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  1. Exam II Review Session State Farm Car Policy Review U of I Student Health Policy Review Assignment 7 Assignment 8 Assignment 9 Assignment 10

  2. State Farm Car Policy

  3. Brian’s Special Rules • First decide what type of car it is and if it is covered • Insurance follows the car, driver pays excess • Spouse’s car is never covered • Rental cars are covered up to 21 days • Replacement cars covered for up to 30 days • Additional Cars covered up to 30 days or until effective date of policy • Know the flow chart for non-owned cars

  4. Problem #1 On September 30th, 2007, you trade in your 2001 Sebring (with an Actual Cash Value of $12,000) for a new 2007 Range Rover that costs $85,000. On October 26th, 2007, you let your spouse borrow your car. Your spouse has his/her own policy with Allstate with the same coverage limits as you have. On the highway, your spouse swerves off the road to avoid hitting a deer and crashes into a road sign, totaling your brand new Range Rover. Your policy will pay: A. $0 B. $11,900 C. $84,900 D. $85,000 E. None of the above

  5. Problem #1 Answer • Correct Answer: C - $84,900 • This is a Newly Acquired Car – Replacement Car • Your State Farm Auto Policy will cover a replacement car within 30 days of its delivery. • $85,000 Collision damage • 100 deductible $84,900

  6. Problem #2 You are tanning on the beach one day when a car comes out of nowhere and runs over your leg. The driver of the car has a policy with Nationwide with liability limits of 50/100/25. You incur $10,000 in medical bills and you would be entitled to a bodily injury award of $120,000. Your policy will pay: A. $0 B. $10,000 C. C. $70,000 D. $130,000 E. None of the above

  7. Problem #2 - Answer • C. $70,000 You are COVERED because you are hit by a land motor vehicle with four wheels designed for use mainly on public roads (regardless of whenever you are off or on public roadways). You incur $120,000 of Bodily Injury The other car’s insurance will pay up to its $50,000 BI / person limit $120,000 - 50,000 =$70,000 Underinsured Motor Vehicle coverage

  8. Problem #3 • You and your Aunt Mary (who lives in Colorado) are on vacation in California. You borrow her car one day to go to the grocery store. On the way to the grocery store, you crash into another car and it is your fault. The other driver is entitled to a bodily injury award of $80,000 and his car incurs $11,000 of damage. You incur $20,000 of medical bills and your Sebring is totaled (Actual Cash Value = $12,000). Your policy will pay: • A. $0 B. $91,000 C. $111,000 • D. $122,900 E. None of the Above

  9. Problem #3 - Answer • D. $122,900 Your Aunt Mary’s car is a non-owned car. She is not defined as a “relative” because she does not reside primarily with you. $80,000 BI Liability +11,000 PD Liability +20,000 Medical Payments +11,900 Collision (12,000–100 Deductible)

  10. Problem #4 Your son just turned 16, and you let him borrow your Sebring. Backing out of the garage, he hits the garage door, runs over the mailbox, and hits your 5-yr old next door neighbor. The garage door costs $2,300 to fix, the mailbox costs $200 to replace, and your 5-yr old neighbor incurs $30,000 of medical bills and is entitled to a $60,000 bodily injury settled. Your policy will pay: A. $0 B. $60,000 C. $90,000 D. $92,500 E. None of the above

  11. Problem #4 - Answer • B. $60,000 Your son is an insured. $60,000 Bodily Injury is covered (includes the $30,000 Medical Payments) Property damage to property you own are NOT covered.

  12. Problem #5 While on a camping trip, you park your car in a nearby parking lot. When you return a few days later, you notice that your trunk lock’s has been picked and your clothes and luggage has been stolen. It costs $2000 to replace your clothes and luggage; the ACV was $1200. Your policy will pay: • $0 B. $200 C. $1200 D. $2000 E. None of the above

  13. Problem #5 - Answer • A. $0 The clothes and luggage are not covered. Clothes and luggage are only covered for theft if your entire car has been stolen.

  14. Health Policy

  15. Brian’s Health Strategy • Check to see if excluded p. 14 – 15 • Inpatient or Outpatient • Easy way to tell is if have room and board charges, then inpatient • Check limits of coverage and deductible for each charge • If inpatient, calculate separately the In-Hospital Expense Benefit • Add everything together and make sure not over limits

  16. Health Question 1 You badly injure your ankle while rollerblading. You are hospitalized for 6 days and have surgery. You are billed $500 per day for hospital room and board, $10,000 for the surgeon, $2,500 for the assistant surgeon and $4,000 for the anesthesia (which is administered by a licensed Physican who remained in constant attendance during your operation). A) 0 B) $12,050 C) $24,100 D) $24,500 E) None of the above

  17. Health Question 1 Answer In-Hospital Expense Benefit: 6 x $500 (room and board) +$10,000 (x-rays) -$100 (deductible) $12,900 80% x $10,000 + $2,900 = $10,900 Inpatient: $10,000 x .8 (surgeon) + $2,500 x .8 (assistant surgeon) + $4,000 x .8 (anesthesia) = $13,200 Total: $10,900 + $13,200 = $24,100

  18. Health Question 2 You visit a doctor two times for a bad case of the flu. The doctor prescribes some medicine and performs some tests to see if you have meningitis, but fortunately you don’t. You are billed $100 for each visit to the doctor, $200 for the laboratory tests and $100 for the medicine. A) 0 B) $170 C) $200 D) $280 E) None of the above

  19. Health Question 3 Answer Outpatient - Medicine not covered $200 (each visit) +$200 (laboratory tests) -$150 (deductible) $250 $250 x .8 = $200 **deductible applies once b/c same sickness p 4

  20. Health Question 3 You have an eye exam and get a new set of glasses. The exam costs $100 and the glasses cost $200. A) 0 B) $80 C) $120 D) $240 E) None of the above

  21. Health Question 3 Answer Exclusion: Eye examinations and eyeglasses p 14 #9 Total: 0

  22. HW #7 Coordination of Benefits Introduction to Life Insurance

  23. Use for questions 1 & 2 You are driving your car along Green Street when a squirrel darts out in front of your car. You swerve to avoid hitting the animal, but you lose control and crash into a light pole. An ambulance races you to Carle Hospital where you are hospitalized for 20 days and undergo extensive surgery. The surgeon charges you $40,000 for the surgery, the assistant surgeon charges $9,000 and the anesthesia costs $20,000. The anesthetist personally administered the anesthesia and remained in constant attendance during the surgery. You are billed $500 per day for the hospital room and board, $5,000 for the operating room expenses and $2,500 for medicine while in the hospital. You are billed $500 for the ambulance ride. It costs $9,000 to repair your car, which had a $15,000 cash value at the time of the loss.

  24. Health Insurance What is the Initial Benefit Payment under the U of I Undergraduate Student Insurance Plan? • $0 • $35,500 • $35,825 • $42,450 • None of the above

  25. Health Insurance What is the Initial Benefit Payment under the U of I Undergraduate Student Insurance Plan? • $0 • $35,500 • $35,825 • $42,450 • None of the above

  26. Health Insurance What is the Total Payment the U of I Undergraduate Student Insurance Plan will make on this loss? • $0 • $53,100 • $62,000 • $71,000 • None of the above

  27. Health Insurance What is the Total Payment the U of I Undergraduate Student Insurance Plan will make on this loss? • $0 • $53,100 • $62,000 • $71,000 • None of the above

  28. Life Insurance Based on the Commissioners 1980 Standard Mortality Table (Appendix F in the text), how old would a male be when he lived has lived half his total life expectancy (within 1 year)? • 24 • 37 • 39 • 50 • None of the above

  29. Life Insurance Based on the Commissioners 1980 Standard Mortality Table (Appendix F in the text), how old would a male be when he lived has lived half his total life expectancy (within 1 year)? • 24 • 37 • 39 • 50 • None of the above

  30. Life Insurance A 30-year-old female purchased a $100,000 whole life policy for $1,500 a year. She receives dividends of $5,000 over time. At age 60, she surrenders that policy for $70,000. If this individual is in the 28% tax bracket at that point, how much does she have to pay in taxes when she surrenders the policy? • $0 • $5,600 • $8,400 • $30,000 • None of the above

  31. Life Insurance A 30-year-old female purchased a $100,000 whole life policy for $1,500 a year. She receives dividends of $5,000 over time. At age 60, she surrenders that policy for $70,000. If this individual is in the 28% tax bracket at that point, how much does she have to pay in taxes when she surrenders the policy? • $0 • $5,600 • $8,400 • $30,000 • None of the above

  32. Life Insurance Which of the following would be the most appropriate for an individual who is looking for a tax sheltered investment and is willing to accept risk in hopes of a higher return? • Re-entry term • Endowment life • Whole life • Yearly renewable term • Variable life

  33. Life Insurance Which of the following would be the most appropriate for an individual who is looking for a tax sheltered investment and is willing to accept risk in hopes of a higher return? • Re-entry term • Endowment life • Whole life • Yearly renewable term • Variable life

  34. Assignment 8 Life Insurance

  35. Table of Guaranteed Values

  36. Problem #1 • John surrenders the policy on August 1, 2005, and selects the paid-up insurance option. If he dies in a fire on May 9, 2035, how much will his wife Jane receive from the insurance company? • $0 • $19,629 • $37,400 • $100,000 • None of the above

  37. Problem #1 • John surrenders the policy on August 1, 2005, and selects the paid-up insurance option. If he dies in a fire on May 9, 2035, how much will his wife Jane receive from the insurance company? • $0 • $19,629 • $37,400 • $100,000 • None of the above

  38. Problem #2 • John Doe pays his first ten annual premiums on time, but then decides he no longer wants to pay premiums. Thus, he stops paying at that point. If John dies on August 30, 2025, how much will his wife Jane receive from the insurance company? • $0 • $40,600 • $43,700 • $100,000 • None of the above

  39. Problem #2 • John Doe pays his first ten annual premiums on time, but then decides he no longer wants to pay premiums. Thus, he stops paying at that point. If John dies on August 30, 2025, how much will his wife Jane receive from the insurance company? • $0 • $40,600 • $43,700 • $100,000 • None of the above

  40. Problem #3 • Assume that the company paid a total of $5,000 in dividends in the first ten years. If John Doe surrenders the policy on August 1, 2005, for the cash value, how much of the proceeds will be taxable income for him? • -$3,919 • $0 • $1,081 • $11,411 • None of the above

  41. Problem #3 • Assume that the company paid a total of $5,000 in dividends in the first ten years. If John Doe surrenders the policy on August 1, 2005, for the cash value, how much of the proceeds will be taxable income for him? • -$3,919 • $0 • $1,081 • $11,411 • None of the above

  42. Problem #4 • If John had lied about his gender and said he was a female when he bought the life insurance policy in 1995, which of the following would happen if he died on October 18, 2007, and the insurance company then found out he was actually a male? • The insurance company would have to pay Jane the full benefit because it only had two years to cancel the policy. • The insurance company will adjust the death benefit to reflect the actual gender of John. • The insurance company won’t pay any benefit to Jane because John lied about a material fact and therefore a valid contract never existed.. • None of the above

  43. Problem #4 • If John had lied about his gender and said he was a female when he bought the life insurance policy in 1995, which of the following would happen if he died on October 18, 2007, and the insurance company then found out he was actually a male? • The insurance company would have to pay Jane the full benefit because it only had two years to cancel the policy. • The insurance company will adjust the death benefit to reflect the actual gender of John. • The insurance company won’t pay any benefit to Jane because John lied about a material fact and therefore a valid contract never existed.. • None of the above

  44. Problem #5 • John Doe terminates his life insurance policy on August 1, 2006, and selects the paid up insurance option. John dies of illness on January 17, 2018. If his wife Jane has an adjusted age of 65 at this point, what is the minimum payment she will receive if she elects to receive a life income with 10 years certain? • $199 • $202 • $205 • $221 • None of the above

  45. Problem #5 • John Doe terminates his life insurance policy on August 1, 2006, and selects the paid up insurance option. John dies of illness on January 17, 2018. If his wife Jane has an adjusted age of 65 at this point, what is the minimum payment she will receive if she elects to receive a life income with 10 years certain? • $199 • $202 • $205 • $221 • None of the above • ($40,600 / $1,000) x 4.89 = $199

  46. Homework 9 Life Insurance Cost Comparisons Liability Exposures

  47. Whole Life Policy for 30 year old male Face Amount $200,000 Annual Premium 4,200 Dividends in year 20 2,500 first 20 years in total 25,000 Cash Values end of 19th year 80,000 end of 20th year 87,000 Accumulated Value of Dividends at the end of 20 years at 6.5% 40,000

  48. Question 1 What is the traditional net cost index per $1,000 of coverage? A. -10.75 B. -8.50 C. -7.00 D. 8.50 E. None of the above

  49. Question 1 - Answer ANSWER: C Premiums Paid (20 x 4200) 84,000 -Dividends Received -25,000 -Cash Value at end of period-87,000 =Net Cost -28,000 ÷ (Years x Policy Face per $1,000) (20 x 200) ÷4,000 = Traditional Net Cost Index -7.00