insurance live class deck Flashcards

1
Q

most companies stop writing policies at

A

85

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2
Q

the ability to change existing term policy from term to permanent policy without providing medical insurability

A

convertibility

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3
Q

cash value will equal face amount at age

A

100

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4
Q

insurance contracts: universal life insurance

A

flexibility- flexible premium adjustable life

partial CV withdrawals are allowed no loan needed to access CV
combo of a annually renewable term and cash value fund
guraranteed minimum rate
2 death benefits
1.level death benefit
2.level death benefit plus cash value

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5
Q

joint life (first to die)

A

2 or more ppl under one contract
when the first dies the death benefit is paid to to the beneficiary (or other person under contract)

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6
Q

survivorship life (second last to die)

A

covers estate taxes over 12.06 mil
death benefit payable after last person die
no benefit payable on death of first person only last person
face amounts exceed 1mil

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7
Q

juvenile life insurance

A

3 party contract
parent is the owner child is insured when

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8
Q

jumping juevenille

A

when child comes of age………..

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9
Q

variable life

A

has the same characteristics of ordinary whole life with one extinct difference

premiums are level and take a portion of premium and put it into a sub account to get invested

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10
Q

separate account

A

regulate as a mutual fund by the SEC according to the investment company act of 1940
-annual premiums are fixed(variable whole life)
-guaranteed minimum death benefit
-no guarantee regarding cash value because money is being invested

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11
Q

variable universal life

A

a universal life policy with the ability to invest in stocks, bonds, the most flexible of all life

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12
Q

where does the life insurance policy go if there is no primary, contingent or tertiary

A

goes to the estate, if there is no will

if trust is established it avoids lawyer and legal fees.

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13
Q

spendthrift provision

A

protects beneficiary from creditors
creditors cannot attache lien against death benefits left with insurer
lump sum benefits are not protected

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14
Q

crappo is used to remember policy loan rights

A

false

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15
Q

the death benefit must be paid to a family member

A

false

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16
Q

the insurer may not always pay the death benefit

A

true

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17
Q

a policyholder may sell their policy back to the insurance company

A

false

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18
Q

key employee

A

compensate business due to death (disability) of key employee
-who is a key employee–someone critical to operation of business
cannot be business owner
provides funds that are needed to offset loss or hire replacement
thrid party contract-insurable interest?
premiums are not deductible;benefit is tax free

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19
Q

business continuation “buy-sell”

A

using life insurance, provides for business continuation in the event of a partners death

-makes money avaialable to purcahse interests of deceased partners beneficiaries
-pre-arranged purchase price; contractual agreement to sell

of owners= # of policies needed

cross purchase plan- # of partners -1x # of partners = # of policies

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20
Q

two-party contract (between employer and insurer)

A

employer receives master contract
employee receives certificate of coverage

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21
Q

premium payment group insurance concepts

A

non contributory-employer pas all premium must cover 100% of employees
contributory-employee pas all or part of premium and must cover 75% employees

employer is owner and retains all ownership rights except
–right to change beneficiary

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22
Q

group insurance coverage is more liberal underwriting than individual

A

group as a whole is evaluated, generally no individual underwriting.
good risks outweigh bad risks (adverse selection)
impariments are covered
enrollment period

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23
Q

group insurance-law of large

A

easier to predict losses with greater accuracy with larger group
individuals cannot form a group with the sole purpose of obtaining group insurance; must be a common bond

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24
Q

group insurance-conversion option

A

within 31 days without proof of insurability
death benefits are provided during 31 day period paid by group plan
term to whole life-attained age
no medical exam or health questions

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25
Q

annuity–living too long

A

an anuuity is account/investment vehicle established by and insurance company which allows for the tax-deferred growth of the contributions during the accumulation period
–a person invest funds on either a lump sun or periodic basis and can either immediate or deferred
-may contracts guarantee that the owner will not run out of money in retiremnet even if the funds are exhausted (when a lifetime payout is chosen)

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26
Q

immediate annuity

A

purchased in one lump sun with the payout generally starting immediately

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27
Q

deferred annuitiy

A

purchased with period payments and payout typically starts after retirement

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28
Q

annuities

A

a contract that provides income for a fixed period or an annuitants lifetime
systematic liquidation of an estate or pool of money
-product sold by life insurance
-protection against outliving ones income
-savings program-future income

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29
Q

fixed annuity

A

pre determine monthly income for life
general assets account
interest rate guarantee
limits policy owner risk
insurer assumes the risk

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30
Q

variable annuity

A

monthly benefit varies per performance
separate accounts consisting of stocks and bonds
higher potnetial return- no guarantee
policyowner assumes the risk
requires FINRA SERIES 6 OR 7 registration to sell

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31
Q

annuities is paid

A

lump sum or periodic (level or flexible)

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32
Q

when do annuities benefits begin?

A

immediate
-first payments begin in 30 days of deposit only as a lump sum
deferred
-defer paterments to later date (retirement)

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33
Q

annuity life with period certain

A

income for life, with survivor benefit if annuitant dies before end of term or designated period 5, 10, 15, 20

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34
Q

straight life or pure life anuity

A

income for life with no refund to survivor
no survivorship greatest risk to anuitants beneficiary
largest monthly income
greatest potential overall benefit

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35
Q

annuity- unit refund life annuity

A

annuitant receives an amount at least equal to his original investment
at death any remaining amount is paid to beneficiary

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36
Q

joint life annuity

A

payment to two or more annuitants which ceases on death of either party

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37
Q

joint and survivor

A

payment to two or more annuitants
payment continues to surveyor often at a reduced amount 75%

(take a life insurance policy instead )

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38
Q

equity indexed annuity

A

allows for stock market appreciation with downside protection
less risk for the insured
guaranteed 3% regardless of market performance
indexing method
-llinked to an equity index
participation rate
-percentage of the index “gain” that is kept by contract holder with remainder kept by insurer (90/10)

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39
Q

can there be more than one recipient of an annuity payment

A

yes according to the number of lives on annuity

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40
Q

is a variable annuity owner guaranteed against a loss

A

no. variable annuities are subject to market risks

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41
Q

are lump sum deposits required to be made to purchase an annuity?

A

no. premium payments may be periodic contributions

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42
Q

tax treatments of life products-life insurance is considered a personal expense

A

death benefit is received income tax free
cash value
-grows tax-differed
-upon surrender, not taxable unles the cash value exceeds the premiums paid (cost basis) then only the excess is taxable
-cost basis consists of premiums paid for base policy only and not premiums paid for riders

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43
Q

dividends

A

considered a return of overpaid premium and are not taxable
interest earned is taxable

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44
Q

loan interest

A

not a taxable event

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45
Q

settlement options

A

when death benefits are left with an insurer, interest is paid on the proceeds
the interest is taxable

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46
Q

MEC (MODIFIED ENDOWNMENT CONTRACT)

A

not good to have a mic
-premiums paid are not in proportion to death benefit provided
-an mec is an irs classification of an insurance contract
-seven pay test- if the premiums paid in during thr frist seven years exceed the net level premium that should have been paid is a mec
-once a life insurance policy becomes a mec it stays- all withdrawls are taxable
-if taken out prior to 59 1/2 additional 10% penalty applies
-advantages Death benefit remains income tax free and the cash value growth is tax deferred until withdrawn

((things to note. have the person over contribute right before it qualifys as a mec and have them pay 4% tax vs 31% tax in the stock market)

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47
Q

taxation of group life insurance

A

-employer paid premiums are tax deductible as a business expense
-death benefit is received tax free
- cost of first 50K group life is tax exempt to employee
-if coverage exceeds 50K will be taxable as ordinary income

48
Q

1035 exchange

A

IRS allow a tax free exchange of insurance product for another like kind
-life insurance for another or endownment for annuity
-endowmnet policy for another endowment or annuity
annuity for annuity
ANNUITY CANNOT BE EXCHANGED FOR LIFE INSURANCE POLICY

49
Q

1035

A

individual for whom the exchange is being made must benefit from at least some characteristics of the new product
-improve credit rate of new issuer
-better returns on the new product
-improved benefits on the new product
cash proceeds should not be received on the exchange
the exchange should be compelted within 60 days

50
Q

the premiums paid for a life insurance policy are

A

non deductible

51
Q

the cash value in excess of cost basis is ______ if a whole life policy is surrendered

A

taxable

52
Q

interest paid on death benefits that are not distributed as a lump sum is

A

taxable

53
Q

death benefits on a life insurance policy are ________ in the deceased estate

A

included

54
Q

a loan taken on a modified endowment contract is

A

taxable

55
Q

the death benefit on a group life insurance policy is

A

tax free

56
Q

a 1035 exchange allows a __________exchange of a life insurance product for another like kind

A

tax free

57
Q

employee retirement income security act of 1974 (ERISA)

A

created to prevent missuse and mismanagement of pension plan funds
rules apply to private sector defined benefit and defined contribution plans
earnings are tax defered usually

-plans can not be discriminatory
-an approved vesting schedule must be followed
-specifies the percentage of employers contribution to which the employee is entitled when withdrawing formt he plan
-employees are 100% vested in their own contributions

58
Q

primary insurance amount-via

A

full retirement benefit at full retirement age
averaged indexed monthly earning
determines what was contributed versus income payment

59
Q

pure risk

A

insurable chance of loss only

60
Q

speculative rish

A

chance of gain or loss (lottery ticket)

61
Q

peril

A

what caused the loss (life insurance, death of insured)
insurance spreads the risk and reduce the financial uncertainty assiciated with loss

62
Q

RISK MANAGEMENT STARR

A

RISK SHARING-owning car get in car accident and pay deductible
TRANSFER-reinsurance company where risk is transferred to other companies; ex 25% is owned by one company, 25% antoher and writing company has 50% of risk
AVOIDANCE-exclusion clauses (hazerdos activities, pilot, military)
REDUCTION-ex homeowners insurance limits water damage to 10K
RETERNTION-ex more good risk tha bad

63
Q

adverse selection

A

selection not in favor of insurance compnay tendency of poorer risks to actively seek insurance coverage

64
Q

the law of large number will prevent losses

A

false

65
Q

a contract of indeminity transfers losses

A

true

66
Q

a hazard is a way for the insurer to avoid risk

A

false

67
Q

insurable interest

A

in order to purchase insurance on a person the owner must posses an insurable interest in that person
based on financial relationship
-must exist at applicaiton
-not required to exist at time loss occurs
-insured must be made aware of the purchase by signing the app
-an individual has an unrestricted/unlimited insurable interst in herself. the amount of insurance is limited by underwriting ex. I want life policy on me so ken is taken care of. 10M policy underwriting would examine if ken would lose 10M if I dies

68
Q

admitted and authorized insurers

A

licensed in that state cert of authority

69
Q

domestic carrier

A

carrier that has home office in which the state they are authorized to sell insurance
ex mass mutual in state of mass

70
Q

foreign

A

another state than home state
ex mass mutual with office in Connecticut

71
Q

alien

A

home office in another country that sells insurance in the state
ex sunlife of Canada

72
Q

mutual companies

A

owned by policy holders, insurance dividends

73
Q

reinsurance

A

insurance purchased by insurance companie transwer of risk

74
Q

faculative reinsurance

A

individual agreements on a case by case basis

75
Q

automatic ready

A

automatic acceptance of a portion of risk

76
Q

concept of agency

A

the relationship that exists between two parties, when one party acts on behalf of another
ex agent/producer reps a particular insurer
agency is referred to as the pricipal while the agent is authorized rep

77
Q

actual or expressed contract

A

actual powers an agent has that are defined in their contract ex agent has expressed authorit to rep company and receive commissions

78
Q

implied

A

usual and customary business practices that may not specifically be listed in contract

79
Q

apparant

A

authroity that the public perceives an agent to have

80
Q

agreement

A

offer and acceptance

81
Q

consideration

A

the lawful exchange of one value for another
application info+premium=coverage

82
Q

legal capacity

A

bothparties must be legally competent to enter into contract

83
Q

legal purpose

A

sale cannotbe contradictory to the good of public

84
Q

aleatory contract (unequal)

A

a contract that may or may not provide more in benefits than premiums
ex buys life insurance and dies 3 months later will 250K payout

85
Q

contract of adhesion (non negotiable)

A

a contract drawn up by one part (the insurer) take it or leave it
ex car insurances

86
Q

unilateral contract

A

a legal agreement in which only one of the two parties needs to act to make the contract enforceable

87
Q

conditional contract

A

terms specifying obligations of an insured to keep a policy in force

88
Q

personal contract

A
89
Q

valued contract (non negotiable)

A

pay a stated sum regardless of the actual loss incurred

(life insurance)

90
Q

indemnity contract

A

pay an amount equal to loss

91
Q

utmost good faith

A

both parties act with honesty and integrity

92
Q

fiduciary

A

financial responsibility position of trust

93
Q

representations

A

anything answered on application
statment that is true to the best of the applicants knowledge or belief can be changed prior to policy issue not after

94
Q

warranty

A

statment made by the insurer that is guaranteed

95
Q

misrepresentation

A

a flase statment that will not affect underwriting
is not material will not effect issue
ex mailing address error

96
Q

material misrepresentation

A

a false statment or concealment that is important to the issuance of a policy and affects policy issue
ex health statments, drug abuse, driving habits etc

97
Q

concealment

A

failure to voluntarily disclose material facts relevant to underwriting process

98
Q

fraud

A

intentional deception
ex filing false claim

99
Q

HMO health maintenance orgianizations

A

preventative care
pre paid premium
enrollee members
small co pay
most are closed panel plans

99
Q

blue cross blue shield

A

blue cross=hospital benefits blueshield=pysicians

100
Q

preferred provider organization (PPO)

A

enters into contractural agreement with hospital and doctors
does not provide treatment directly
pop creates preferred provider arrangments with hospitals in exchange for a discounted cost
-employees will pay a lower deductible
-can go outside pop will pay higher cost
-ppo can choose any doctor within network

101
Q

champus (tricare)

A

government organization that provides health care benefits for dependents of military personnel

102
Q

a replacement health insurance policy will cover all aliments

A

no

103
Q

tricare and champus can be used as a replacement for any individual

A

no only military personnel

104
Q

health insurance will pay for UCR medical bills

A

yes usual customary reasonable medical bill are covered

105
Q

health insurance policies-disability

A

provides income if the insured become disabled and becomes unable to earn paycheck

106
Q

”. “ medical expense insurance

A

pay hospital and doctor bills resulting from injurt and illness

107
Q

disability income

A

inability to perform your own normal occupation or daily duties
-any occupational the inability to perfrom any gainful occupation
-more iberal definition more expensive the premium

108
Q

presumptive disability

A

a type of total and permanent disability based on loss of sight hearing speech and loss of limb
paid despite the fact the insured is still working
paid as Lump sun

109
Q

loss of earning test

A

disability income based on earned not unearned
ex commisions bonuses vs rental income interest investments

110
Q

partial disability

A

the inability to perform some but not alll of your duties
-follows a period of total disability added a s a rider and pays 50% of disability benefit

111
Q

residual disability

A

another form of partial based on percentage of lost income
fluctuates monthyl

112
Q

recurrent disability

A

no elination period to get benefits
if after 6 months a new disability and a new elemination period is issued

113
Q

elimination waiting period

A

period preceding each disability during which benefits are not paid
common elimniation 230/60/90 days
longer the elinination the cheaper

114
Q
A
115
Q
A