Insurance Planning Flashcards
An insurable risk is characterized by an accidental loss, low cost, and a:
A.Large number of exposure units.
B.High chance of loss.
C.Low amount of exposure.
D.Limited number of perils.
Solution: The correct answer is A.
Recall that there must be a large number of homogenous (or similar) exposure units to minimize the overall risk to the insurer. The insurer, however, does not want a high chance of loss. The others are not part of an insurable risk profile.
The following type of insurance would be described as an unbundled policy where the company selects the places of investment:
A.Universal life insurance.
B.Interest sensitive life insurance.
C.Variable universal life insurance.
D.Adjustable life insurance.
Solution: The correct answer is A.
In all of these coverages, the monies above and beyond mortality and expenses are invested by the company in its general fund. Only variable life allows the investor to select investments. A universal policy is unbundled. The way this question is asked (“unbundled and selected by the company”) points one toward the correct answer of universal life.
Under the definition of long term care, the highest level of care provision which calls for services where residents are seen regularly by physicians is known as:
A.Intensive nursing care.
B.Skilled nursing care.
C.Intermediate care.
D.Custodial care.
Solution: The correct answer is B.
Option A - There is no coverage known as “intensive nursing care.”
Option C - Intermediate care is identical to skilled nursing care defined above, but not seen with as much regularity by a physician (not daily).
Both options B & C are institutional care, whereas option D is not.
All of the following are settlement options except:
A.Fixed period payments.
B.Fixed amount installments.
C.Reduced paid-up insurance.
D.Interest Only
Solution: The correct answer is C.
All of the following are settlement options except reduced paid-up insurance, which is a non-forfeiture provision.
When Emil purchased his $100,000 home, he insured it at the required coinsurance amount of 80% of the value. Over the last five years, the value of his home has increased and is now $160,000, but he has not increased his coverage. Emil has a $500 deductible. He has a kitchen fire causing $10,000 in damage. What amount will his insurer pay for repairs?
A.$4,250
B.$5,750
C.$6,250
D.$9,500
Solution: The correct answer is B.
The amount carried divided by the amount required (80% of current value) times the loss, minus the deductible equals the payment. One of the tricks on this one is that he purchased $80,000 of coverage initially (80% of the purchase price). So, the covered loss equals [$80,000 / (.80 × $160,000)] × $10,000 = $6,250. The insurer will pay $6,250 - $500 = $5,750.
Which of the following is true of a Modified Endowment Contract (MEC)?
No money can be withdrawn from the contract without incurring a 10% penalty.
Once a contract is a MEC, it remains so even after a 1035 Exchange for a different policy.
Any withdrawals are made on a LIFO basis.
The contract owner can borrow the money out of the policy without incurring the penalty.
A.I and II only.
B.I and IV only.
C.II and III only.
D.III and IV only.
Solution: The correct answer is C.
Option “I” is false because once all the earnings are withdrawn and tax and penalty paid on them, the basis is not taxed, nor is there a penalty. Option “IV” is false because even loans from a MEC are taxable and the penalty is applied.
Which of the following statements are accurate regarding the taxation of disability insurance?
Premiums paid by the employer, benefits are taxable to the employee.
Premiums paid by the employer, benefits are non-taxable to the employee.
A private disability policy paid with after tax dollars, then benefits are taxable.
A private disability policy paid with after tax dollars, then benefits are non-taxable.
A.I and III only.
B.II and III only.
C.II and IV only.
D.I and IV only.
Solution: The correct answer is D.
Dave is 46, married and has an annual salary of $60,000. His employer offers group term life insurance coverage equal to 2 times his annual salary. The employer’s cost for Dave is $.40 per $1,000 of which Dave pays $.15 per month per $1,000. The Table 1 (Section 79) rate for 45-49 year olds is $0.29 per $1,000. What additional income must Dave include in his taxable income this year resulting from the group term insurance? Round your answer to the nearest dollar.
A.$28
B.$126
C.$210
D.$244
Solution: The correct answer is A.
Dave is paying $216 each year for the coverage ($120 × 0.15 × 12). The Table I cost is calculated by subtracting $50,000 (the tax-free amount allowed under Section 79) from the $120,000 actually purchased, dividing the remainder by $1,000, multiplying the Table 1 rate of 0.29 times 12. ($120,000 - $50,000 / $1,000 × 0.29 × 12). So, the Table 1 premium is $244 (rounded.) Subtract the $216 already paid by Dave from the $244 Table 1 premium to determine the additional taxable income ($244 - $216 = $28).
An employer is required to extend medical coverage (under COBRA, the Consolidated Omnibus Budget Reconciliation Act) to eligible members of the employee’s family if the employee:
Dies.
Retires.
Divorces.
Terminates employment (prior to retirement.)
A.I, II and III only.
B.I and III only.
C.II and IV only.
D.I, II, III and IV.
Solution: The correct answer is D.
One of the few exceptions to continued COBRA coverage is termination due to gross misconduct.
Your client, John Kent, purchased a limited payment whole life policy 15 years ago. He would like to stop paying the premiums on his policy, but continues to need the same amount of insurance. If he did so, which one of the following is a non-forfeiture option he could use?
A.Reduced paid-up insurance.
B.Extended term insurance.
C.Installments for a fixed period.
D.One-year term.
Solution: The correct answer is B.
Extended term insurance is the only choice that is a non-forfeiture option that won’t reduce the coverage.
Option A - Although this is a non-forfeiture provision, the amount of insurance coverage would be reduced.
Option C is a settlement option.
Option D is a dividend option.
ABC Company wants to create a split dollar agreement for an executive. Which statement accurately describes a split dollar agreement?
A.The employer owns the life insurance policy under a collateral assignment.
B.The employer owns the life insurance policy under the endorsement method.
C.The employee is primarily responsible for making the premium payment under the endorsement method.
D.The employer is primarily responsible for making the premium payment under the collateral assignment method.
Solution: The correct answer is B.
There are four business partners. They are preparing a buy-sell agreement. It will be funded using a cross purchase life insurance arrangement. How many policies will be purchased by the partners?
A.0
B.4
C.8
D.12
Solution: The correct answer is D.
Identify which concept applies to each of the following descriptions (in order) as it pertains to insurance contracts:
1. The value exchanged between parties may not be equal
2. The wording of insurance contracts is non-negotiable
3. Insurance contracts may be canceled if payment is not received
4. Only one of the parties to the contract is bound by a promise
A. Conditional - Adhesion - Aleatory - Unilateral
B. Aleatory - Adhesion - Conditional - Unilateral
C. Adhesion - Aleatory - Conditional - Unilateral
D. Aleatory - Unilateral - Adhesion - Conditional
E. None of the above
Solution: B
Aleatory: Value exchanged between parties may not be equal
Adhesion: The wording of insurance contracts is non-negotiable
Conditional: Insurance contracts may be canceled if payment is not received
Unilateral: Only one of the parties to the contract is bound by a promise
What type of hazard results from the indifference a person has to the potential loss because he or she already has insurance?
A.Peril
B.Physical Hazard
C.Moral Hazard
D.Morale Hazard
Solution: The correct answer is D.
Moral hazard is a character flaw or dishonesty. e.g. burning your own house down.
Morale hazard is the indifference a person has towards loss because of insurance. e.g. leaving the keys in your car and the car running.
The principle of indemnity suggests that:
A.A person is entitled to compensation only to the extent that financial loss has been suffered
B.Insured cannot indemnify himself from both the insurance company and a negligent third party for the same claim
C.The insured must be subject to emotional or financial hardship resulting from the loss
D.The insured and insurer must both be forthcoming with all relevant facts about the insured risk and coverage provided for that risk
Solution: The correct answer is A.
B describes subrogation.
C describes an insurable interest
D describes concealment
All of the following are true regarding COBRA except?
A.The employer is allowed to charge up to 102% of the health insurance premium.
B.COBRA must be offered because of voluntary or involuntary termination of the employee or reduction in hours from full time to part time.
C.Termination of employment requires 36 months of coverage.
D.Divorce or legal separation requires 36 months of coverage.
Solution: The correct answer is C.
C is false because termination of employment only requires 18 months of coverage.
Sarah and her husband Ralph have been covered under her employer’s group health plan. Ralph started a very successful small business and they have enjoyed a significant increase in earnings. Sarah has recently gone part time and her group health plan will no longer cover them. Ralph’s business does not provide health insurance. Which of the following statements regarding COBRA coverage is correct?
A.Because Sarah’s change to part time is voluntary, COBRA rules do not apply.
B.COBRA rules allow continuation of health coverage for up to 36 months.
C.COBRA rules allow continuation of health coverage for up to 18 months.
D.COBRA rules allow continuation of health coverage for up to 29 months.
Solution: The correct answer is C.
18 months is the correct continuation for going part time, and it does not matter if it is voluntary or involuntary.
The principle of indemnity is:
A.A person is entitled to compensation only to the extent that financial loss has been suffered.
B.Insured cannot indemnify himself from both the insurance company and a negligent third party for the same claim.
C.The insured must be subject to emotional or financial hardship resulting from the loss.
D.The insured and insurer must both be forthcoming with all relevant facts about the insured risk and coverage provided for that risk.
Solution: The correct answer is A.
B describes subrogation.
C describes an insurable interest.
D describes concealment.
An individual’s personal assessment of the chance of a loss is an example of:
A.A priori probability.
B.Subjective probability.
C.Objective risk.
D.Objective probability.
Solution: The correct answer is B.
A priori probability is calculated by logically examining a circumstance or existing information regarding a situation. Subjective probability is looking at risk from your point of view. Objective risk and probability would be looking at it from an unbiased standpoint.
Owl Enterprises would like to reward some of their top three executives. They have chosen to purchase whole life policies on each of them and use a split dollar arrangement. Which financing option aligns best with this decision?
A.Collateral Assignment Split Dollar plan
B.Endorsement Split Dollar plan
C.Residual Endorsement Split Dollar plan
D.Endorsed Assignment Split Dollar plan
The correct answer is B.
In a collateral Assignment method, the policy is owned by the employee with an assignment to the employer. Under the Endorsement method, the employer owns the policy. The other two options do not exist.
20.0% complete
Question
Diane, an ER surgeon, buys a disability policy with a base benefit of $6000 and an SIS offset benefit of $1200. Diane becomes disabled and eventually receives $1000 in Social Security disability benefits. How much will she receive from her policy initially, before Social Security starts paying her benefit?
A.$4800
B.$6000
C.$6200
D.$7200
Solution: The correct answer is D.
Initially, she receives the full benefit. Once SS starts paying her benefit would drop to $6200.
Cindy’s employer has a contributory long-term group disability policy where she pays 60% of the premium. If she becomes disabled and is receiving a benefit of $4000, which of the following is correct?
A.She will receive a benefit of $2400.
B.The entire benefit will be taxable.
C.The entire benefit will be non-taxable.
D.She will receive a benefit of $4000, of which $1600 will be taxable.
Solution: The correct answer is D.
Taxability is pro-rata based on premium.
What is the maximum stay in a skilled nursing care facility for those covered by Medicare?
A.20 days
B.60 days
C.90 days
D.100 days
Solution: The correct answer is D.
For those covered by Medicare, the maximum stay in a skilled nursing care facility is up to 100 days per benefit period, with specific cost-sharing rules:
Days 1–20: Medicare covers the full cost, and the patient pays nothing for covered services.
Days 21–100: The patient is responsible for a daily copayment, which changes annually.
After 100 days: Medicare no longer covers any costs, and the patient is responsible for all charges.
A new benefit period can begin after a 60-day break from receiving skilled care.
Which of the following options are automatically offered by issuers on all long-term care policies?
A.Waiver of premium
B.Restoration of benefits
C.Inflation protection
D.All of the above
Solution: The correct answer is C.
Issuers of long-term care policies must offer inflation protection as well as a nonforfeiture benefit.
Option benefits that might be offered include waiver of premium, refund of premium, restoration of benefits, bed reservation, and respite care.