Risk Management and Insurance Planning Flashcards

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1
Q

What is the definition of Social Security disability?

A
  • any occupation
  • medical condition must be expected to last no less than 12 months or expected to result in death
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2
Q

What is the most favorable definition of disability for an insured?

A

own occupation

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3
Q

What is the least favorable definition of disability for an insured?

A

any occupation

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4
Q

What requires a 90-day certification for LTC claims?

A

being unable to perform 2 of 6 ADLs

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5
Q

What are the 6 ADLs?

A

1) Bathing
2) Eating
3) Continence
4) Dressing
5) Toileting
6) Transferring

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6
Q

Can LTC premiums paid be used as qualified medical expenses for itemized deductions?

A

yes

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7
Q

For HSAs, what is the penalty for making a non-eligible transaction before age 65?

A
  • 20% penalty
  • distribution will be taxable
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8
Q

What is the penalty for taking a non-eligible distribution from an HSA after age 65?

A

the distribution will be taxable

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9
Q

What is the catch-up contribution age for an HSA?

A

55

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10
Q

Part-time employees count as how many people towards a census for COBRA?

A

1/2 a person

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11
Q

COBRA does not apply for which type of termination?

A

gross misconduct

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12
Q

36 months for COBRA applies for:
1)
2)
3)
4)

A

1) divorce
2) death
4) dependent reaches age of majority
5) Medicare enrollment

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13
Q

How are qualified LTC premiums that are paid by an employer taxed to the employee?

A

they are tax-free

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14
Q

How are disability benefits received by an employee when the premiums are paid by an employer taxed to the employee?

A

the benefits are taxable to the employee

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15
Q

How are disability benefits received by an employee as part of their compensation from their employer taxed to the employee?

A

the benefits are received tax-free

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16
Q

Is the cash value in variable life policy sub-accounts subject to the creditors of an insurance company?

A

no

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17
Q

If the surrender of a life insurance policy is a taxable event, how is it taxed?

A

as ordinary income

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18
Q

Distributions from MECs are taxed how?

A

LIFO, ordinary tax rates

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19
Q

What is the penalty if a distribution is taken from a MEC before 59 1/2?

A

10%

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20
Q

A chronically ill person must do what with the money they receive from a viatical settlement in order for it to remain tax-free?

A

use it for LTC purposes

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21
Q

What is the requirement to be classified as “terminally ill” for purposes of a viatical settlement?

A

must not have a life expectancy of more than 24 months

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22
Q

A terminally ill person must do what with the money they receive from a viatical settlement in order for it to remain tax-free?

A

there are no requirements; the money is tax-free no matter how they spend it

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23
Q

What happens if a viatical settlement company pays premiums on a policy they purchased?

A

the premiums paid become a part of their basis

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24
Q

This rider waives future premiums if the insured becomes permanently disabled as a result of injury or illness prior to a specified age

A

waiver of premium rider

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25
Q

This rider allows you to purchase additional insurance coverage in the stated period without the need for further medical examination

A

guaranteed insurability rider (results in higher premiums)

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26
Q

This rider pays out an additional amount if the insured dies from the result of an accident. Sometimes referred to as the “double indemnity rider”

A

accidental death rider

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27
Q

This rider pays a monthly income to the beneficiary in addition to the policy face amount for a stated period of time to help with expenses in a transition period after the death of the insured

A

family income benefit rider

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28
Q

This rider provides a death benefit in case a child dies before a specified age

A

child term rider

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29
Q

What can you do with a child term rider if the child reaches maturity?

A

it can be converted into permanent insurance, often up to a multiple (4-5x) of the rider amount, without medical underwriting

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30
Q

This rider allows the spouse of the insured to have a term life insurance rider under a permanent policy insuring their spouse

A

spouse term rider

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31
Q

This rider typically allows a portion of the policy death benefit to be paid while the insured is alive and in need of LTC services

A

LTC rider

32
Q

This rider allows a portion of the policy death benefit to be paid while the insured is still alive if they have been diagnosed with a terminal illness

A

terminal illness rider

33
Q

This rider allows the refunding of premiums paid over a specified term if the insured is alive at the end of the period OR refunds the premiums paid to the beneficiary at the death of the insured

A

return of premium rider (insured will pay an additional premium for this rider)

34
Q

What are some common exclusions not covered by homeowners insurance?

A
  1. flood
  2. earthquake
  3. termites
  4. mold
  5. nuclear hazards
  6. war
  7. government action
35
Q

What is the cross-purchase plan equation?

A

n x (n-1)

36
Q

What is the main disadvantage to an entity purchase agreement?

A

the surviving partner(s) do not get a step-up in basis

37
Q

Who pays the premium in an entity purchase agreement?

A

the business

38
Q

What is the order of options in purchasing a decedent’s interest with a wait-and-see agreement?

A

1) business
2) owner(s)
3) business (required if owners pass)

39
Q

What are the 3 forms of annuitization?

A

1) life only
2) period certain
3) refund certain

40
Q

Which form of annuitization provides the highest income, but ends at the death of the annuitant?

A

life only

41
Q

Do annuities provide a step-up at death?

A

no

42
Q

Taxable distributions from an annuity are always taxed at what income rates?

A

ordinary income

43
Q

What is the exclusion ratio (the tax-free portion) of an annuitization payment?

A

basis / expected payout

44
Q

What is the tax treatment of withdrawals from a non-qualified tax-deferred annuity?

A

LIFO

45
Q

Are annuity withdrawals subject to any penalties if taken before 59 1/2?

A

yes, 10%

46
Q

Basic homeowners coverage

A

HO-2

47
Q

Homeowners coverage for renters

A

HO-4

48
Q

Homeowners coverage for condo owners

A

HO-6

49
Q

Which homeowners coverage is the best?

A

HO-5 (comprehensive form); covers on an open perils basis

50
Q

What is the HO-15 endorsement?

A

an HO-3 policy can provide open perils coverage similar to an HO-5 policy

51
Q

What is the description for HO-8 coverage?

A

“modified coverage”

52
Q

HO-3 covers perils on what basis?

A

named peril

53
Q

HO-5 covers perils on what basis?

A

open peril

54
Q

This coverage specifies perils or “causes of loss” that are covered, and everything else is not covered

A

named peril basis

55
Q

This coverage specifies excluded perils or “causes of loss” that will not be paid. Everything else is covered

A

open peril basis

56
Q

HO-3 homeowners insurance provides dwelling coverage on ______ basis and contents coverage on ______ basis

A

open peril; named peril

57
Q

What is the homeowners coinsurance formula?

A

[did have/should have x loss] - deductible

58
Q

Coverage A

A

dwelling

59
Q

Coverage B

A

detached structures

60
Q

Coverage C

A

personal items

61
Q

Coverage D

A

loss of use

62
Q

Coverage E

A

liability

63
Q

Coverage F

A

medical

64
Q

In a PAP, what is the first split limit for?

A

1 person bodily injury

65
Q

In a PAP, what is the second split limit for?

A

multiple person bodily injury

66
Q

In a PAP, what is the third split limit for?

A

property damage

67
Q

What is an example of comprehensive coverage?

A

car hitting a deer

68
Q

PLUP policies can extend to what kind of vehicles?

A

ATVs and boats

69
Q

PLUP policies can extend to what kind of liability?

A

slander and libel

70
Q

In a waiver of premium rider, does the premium get waived for the elimination period?

A

yes

71
Q

What kind of annuity is intended to reduce longevity risk?

A

deferred income annuity

72
Q

The opportunity to renew a lapsed policy

A

reinstatement provision

73
Q

The three basic components that establish the premium and define the payment of benefits under LTCi policies are:

A

the elimination period, the daily benefit amount, and the benefit period

74
Q

HO-5 policies cover what % of contents?

A

50%

75
Q

Which type of life insurance is known as “pure protection?”

A

term insurance