Risk Management and Insurance Planning (11%) Flashcards
4 Ways to Address Risk
ARRT (Pirate Art)
Avoidance - Not skydiving
Reduction - Alarm
Retention - Insurance Deductible
Transfer - Insurance
HSA Contribution Limits
$4,150 Single
$8,300 Family
+$1,000 if 55+
HDHP Limits
Single - $1,600+ deductible; Max $8,050;
Family - $3,200+ deductible; Max $16,100
HSA Last-Month Rule
If eligible under HDHP on first day of last month of tax year, may fund HSA for entire year
HSA Withdrawal Restrictions
Tax free if used for medical expenses
W/d prior to age 65 for non-medical has 20% penalty
IRA to HSA rollover
1x Lifetime!
Max of annual HSA contribution
Must maintain HSA for 12-months afterwards
ER’s required to offer COBRA
Group health plans with 20+ employees
COBRA Qualifying Events
Death of Covered EE
Termination, Resignation, Retirement - not gross misconduct
Reduction in hours causing ineligibility
Divorce of covered EE
EE going on Medicare - spouse and children can use COBRA
a Child ceasing to be eligible dependent
Cost and Paying for COBRA
Qualified Bene pays up to 102% of the costs
Premiums due monthly
COBRA Durations
18-months:
Termination, Resignation, Retirement, Reduction in hours.
29-months: Disability
36-months: All other’s
Medicare Coverage for SNF
Patient pays:
Days 1-20 = $zero
Days 21-100 =$204/day
Days 101+ = patient pays all costs
ADL’s (2 of 6 for LTCi)
BED COT
Bathing
Eating
Dressing
Continence
On-Off Toilet
Transferring
*Not blindness or inability to walk
Or - substantial cognitive impairment
LTCi Tax Treatments
-Benefits are received tax-free
-Premiums are qualified medical expenses for itemized deductions for medical expenses
-Premiums can be paid from HSA
-Premiums paid by ER are tax-free to EE’s and benefits are tax-free
LTCi Incontestability Rule
2-year incontestibility period (insurers cannot cancel after 2 years for application errors)
4 definitions of disability for disability insurance
Any-Occupation - less expensive, least favorable
Own-Occupation - more expensive, more favorable
Modified Own-Occupation - hybrid
Social Security Disability - toughest definition of disability
Disability Insurance Benefits Taxation
ER paid premiums = Taxable Benefit to EE
ER paid and added to W-2 = benefits are tax-free
EE paid w/ after-tax = benefits are tax-free
EE paid with pre-tax = benefits are taxable