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Chapter 5 Insurance C Ken Long New River Community College Dublin, VA 24084 http: Chapter 5 Insurance C Ken Long New River Community College Dublin, VA 24084 http: //www. nr. cc. va/fin 107 1

Do I need life insurance? Yes! If there are other people dependent upon you Do I need life insurance? Yes! If there are other people dependent upon you financially 2

Do I need life insurance? No! If there are no other people dependent upon Do I need life insurance? No! If there are no other people dependent upon you financially 3

Are there some exceptions to this? 4 Are there some exceptions to this? 4

§Life insurance on children is not needed except maybe a small term policy for §Life insurance on children is not needed except maybe a small term policy for burial expenses §You need life insurance if you have young children who would need care if you were not here §If you are single with no dependants you need a small term policy to cover burial expenses §If your family has a history of chronic diseases, you should have insurance while you are still insurable 5

How much life insurance do I need? The goal is to have enough insurance How much life insurance do I need? The goal is to have enough insurance so that your beneficiaries could live off of the interest after the benefit is invested 6

How do I calculate how much life insurance I need? 7 How do I calculate how much life insurance I need? 7

1. How much money would your dependants need annually to maintain their standard of 1. How much money would your dependants need annually to maintain their standard of living should you die? 2. Subtract the income they would make without insurance 3. How much would they need at a 5% return to yield #2? 8

What is term life insurance? Term life insurance is pure insurance with no cash What is term life insurance? Term life insurance is pure insurance with no cash build up 9

What are three kinds of term life insurance? 10 What are three kinds of term life insurance? 10

§Level Premium - premium and coverage stays the same for a set number of §Level Premium - premium and coverage stays the same for a set number of years §Decreasing Term - coverage declines yearly but the premiums stay the same §Annual Renewable Term - face value stays the same but the premiums increase yearly 11

What is whole life insurance? Insurance with face-value and a cash-value features 12 What is whole life insurance? Insurance with face-value and a cash-value features 12

What is face value? The insurance 13 What is face value? The insurance 13

What is cash value? Money held in reserve to pay your death benefit 14 What is cash value? Money held in reserve to pay your death benefit 14

Who is a beneficiary? A person who receives money from your life insurance when Who is a beneficiary? A person who receives money from your life insurance when you die 15

The face-value of a whole life insurance policy is $100, 000, the cash value The face-value of a whole life insurance policy is $100, 000, the cash value is $30, 000, how much will my beneficiary get? Most often, the $100, 000 face value, but not any of the cash value 16

If I cancel a whole life policy do I get the cash-value back? Yes! If I cancel a whole life policy do I get the cash-value back? Yes! Usually you are entitled to the insurance or the cash-build up 17

If I cash in a whole life policy do I get all of the If I cash in a whole life policy do I get all of the cash-value? There are usually No! surrender charges, commissions and fees 18

What is a vanishing premium policy? Payments are inflated in the early years to What is a vanishing premium policy? Payments are inflated in the early years to build up cash-value, money is then taken from cash-value in later years to make the premium payments 19

What is a double indemnity policy? A policy will pay double the face-value if What is a double indemnity policy? A policy will pay double the face-value if the insured dies accidentally 20

What’s the problem with double indemnity? When the insured is injured and dies at What’s the problem with double indemnity? When the insured is injured and dies at a later time, did the person die because of the accident or from natural causes? 21

What is universal life insurance? A combination of term insurance and a tax sheltered What is universal life insurance? A combination of term insurance and a tax sheltered savings account that pays interest 22

What’s the return on universal life insurance? The insurance company guarantees a minimum return, What’s the return on universal life insurance? The insurance company guarantees a minimum return, beyond that the return will fluctuate according to market forces 23

What is a mortality charge? Each year more money is taken out of savings What is a mortality charge? Each year more money is taken out of savings each month to cover the cost of insurance 24

What is a frontload policy? To cover expenses 5 to 9 % is deducted What is a frontload policy? To cover expenses 5 to 9 % is deducted from your premium before it is applied to the savings portion 25

What is a backload policy? A surrender charge applied if the policy is canceled What is a backload policy? A surrender charge applied if the policy is canceled or a withdrawal is made 26

How expensive are backloads? Could be as high as 150% of the first year How expensive are backloads? Could be as high as 150% of the first year premium and diminishes and disappears between the 10 th and 15 years 27

If I withdraw money from a universal policy what happens? §If you withdraw all If I withdraw money from a universal policy what happens? §If you withdraw all of it you cancel the policy §If you withdraw a part of it you reduce your death benefit 28

With a universal policy what happens to my savings when I die? §With option With a universal policy what happens to my savings when I die? §With option B your beneficiaries receive the savings portion as well §With option A your beneficiaries receive only the face value 29

Why would I choose option A over option B? A Universal Policy with option Why would I choose option A over option B? A Universal Policy with option B is more expensive than option A 30

What is variable life insurance? You get to chose the investments made with the What is variable life insurance? You get to chose the investments made with the cash-value portion of the policy 31

With whole, universal, or variable life can I lose my coverage? Not if you With whole, universal, or variable life can I lose my coverage? Not if you continue making payments on time 32

Once the term is up, can the insurance company cancel the policy? YES 33 Once the term is up, can the insurance company cancel the policy? YES 33

Can I convert a term to a cash-value policy? Only if your term policy Can I convert a term to a cash-value policy? Only if your term policy has a convertible clause in it 34

Why would I want to covert my term to a cash-value policy? Your term Why would I want to covert my term to a cash-value policy? Your term policy may not be renewed beyond 65 years of age 35

If I convert do I get full life insurance coverage? No! A $100, 000 If I convert do I get full life insurance coverage? No! A $100, 000 term policy may only convert to a $75, 000 whole life policy 36

What is the interestadjusted net cost index? This is an industry accepted method for What is the interestadjusted net cost index? This is an industry accepted method for determining the true cost of insurance over the long run 37

What does the Interest -adjusted Net cost index consider? § premium paid § interest What does the Interest -adjusted Net cost index consider? § premium paid § interest earned § dividends paid § timing of payments § timing of receipts 38

Where do I get the interest-adjusted net cost index? Ask your insurance agent or Where do I get the interest-adjusted net cost index? Ask your insurance agent or insurance company 39

Is a low number good or bad with the interestadjusted net cost index? The Is a low number good or bad with the interestadjusted net cost index? The lower the number the better 40

Which insurance do agents make the most money on? More money is made selling Which insurance do agents make the most money on? More money is made selling Whole Life 41

What is an in-forcepolicy ledger? This is an annual brief summary and status of What is an in-forcepolicy ledger? This is an annual brief summary and status of your policy 42

What is a viatical settlement? A terminally ill person sells all or a part What is a viatical settlement? A terminally ill person sells all or a part of his/her life insurance policy to a Viatical Company who then becomes the beneficiary 43

What if I am at fault for an automobile accident and have no insurance? What if I am at fault for an automobile accident and have no insurance? You could pay a part of your income to cover the liability for the rest of your life 44

What is bodily injury liability? This covers you when injury occurs to people in What is bodily injury liability? This covers you when injury occurs to people in other cars, your car and pedestrians during an accident that is your fault 45

Does bodily injury liability cover members of my family driving other cars? YES 46 Does bodily injury liability cover members of my family driving other cars? YES 46

What is property damage liability? This covers damage done by you to other people’s What is property damage liability? This covers damage done by you to other people’s property 47

What is a single-limit automobile policy? The quotation is 2 numbers 48 What is a single-limit automobile policy? The quotation is 2 numbers 48

What is the first number in a single-limit policy? Bodily injury liability 49 What is the first number in a single-limit policy? Bodily injury liability 49

What is a split-limit automobile policy? A spit limit policy is when the quotation What is a split-limit automobile policy? A spit limit policy is when the quotation is 3 numbers 50

What are the first two numbers in a splitlimit policy? The first two are What are the first two numbers in a splitlimit policy? The first two are bodily injury liability 51

Is a single-limit or a split-limit policy best? A single limit policy is better Is a single-limit or a split-limit policy best? A single limit policy is better than a split limit policy because it will cover more person injured 52

What is a deductible? A deductible is how much you pay when you file What is a deductible? A deductible is how much you pay when you file a claim 53

What is the advantage of a high deductible? The higher the deductible, the less What is the advantage of a high deductible? The higher the deductible, the less costly the insurance 54

For the same money is it better to have a low deductible or more For the same money is it better to have a low deductible or more insurance? It is usually better to have a high deductible and more insurance 55

Is there an exception? If your medical expenses are frequent pay the extra money Is there an exception? If your medical expenses are frequent pay the extra money for a low deductible 56

What is comprehensive insurance? Comprehensive insurance covers damage done to a parked car 57 What is comprehensive insurance? Comprehensive insurance covers damage done to a parked car 57

What is collision insurance? Covers the damage done to your car when while it What is collision insurance? Covers the damage done to your car when while it is moving 58

If I total a car how much will I receive from the insurance company? If I total a car how much will I receive from the insurance company? You receive only what the trade in value is according to the NADA book at the time of the accident 59

Should I pay for medical coverage on my auto policy? Yes! If you do Should I pay for medical coverage on my auto policy? Yes! If you do not have health insurance 60

What if I already have health insurance? Then it depends on your present coverage What if I already have health insurance? Then it depends on your present coverage 61

Should I pay for towing coverage? This is usually a good coverage for the Should I pay for towing coverage? This is usually a good coverage for the money 62

Should I pay for rental reimbursement coverage? YES, if you are dependent on your Should I pay for rental reimbursement coverage? YES, if you are dependent on your car and would have no other way to get to work or school If you have backup transportation, the answer depends on the cost 63

What should I do after an accident? Call the police or 911 64 What should I do after an accident? Call the police or 911 64

When should I contact my insurance company after an accident? After you document the When should I contact my insurance company after an accident? After you document the specifics 65

What information do I need at the accident? §Write down the specifics of the What information do I need at the accident? §Write down the specifics of the accident §Get telephone numbers §Names of everyone involved 66

What is a release from my insurance company? Upon signing the release the settlement What is a release from my insurance company? Upon signing the release the settlement is final 67

What is homeowner’s insurance? Insurance that protects your home and belongings from damage or What is homeowner’s insurance? Insurance that protects your home and belongings from damage or destruction 68

What can be covered by homeowner’s insurance? §Liability on personal property §Legal fees §Physical What can be covered by homeowner’s insurance? §Liability on personal property §Legal fees §Physical damage to your boat §Automobile break-ins §Physical damage to the house 69

My dog bit a neighbor, my child hurt a playmate & I broke a My dog bit a neighbor, my child hurt a playmate & I broke a neighbors window, are these things covered? YES 70

What is not covered by homeowner’s insurance? 71 What is not covered by homeowner’s insurance? 71

§Job related accidents §Intentional harm to persons §Accidents operating a vehicle §Impact of a §Job related accidents §Intentional harm to persons §Accidents operating a vehicle §Impact of a flood §Simple neglect of maintenance §Damage from war 72

My house is on a flood plain, can I get insurance? YES, you can My house is on a flood plain, can I get insurance? YES, you can buy separate flood insurance 73

Will my homeowner’s insurance cover all my personal belongings? Not usually, if you have Will my homeowner’s insurance cover all my personal belongings? Not usually, if you have valuable belongings you should get a personal article’s floater on your homeowner’s policy 74

Should I buy replacement or present value coverage? It’s a little more expensive but Should I buy replacement or present value coverage? It’s a little more expensive but replacement value is a better coverage 75

What is umbrella liability coverage? It covers bodily injury and legal costs when a What is umbrella liability coverage? It covers bodily injury and legal costs when a claim is made against you 76

Does umbrella liability coverage protect me away from home? It protect you away from Does umbrella liability coverage protect me away from home? It protect you away from home when your negligence causes harm to someone else 77

Is umbrella liability coverage good to have? Yes! If your net worth is more Is umbrella liability coverage good to have? Yes! If your net worth is more than $50, 000 78

How expensive is umbrella liability? One million dollars worth of liability coverage will cost How expensive is umbrella liability? One million dollars worth of liability coverage will cost you about $100 per year 79

Where can I buy an umbrella policy? As a supplement to your homeowner’s or Where can I buy an umbrella policy? As a supplement to your homeowner’s or automobile policy when these policies are from the same company 80

What is renter’s insurance? This is similar to a homeowner’s policy 81 What is renter’s insurance? This is similar to a homeowner’s policy 81

What is health insurance? Health insurance pays for doctor, hospital and drug expenses 82 What is health insurance? Health insurance pays for doctor, hospital and drug expenses 82

What is the best way to buy health insurance? As a member of a What is the best way to buy health insurance? As a member of a large group 83

What happens if I leave the group? You are still covered for 18 months, What happens if I leave the group? You are still covered for 18 months, but at a higher premiums 84

What is individual basic medical expense insurance? pays for some portion of. . . What is individual basic medical expense insurance? pays for some portion of. . . 85

§Inpatient & outpatient surgery §In hospital medical visits §Lab tests and X-rays §Hospital room §Inpatient & outpatient surgery §In hospital medical visits §Lab tests and X-rays §Hospital room §Operating room 86

Do I get full coverage? Not usually A 31 day limit on hospital stays Do I get full coverage? Not usually A 31 day limit on hospital stays & 80% coverage is standard 87

What is major medical coverage? Provides additional protection beyond basic medical against costs of What is major medical coverage? Provides additional protection beyond basic medical against costs of serious illness 88

What is hospital confinement indemnity insurance? Pays a fixed amount per day, week, or What is hospital confinement indemnity insurance? Pays a fixed amount per day, week, or month while you are in the hospital regardless of costs 89

Should I buy hospital confinement indemnity insurance? Perhaps as a supplemental policy to pay Should I buy hospital confinement indemnity insurance? Perhaps as a supplemental policy to pay for deductibles on your basic insurance 90

What is limited benefit insurance? Covers only the expenses of a specific illness, such What is limited benefit insurance? Covers only the expenses of a specific illness, such as cancer 91

Should I buy limited benefit insurance? Only if you are not able to get Should I buy limited benefit insurance? Only if you are not able to get basic insurance 92

What is accident insurance? These policies cover death, loss of limb or sight, disability What is accident insurance? These policies cover death, loss of limb or sight, disability and medical care due to an accident 93

What is intensive care insurance? These policies cover expenses while you are in the What is intensive care insurance? These policies cover expenses while you are in the intensive care unit of a hospital 94

What is Medicare? This is a federal program with two parts, Part A and What is Medicare? This is a federal program with two parts, Part A and B 95

What is Medicare Part A? Part A is a limited no cost health insurance What is Medicare Part A? Part A is a limited no cost health insurance offered to anyone who is 65 years or older 96

What is covered by Medicare Part A? Hospitalization after deductions and coinsurance payments under What is covered by Medicare Part A? Hospitalization after deductions and coinsurance payments under other policies 97

What is Medicare Part B insurance? Part B pays for doctor’s services both inside What is Medicare Part B insurance? Part B pays for doctor’s services both inside and outside a hospital 98

What is Medigap insurance? Fills the gap between what Medicare pays and the actual What is Medigap insurance? Fills the gap between what Medicare pays and the actual expense 99

What is disability insurance? Covers you if you become totally disabled and are unable What is disability insurance? Covers you if you become totally disabled and are unable to work 100

How much does disability insurance pay? Usually 60 to 80% of your income at How much does disability insurance pay? Usually 60 to 80% of your income at the time you take out the policy 101

Am I covered for both accidents and illness? Some policies only pay for accidents, Am I covered for both accidents and illness? Some policies only pay for accidents, others will pay if you become disabled for either cause 102

Can my disability policy be cancelled? With some policies YES, with others you cannot Can my disability policy be cancelled? With some policies YES, with others you cannot be cancelled 103

Do my premium payments increase yearly? With some policies NO, with other policies your Do my premium payments increase yearly? With some policies NO, with other policies your premium payment will increase every year as you get older 104

When am I considered disabled? That depends on the definition of the insurance company When am I considered disabled? That depends on the definition of the insurance company 105

What is the difference between own-occupation & any-occupation? §Any-occupation will pay only if you What is the difference between own-occupation & any-occupation? §Any-occupation will pay only if you cannot do any work §Own-occupation will pay only if you cannot do your usual work 106

What difference between total & residual policies? §Residual Policies pays for both partial and What difference between total & residual policies? §Residual Policies pays for both partial and total disability §Total Policies pay only complete disability 107

When can I be denied benefits? 108 When can I be denied benefits? 108

§When you worked part time after discovering the condition §When you have a debilitating §When you worked part time after discovering the condition §When you have a debilitating disease and fail to include a medical certificate when you submit a claim §When you do not answer every question in full on the application 109

How can I lower the expense of disability insurance? 110 How can I lower the expense of disability insurance? 110

§Buy a short term policy (2 years) instead of a long term policy (5 §Buy a short term policy (2 years) instead of a long term policy (5 to 65 years) §Elect a starting date at least 6 months after making a claim. 111

What are possible abuses? 112 What are possible abuses? 112

§There could have been some trick questions on the application §There was misleading advertising §There could have been some trick questions on the application §There was misleading advertising or wording in the policy §You got inadequate verification of pre -approval §Once you make a claim your medical record will scrutinized for information not on your application 113

Who rates insurance companies? § Standard & Poor’s § Moody’s § Duff & Phelps Who rates insurance companies? § Standard & Poor’s § Moody’s § Duff & Phelps § Weiss Research Inc. § A. M. Best § The Insurance Forum 114

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