Insurance Planning Flashcards
Homeowner’s Insurance Policy
Property (Part 1): Coverage A, B, C, & D
Liability (Part 2): Coverage E & F
HO-2
Basic Homeowners coverage
HO-3
Better Homeowners coverage
HO-4
Renters insurance
*4 Rent
HO-5
Best Homeowners coverage
*provides open perils coverage automatically for dwelling and contents!
HO-6
Condo insurance
HO-8
Older/historical coverage
Open perils coverage means
Everything is covered, EXCEPT things specifically excluded
HO-3 has open perils for dwelling and named perils for the contents
HO-5 has open perils for contents
Named perils coverage means
Only perils that are covered are perils that are listed
Peril
Actual cause of the loss, directly listed in the policy
ie: Fire
We are insuring against a loss caused by fire
Hazard
Something that increases the probability that a loss will occur due to a peril
ie: gasoline soaked rag
Section of HO Policy: Coverage A
Address: for the dwelling itself (structure)
Section of HO Policy: Coverage B
Backyard
Section of HO Policy: Coverage C
Crap: all your things, electronics, housewares, etc.
Section of HO Policy: Coverage D
Displacement: when the family is displaced for a period of time when the home is being repaired or replaced
Section of HO Policy: Coverage E
Exposure: Exposure to legal action, some liability insurance
*when dog bites mail person
Section of HO Policy: Coverage F
Funds: for others for fractured femurs, money available to pay smaller types of expenses
*someone breaks their arm at a BBQ
Homeowners insurance policy coinsurance requirement
Dwelling must be insured for at least 80% of the replacement cost value for a partial loss to be PIF
*may see in a case study
Homeowners coinsurance formula:
(“did have” / “should have” x loss amount) - deductible
house replacement cost = $500,000
dwelling coverage = $350,000
loss amount = $100,000 (damage from fire)
deductible = $1,000
$500,000 x 80% = $400,000
$350,000/$400,000 x $100,000 - $1000
coverage for $86,500
Personal automobile policies (PAPs) part A is for
Liability
Personal automobile policies (PAPs) part D is for
Damage to your auto
What are the coverage areas for PAP
ie: $250,000/$750,000/$100,000
$250,000/$750,000/$100,000
$250,000 = max bodily injury
$750,000 = max all bodily injuries
$100,000 = max property damage
What is Part D collision coverage?
Collision: damage to vehicle caused by an accident
What is Part D comprehensive coverage?
Comprehensive: all other physical damage to the auto
What type of claim should a driver file if they hit a deer?
The driver would file a comprehensive claim
Umbrella insurance typically requires a minimum of __________ coverage E homeowners insurance and a minimum _________ of part A auto insurance
$200,000 minimum for coverage E homeowners insurance and $300,000 minimum of part A auto insurance
If employer pays disability premiums then the benefits received are…
Taxable to the insured employee
If the employee pays premiums with after-tax dollars then…
Benefits are tax-free
If employer pays the premium but includes the premium amount as compensation to the employee the benefits are…
Tax-free
If the premium is paid with pre-tax dollars, benefits are…
Taxable
Under COBRA, the maximum period of continuation coverage for an employee who meets the social security definition of disability is…
29 months!
Under COBRA, the termination of the employee for any reason except gross misconduct is eligible for a continuation of coverage for
18 months
COBRA rules apply to employers with
20 or more employees
*part time staff counts as 1/2
What are the triple tax advantages of an HSA?
- Pre-tax contributions
- Tax-deferred earnings
- Tax-free distributions
May make one direct transfer from IRA to fund HSA…
up to the annual limit!
What is the last month rule for HSA?
If eligible under HDHP on the the 1st day of the last month of the tax year (12/01), you may fund your HSA for the entire year
If the employer is contributing to an employee’s HSA remember that…
The employer contribution will deduct from the total amount the employee can contribute to the HSA
maximums are: $3650/$7300
Once someone goes on Medicare can they contribute to a HSA?
No, once someone is enrolled in Medicare you can’t contribute to a HSA
What can you use your HSA for?
OTC drugs, dental, and vision
Do HSAs have a use it or lose it rule?
NO, HSAs do not have the use it or lose it rule like the FSA!
In order to have a HSA you need to meet BOTH requirements…
- the MINIMUM deductible (can be over the minimum) $1400/$2800
AND
- the MAXIMUM out of pocket amount (CANNOT be over the max amount) $7050/$14100
What is the cost of Medicare coverage for nursing home skilled care for Days 1-20?
$ zero co-pay for each benefit period for Days 1-20
Does Medicare pay for LT custodial care?
NO, it pays for skilled nursing care for a limited time following a hospitalization