabilitation services

A) II, III, and IV
B) I only
C) I and III
D) I, II, III, and IV

A

The answer is I, II, III, and IV.

Workers’ compensation provides all of these benefits. Medical expenses are covered in full in most states. Disability income benefits can be paid after the disabled worker satisfies a waiting period. Death benefits are paid if the worker dies as a result of a job-related accident or disease. All states provide rehabilitation services to restore workers to productive employment.

LO 6.4.1

231
Q

(Case Study Question)

During 2020, Vic’s mother Rose passed away. At that time, Vic discovered that she had a nonqualified variable annuity consisting of an initial investment of $50,000 made in 1997. The current value of the annuity is $126,000, and Vic is the sole primary beneficiary. If Vic chooses to take the entire $126,000 in a lump-sum distribution to help refinance the Brewsters’ mortgage, what would be the tax consequence?

A) $76,000 ordinary income plus a 10% penalty
B) $126,000 ordinary income
C) $76,000 ordinary income
D) $76,000 long­term capital gain

A

Explanation
The answer is $76,000 ordinary income. Any payments, including death distributions, from a nonqualified annuity are taxed as ordinary income excluding the basis of the contract. The 10% penalty would not be applicable because the distribution was made as a result of a death.

LO 7.1.1

232
Q

(Case Study Question)

Krista, Tiffany’s friend, visits the Brewsters. As she is sitting at the dinner table, her chair collapses and results in her foot being broken. Choose the part(s) of the Brewsters’ homeowners insurance policy that would cover Krista’s broken foot.

I. Coverage F: Medical Payments to Others
II. Coverage E: Personal Liability

A) Both I and II
B) II only
C) Neither I nor II
D) I only

A

Explanation
The answer is both I and II. Coverage E protects the insured homeowner and all resident family members against liability for bodily injury and property damage that may occur on the premise. Coverage F pays necessary medical expenses of others that result from bodily injury arising out of the insured’s activities, premises, or animals. Generally, Coverage F will pay up to $1,000 per person per occurrence. Coverage F will automatically pay regardless of fault. Coverage E only pays when the insured is at fault. In this case, the broken chair puts the insured at fault, and Krista may seek to be reimbursed for pain and suffering, lost wages, and medical bills.

LO 7.2.1

233
Q

(Case Study Question)

Could the Brewsters set up a health savings account for the family?

A) Yes, the Brewsters are eligible to set up a health savings account because they have children.

B) Yes, the Brewsters are eligible because the family is covered by a low deductible health plan.

C) No, the Brewsters are not eligible to establish a health savings account because they are not covered by a high deductible health plan.

D) No, the Brewsters cannot set up a health savings account because only an employer can set one up.

A

Explanation
The answer is no, the Brewsters are not eligible to establish a health savings account because they are in a low deductible health plan. For 2020, the minimum amount the family deductible is required to be is $2,800 in order to be eligible for a health savings account. The Brewsters’ family health insurance family deductible is only $1,500. The plan does not have to be sponsored by an employer.

LO 7.3.1

234
Q

(Case Study Question)

According to CFP Board’s Code and Standards, which one of the following is not expected to be disclosed in writing to the Brewsters at the time you establish a client-planner relationship with them?

A) A statement of the basic philosophy of the CFP® certificant (or firm) in working with clients

B) Resumes of principals and employees of a firm who are likely to provide financial planning services to the client

C) A statement of all sources of income for the CFP® certificant

D) A statement as to the method of your compensation

A

Explanation
The answer is a statement of all sources of income for the CFP® certificant. As a CFP® certificant, you are expected to provide a substantial amount of information to clients; however, all sources of income are not relevant to the relationship. A planner receiving dividends or interest, alimony or child support payments, is under no obligation to disclose that information to clients. A statement of compensation related to the planning practice is appropriate and expected.

LO 7.3.2

235
Q

Choose the method of risk management that is implemented by a homeowner who installs storm shutters.

A)Retention
B)Avoidance
C)Transfer
D)Reduction

A

Explanation
The answer is reduction. Installing storm shutters reduces the risk of damage to the homeowner’s property.

LO 1.2.1

236
Q

You have a meeting with Oscar, age 26, and his wife Judith, age 25, this afternoon to review their risk management plan. They have two children, two cars, a home, and a boat. Oscar works at the local bank, and Judith works at an engineering firm. Identify the CORRECT statement(s) regarding their risk management plan.

I. They have a limited amount of liability exposure.

II. They have a higher probability of becoming disabled versus experiencing premature death.

III. Having liability insurance on their cars is more important than collision coverage.

IV. Long-term care insurance should not be a priority within their risk management plan.

A) III and IV
B) II, III, and IV
C) IV only
D) I, II, and III

A

Explanation
The answer is II, III, and IV. They have unlimited liability exposure. A car accident could lead to an unlimited amount of liability depending on the circumstances, as well as the possibility of negligence occurring on their property. There is a higher probability of becoming disabled than of experiencing premature death, and it is much more important to have liability insurance on a vehicle than collision coverage. Liability claims may be much higher than any type of collision damage to a vehicle. Both Oscar and Judith are too young to consider long-term care insurance at this time.

LO 1.2.2

237
Q

Which of the following are duties of the courts in regulating insurers?

I. To render decisions on the meaning of policy terms
II. To enact laws that govern the conduct of insurers
III. To rule on the constitutionality of insurance laws
IV. To determine requirements an insurer must meet to obtain a license

A) I and III
B) I and IV
C) III and IV
D) II and IV

A

Explanation
The answer is I and III. The courts render decisions on the meaning of policy terms and rule on the constitutionality of insurance laws. The state legislature completes the remaining two duties: enacts laws and may establish requirements that an insurer must meet to obtain a license to do business in that state.

LO 1.4.1

238
Q

Which one of the following is the correct definition of a term related to risk management?

A) Hazard: something that increases the likelihood of a loss occurring
B) Risk: something that causes a loss
C) Moral hazard: something that increases the likelihood of risk due to indifference
D) Peril: the possibility of loss occurring

A

Explanation
The answer is hazard: something that increases the likelihood of a loss occurring. Risk is the possibility of loss and perils are the causes of losses. Moral hazard is a result of the client being unethical or misrepresenting himself in order to obtain insurance or to induce the payment of a claim.

LO 1.1.1

239
Q

Which of the following perils are covered by an HO15 endorsement to form HO3 for personal property?

I. Wind damage when property is away from the premises
II. Fire damage when property is at the premises
III. Groundwater damage when property is at the premises
IV. Earth movement when property is away from the premises

A) II and III
B) II, III, and IV
C) I, II, and IV
D) I and II

A

Explanation
The answer is I, II, and IV. All risks are covered, but groundwater damage is only covered while personal property is away from the premises. HO15 modifies the earth movement exclusion so that it only applies to coverages for the dwelling and other structures.

LO 2.1.1

240
Q

Chuck purchased Chuck’s Garage, Bar & Grill five years ago for $120,000. After extensive repairs, the building’s current replacement value is $240,000. Chuck originally insured the building for its original replacement cost of $120,000 and has not increased the coverage. His policy has an 80% coinsurance clause and a $1,000 deductible. Last week a fire in the kitchen caused $60,000 of damage.

How much will the insurance company pay Chuck for his loss?

A) $29,000
B) $60,000
C) $36,500
D) $59,000

A

Explanation
The answer is $36,500.

This is the correct computation:

Payment =
(Amount of insurance owned/ Amount of insurance required × Loss)− Deductible

Amount of insurance required = $240,000 x .8 = $192,000

($120,000/ $192,000×$60,000) −$1,000
= $36,500

LO 2.2.1

241
Q

Walter Freund has asked you to explain the characteristics of umbrella liability insurance. Which of the following statements correctly describe this coverage?

I. The term umbrella policy is the popular name for a personal catastrophic liability contract.

II. Liability related to personally owned aircraft and/or watercraft is always excluded from umbrella policies.

III. Because of the high amounts of coverage issued under an umbrella policy, this type of coverage is often far too expensive for most people who might otherwise be interested in purchasing it.

IV. Damage to property of the insured is excluded.

A) III and IV
B) I and II
C) I and IV
D) II, III, and IV

A

Explanation
The answer is I and IV. Personally owned aircrafts and watercrafts may be covered if basic liability coverage is in place for them at the time the umbrella policy is purchased. The advantage of umbrella policies is their relatively low cost. It is not uncommon to be able to bring liability protection levels up to $1 million for less than $200 per year.

LO 2.2.2

242
Q

Which risk holds the greatest potential for financial loss for a homeowner?

A)Theft of contents from the dwelling
B) Loss of the dwelling
C) Loss of the dwelling and contents
D) A liability claim

A

Explanation
The answer is a liability claim. While the total loss of a dwelling and all contents could be significant, the unlimited potential of the dollar size of a liability claim holds the greatest potential for financial loss for a homeowner. For example, imagine the size of the lawsuit for a child who drowns in a homeowner’s pool because it wasn’t properly fenced or the total of the claims of a second story deck collapsing with 20 guests on it.

LO 2.2.2

243
Q

Which of the following coverages are included in the standard personal auto policy (PAP)?

I. Liability
II. Damage to your auto
III. Loss of use
IV. Underinsured motorist

A)I, II, and IV
B) II and III
C)I and III
D) II and IV

A

Explanation
The answer is I, II, and IV. Loss of use is a homeowners coverage, but liability, auto damage, and underinsured motorist coverages are included in the PAP. For an extra premium, a personal auto policy may provide rental reimbursement for loss of use.

LO 2.3.1

244
Q

Which of the following types of insurance may be included in a commercial package policy (CPP)?

I. Workers’ compensation insurance
II. Property insurance
III. Inland marine insurance
IV. Commercial auto

A) II, III, and IV
B) II only
C) I, II, III, and IV
D) I and III

A

Explanation
The answer is II, III, and IV. Workers’ compensation insurance is not covered under a commercial package policy. Covered forms generally include property, general liability, crime, boiler and machinery, inland marine, commercial auto, and farm.

LO 2.4.1

245
Q

Radhika, a family practice physician, owns a duplex office building in which her office takes up one half, and she leases the other half to an accountant. Radhika has four employees but has had trouble keeping a receptionist for more than a year. She has furnished the offices so that they present an appropriate professional image with modern furniture, stock art on the walls, desktop computers, and a high-end copier/scanner/printer. She also has her own X-ray machine so she can evaluate patients who need that service quickly. Based on this information only, which of the following should she consider to manage her property risks?

I. Building coverage for the entire duplex
II. A Commercial General Liability (CGL) policy
III. A Business Owner Policy (BOP)
IV. Additional property coverage on the X-ray machine to ensure adequate coverage

A) I and III
B) III and IV
C) I, III and IV
D) II only

LO 2.4.1

A

Explanation
The answer is I, III, and IV. Option I is a risk reduction technique while options III and IV are risk transfer techniques. Option II is also risk transfer technique, but it is for liability and the question is addressing property risks only. Remember to always look at what the question is asking for and no more.

246
Q

Which of the following generally is NOT covered by employment practices liability insurance?

A) Wrongful termination
B) Sexual harassment
C) Government-imposed fines and penalties
D)Discrimination in the workplace

LO 2.4.2

A

Explanation
The answer is government-imposed fines and penalties. Government fines and penalties are generally not covered. However, some insurance companies will cover punitive damages.

247
Q

Which of the following are covered under a basic Commercial General Liability (CGL) policy?

I. Injuries to customers
II. Injuries to employees
III Business auto liability

A) I only
B) II and III
C) I and II
D) I, II, and III

A

Explanation
The answer is I only. A basic CGL policy protects against non-auto, non-employee liability claims. While it may be possible to add coverage for employee liability and business auto liability, that is not a part of a basic CGL policy.

LO 2.4.2

248
Q

Assume you have a client who has already purchased a whole life insurance policy. Identify the dividend option that should be chosen if the client wants to use the dividend to purchase additional temporary insurance equal to the policy’s current net cash value.

A) Accumulate at interest
B) Extended term life insurance
C) Interest only
D) One-year term life insurance (or fifth dividend option)

A

Explanation
The answer is one-year term life insurance (or fifth dividend option). The one-year term life insurance (or fifth dividend) option pays a death benefit equal to the guaranteed net cash value (which is typically increasing annually). Extended term life insurance is a nonforfeiture option and interest only is a settlement option. Accumulate at interest is a dividend option where dividends are left with the insurance company to accumulate with interest. The amount accumulated is then added to the death benefit if the insured dies or to the cash value if the policy is surrendered.

LO 3.3.2

249
Q

Which one of the following dividend options purchases a small amount of additional insurance?

A) Cash
B) Paid-up dividend additions
C)Reduced premium
D) Accumulate at interest

A

Explanation
The answer is paid-up dividend additions. Additional insurance is purchased with this option. This small amount is fully paid-up with no premiums due to keep it in force.

LO 3.3.2

250
Q

The disability waiver of premium rider in a life insurance policy

A) doubles the death benefit of the policy.

B) allows the insured to purchase additional insurance without evidence of insurability.

C) allows the policyowner to receive a portion of the policy’s death benefit during the insured’s lifetime.

D) waives the premiums only for a total disability in most cases.

A

Explanation
The answer is waives the premiums only for a total disability in most cases. Typically, an insured needs to be totally disabled (as defined in the policy) before the rider may be used.

LO 3.3.3

251
Q

Stan and Sarah Straus want to make sure they will have enough funds available to send their daughter Hannah to college. Hannah is six years old and will begin a four-year college program at age 18. The annual tuition today is $8,200. Stan and Sarah estimate that the annual inflation rate for college tuition will be 6% and that they can get an 8% after-tax return on their money.

If Stan or Sarah were to die today, what would be the amount of insurance needed to provide for Hannah’s education?

A) $25,490
B) $25,018
C) $26,210
D) $64,189

A

Explanation
The answer is $25,490. This is calculated by inflating the $8,200 at 6% for 12 years = $16,500. Then calculate the PV∆ (BEG) for four years using the inflated cost and the inflation-adjusted interest rate = $64,189. Finally, calculate the PV of that number discounted at the after-tax rate of return for 12 years = $25,490. The formula to determine the correct interest rate to use in the second step is: 1 plus the rate of return, divided by 1 plus the rate of inflation, minus 1, times 100 (1.08/1.06 – 1 × 100 = 1.8868).

Step 1: 12 [N]; 6 [I/YR]; 8,200 [PV]; [FV] = 16,500

Step 2: 4 [N], 1.8868 [I/YR]; 16,500 [PMT]; 0 [FV]; [PV] (PV∆) = 64,189

Step 3: 12 [N]; 8 [I/YR]; 0 [PMT]; 64,189 [FV]; [PV] = 25,490

LO 3.4.1

252
Q

The formula to calculate the amount of life insurance needed under the capital retention method is

A) a present value of an annuity due that incorporates an inflation-adjusted rate of return.

B) a three-step process similar to a college funding calculation.

C) simply dividing the annual need by the client’s assumed rate of return.

D) a simple capitalization method whereby the annual need is divided by the inflation-adjusted rate of return.

A

Explanation
The answer is a simple capitalization method whereby the annual need is divided by the inflation-adjusted rate of return. The capital retention calculation is a simple capitalization calculation whereby the annual need is divided by the inflation-adjusted rate of return.

LO 3.4.1

253
Q

The Goldens are planning to purchase additional life insurance. They want to purchase policies that feature flexible premium payments and that will allow them to invest the cash value in various subaccounts. Identify the type of life insurance that will best meet the Goldens’ objectives.

A) Variable life
B) Universal life
C) Variable universal life (VUL)
D) Whole life

A

Explanation
The answer is variable universal life (VUL). VUL policies have the features that will meet the Goldens’ needs, because they allow flexible premium payments and the ability to invest the cash value in subaccounts. None of the other choices provide this combination of features.

LO 3.5.1

254
Q

Which of the following does NOT accurately describe a valid policy replacement scenario?

A) Replacing one term policy with another is usually the least complex of the alternatives.

B) Replacing a term policy through the policy’s conversion clause is usually the best and least expensive alternative.

C) Replacing a cash value policy with a term policy usually is unwise.

D) Replacing a cash value policy with a similar cash value policy usually is not advantageous.

A

Explanation
The answer is replacing a term policy through the policy’s conversion clause is usually the best and least expensive alternative. The use of a policy’s conversion clause may not be the best alternative. As stated in the module, the term company may not have the most desirable cash value policy, and costs may be higher than with another company.

LO 3.5.2

255
Q

Which of the following criteria may be used to classify annuities?

I. The method by which values accumulate
II. The gender and age of the annuitant
III. When payments are to commence
IV. The method of premium payment

A) II, III, and IV
B) I and II
C) I, III, and IV
D) I, II, and IV

A

Explanation
The answer is I, III, and IV. Option II is incorrect because gender and age have nothing to do with annuity classification.

LO 3.6.1

256
Q

Which of the following is NOT true regarding fixed deferred annuities?

A) They carry basic guarantee rates.
B) Tax on accumulated interest is deferred until withdrawal.
C) They carry excess current rates.
D) They require initial premiums in excess of $10,000.

A

Explanation
The answer is they require initial premiums in excess of $10,000. Initial premiums may be as low as $500–$1,000 for qualified accounts and $1,000–$5,000 for nonqualified accounts. Some annuities require higher premiums (some allow for even lower premiums).

LO 3.6.1

257
Q

Which of the following of the statements concerning the Affordable Care Act (ACA) is incorrect?

A) Lifetime limits on insurance coverage have been eliminated.

B) Premiums can only be linked to gender and smoking but not health issues.

C) Children may stay on their parents’ group coverage until age 26.

D) Coverage for certain preventive care is now mandated.

A

Explanation
The answer is premiums can only be linked to gender and smoking but not health issues. Under the ACA, premiums cannot be linked to gender or health issues. All of the other statements are true.

LO 4.1.1

258
Q

Which one of the following medical policy provisions that can limit recovery by an insured is described correctly?

A) Based on the medical information provided on a policy application, the exclusions clause is written to exclude specific benefits for that applicant.

B) A utilization review is used to determine if the insurance company is being charged the correct amount by providers of medical services.

C) The use of internal limits for things like chiropractic care by an insurance company assures the insured that his or her doctor’s charges will be fully covered.

D) The coordination of benefits clause is designed to prevent the insured from collecting benefits from two policies that together would equal more than 100% of the expense incurred.

A

Explanation
The answer is the coordination of benefits clause is designed to prevent the insured from collecting benefits from two policies that together would equal more than 100% of the expense incurred. Internal limits are used by insurance companies to limit the amount that is payable under the contract, not to guarantee full payment. The exclusions clause is generally the same for all policies issued by the same company. It lists those treatments, procedures, supplies, and providers for which no benefits will be paid. Utilization review is a process in which the insured generally must have a proposed procedure evaluated and approved by the insurance company prior to having it performed in order to have it be fully covered.

LO 4.2.1

259
Q

Mrs. Hopkins has a major medical insurance policy with a $500 deductible and an 80% coinsurance clause. She becomes ill and is admitted to the hospital for several days. When she is discharged, her hospital bill is $7,500 and her doctor bills are $3,250. Calculate the amount Mrs. Hopkins’s insurance will pay.

A) $7,000
B) $8,200
C) $9,250
D) $10,250

A

Explanation
The answer is $8,200. The answer is calculated as follows:

Total loss: $10,750 ($7,500 + $3,250)

Deductible: −500

Equals $10,250

Less 20% −2,050

Insurance $8,200

LO 4.3.1

260
Q

Which one of the following statements is true regarding Medicare?

A) Medicare is the single largest resource for individuals who need long-term care.

B) Individuals who have end-stage renal (kidney) disease are eligible for Medicare regardless of their age.

C) Medicare is a federally initiated program, but it is mostly administered, and at least partially funded, at the state level.

D) The Affordable Care Act (ACA) removed underwriting requirements and preexisting conditions from Medicare eligibility requirements.

A

Explanation
The answer is individuals who have end-stage renal disease are eligible for Medicare regardless of their age. Medicare is a federal health care program for persons age 65 or older, certain disabled persons who qualify for Social Security Disability Insurance (SSDI) after 24 months, and anyone who has end-stage renal (kidney) disease.

LO 4.4.1

261
Q

Which of the following statements regarding disability insurance policies is CORRECT?

I. An own occupation definition of disability may allow the insured to receive benefits, even if the insured can work in another occupation.

II. Under a residual disability income benefit, the benefit paid is based on percentage of lost income.

III. The insurance company can increase future premiums on a noncancelable disability policy.

IV. An own occupation disability policy is the least expensive.

A) I and II
B) I, II, and III
C) I, II, III, and IV
D) IV only

A

Explanation
The answer is I and II. The insurance company cannot raise premiums on a noncancelable disability policy. An own occupation (own occ) disability policy is the most expensive.

LO 4.5.2

262
Q

Claire, 49, owns a life insurance policy. Her basis in the policy is $50,000, and the cash value is $75,000. The policy is not a modified endowment contract. Claire is dissatisfied with the policy and is interested in surrendering it or exchanging it for another financial product, but she does not want to incur an income tax liability. Which of the following transactions would allow Claire to accomplish her goal?

I. Surrender the policy for $75,000 in cash and purchase another policy
II. Exchange the policy for another life insurance policy
III. Exchange the policy for a variable annuity
IV. Exchange the policy for a qualified long-term care insurance policy

A) II, III, and IV
B) II and III
C) I and III
D) II only

A

Explanation
The answer is II, III, and IV. Statements II, III, and IV describe transactions that can be accomplished under Section 1035 of the Internal Revenue Code without recognizing any gain or loss. Statement I (surrendering the policy for cash and purchasing another policy) would result in taxable income of $25,000.

LO 3.5.2

263
Q

Whole life insurance nonforfeiture options allow a policyowner to

I. surrender a whole life insurance policy and receive the net cash value (cash value less any applicable surrender charges and/or outstanding policy loans).

II. stop paying premiums on a whole life insurance policy and exchange the net cash value for a reduced paid-up single-premium permanent life insurance policy.

III. stop paying premiums on a whole life insurance policy and use the net cash value as a single premium to purchase a paid-up term life insurance policy with a face amount equal to the face amount of the original policy for a specified period.

A) III only

B) II and III

C) I and II

D) I, II, and III

A

Explanation
The answer is I, II, and III. There are three common nonforfeiture options available when surrendering or discontinuing premium payments on a whole life insurance policy. Under the cash surrender value option, a policyowner can surrender the policy and receive the net cash value. By electing the reduced paid-up insurance option, a policyowner leaves the net cash value of the original life insurance policy with the company and receives a smaller amount of fully paid-up insurance of the same type. If the policyowner chooses the extended term insurance option, the net cash value is used as a net single premium to purchase a paid-up term insurance policy.

LO 3.2.2

264
Q

Which of the following statements pertaining to insurance concepts is CORRECT?

A) The law of large numbers theory asserts that with more members in a group, the probability that the actual loss experience will equal the expected loss experience is greater.

B) A peril is the indifference to loss that creates carelessness and increases the chance of loss because of the existence of insurance.

C) A morale hazard is the cause of a financial loss.

D) Insurance is the dispersion of actual from expected results.

A

Explanation
The answer is the law of large numbers theory asserts that with more members in a group, the probability that the actual loss experience will equal the expected loss experience is greater. A peril is the cause of a financial loss. A morale hazard is the indifference to loss that creates carelessness and increases the chance of loss because of insurance. Risk is the dispersion of actual from expected results.

LO 1.5.1