Insurance Review Flashcards

1
Q

het·er·o·ge·ne·ous

A

Different or diverse risks

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2
Q

Homogeneous

A

The same or similar risk

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3
Q

Principle of indemnity

A

When cash value equals DB.

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4
Q

sub·ro·ga·tion

A

the substitution of one person or group by another in respect of a debt or insurance claim,

Example: force carrier to provide you a new car for accident that isnt your fault. They take over the claim.

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5
Q

Collateral source rule

A

Can sue for injury damages even if they have their own personal loan. tort law. Double pmt.

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6
Q

Declarations

A

Identifies person, property or activity that is insured.

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7
Q

Insuring agreement

A

Explains the promise of the insurance company

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8
Q

Attractive nuisance

A

Swimming pool

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9
Q

Negligence per se

A

Violate a statute. School zone or crosswalk

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10
Q

Strict liability

A

Product liability. Romaine lettuce ecoli breakout

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11
Q

Absolute liability

A

Extra hazardous condition. Workers comp and wild animals

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12
Q

Vicarious liability

A

One person is held responsible for negligent behavior of another. Branch mgr responsible for agents

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13
Q

Capital utilization calculation for life insurance

A

Deceased salary 120k, spouse gets $20k social security, rate is 7%.

120k-20k=100k
100k / .07 = $1,428,571
Add $100k for 1st yr = $1,528,571

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14
Q

HO Section I

A

Dwelling
Other structures
Personal property
Loss of use

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15
Q

HO Section II

A

Personal liability

Medical pmts

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16
Q

Basic perils

A

WHARVVES/FLT

17
Q

Broad Form

A

Basic plus RAFF

Ruptured system
Artificial energy
Falling objects
Freezing pipes

18
Q

Open Form

A

Best coverage. Covers everything except specific exclusions

19
Q

Forms of HO coverage

A
HO-2: broad
HO-3: Open
HO-5: HO-3 plus personal property
HO-4: Renters - covers personal property
HO-6: condo
HO-8: old homes
20
Q

HO Exclusions - 8

A

OPEN WIF

Ordinance of law
Power failure
Earthquake
Neglect and nuclear
War
Intentional loss
Flood
21
Q

PAP - Comp coverage (other than collision

A
Glass breakage
Mistakes
Falling objects
Fire, theft, larceny
Flood
Earthquake
Hail
Vandalism
Contact with bird
Explosion
22
Q

Medicare Part A - hospital insurance

A
Subject to deductibles and co-pay
150 day limit for hospital care
100days for skilled nursing
Hospice care
Patient pays for first 3 pints of blood
23
Q

Medicare Part B

A

Doctor services
Free preventative care
Depression
Drugs

Excluded:
Dentures and dental care
Eye exams
Immunizations
Prescription drugs
24
Q

Medicare Part D

A

Prescription drugs

Open enrollment is 10/15-12/7 and effective on 1/1

25
HIPPA Election
Preexisting conditions not included if transferring between group plans within 63 days
26
Dividend Options
``` Cash Reduction of premiums Accumulated with interest Paid up additions One year term ```
27
Nonforfeiture Options
Cash option Reduced amount - whatever CV will provide - permanent Extended term: cv keeps policy I force as long as possible
28
Approved 1035
Life to life Annuity to annuity Life or annuity to LTC
29
Stock Redemption buy-sell (entity purchase)
Corporation is owner and beneficiary Premiums not deductible DB tax free to company Gain is larger than cross purchase
30
Cross purchase (stockholder purchase)
EE is owner and spouse is beneficiary Premium not deductible
31
Split dollar - two methods
Endorsement method: ER is owner, EE not shareholder, ER receives premiums back and DB balance goes to family Collateral Assignment: EE is owner, shareholder, family gets DB tax free
32
Health FSA
$2650 limit | Not subject to FICA and FUTA
33
Dependent FSA
$5k limit per year | If married both spouse must earn income or $5k is taxable