CH 1 - INSURANCE Flashcards

(85 cards)

1
Q

Where can clients obtain critical illness insurance?

A

Insurance companies, employer, union or association.

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2
Q

What are some common critical illness insurance policies in Canada ?

A

T-10 , T-75, T-100

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3
Q

How long do these critical insurance policies guaranteed schedule of premium rates ?

A

For the length of the contract or age 75, if the contract is less than 75 yrs i.e. (T-10 or T-75). If it is T-100 it is till 100yrs, or coverage for life.

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4
Q

What risk factors lead to morbidity ?

A

client’s age,
health,
lifestyle,
gender,
and
socioeconomic factors.

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5
Q

What factors affect the ability to qualify for critical insurance ?

A

1)Health or medical history,
2)Family health history,
3) Age,
4)Financial,
5)Benefit Amount
6)Lifestyle.

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6
Q

What are common contractual terms contained in Critical Insurance Policies ?

A

Covered illnesses
Term
Conversion Options
Provision Benefits
Premiums
Exclusions & Limitations
Riders
Non-cancellable

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7
Q

What are some other critical illness policies ?

A
  • Non-cancellable
  • Guaranteed renewable
  • Conditional renewable
  • Cancellable
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8
Q

What are some advantages of individual critical illness insurance ?
(Ownership & Control)

A

*It is purchased & controlled by individual
*doesn’t terminate if they leave employer. (portability).

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9
Q

What are some advantages of individual critical illness insurance ?
(Coverage)

A

*It allows the insured to tailor/customize the policy to their need.
*Allows HIGHER coverage amount.

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10
Q

What are some other advantages of individual critical illness insurance ?
(Premiums).

A
  • May permit premium guarantees.

Disadvantage:* It is more expensive to the policy holder.

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11
Q

What are some other advantages of individual critical illness insurance ?
(Benefits).

A
  • It may provide benefits based on loss of
    income, rather than inability to work.
  • Benefits are often contractually
    guaranteed.
  • It may pay benefits only for a specified
    length of time, or it may pay benefits
    until the disability ends or the insured
    turns 65 years old, whichever is first.
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12
Q

What are some other advantages of individual critical illness insurance ?
(Optional Riders).

A
  • There may be a return of premiums if
    there are no claims.
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13
Q

What are some other advantages of individual critical illness insurance ?
(Evidence of insurability).

A
  • It may offer the ability to increase
    coverage without additional underwriting.
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14
Q

What are some other advantages of individual critical illness insurance ?
(Cancellability).

A
  • Only policyholder can cancel policy.
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15
Q

What are some other advantages of individual critical illness insurance ?
(Tax).

A
  • Premiums are generally not tax
    deductible because they are paid with
    after-tax dollars.
  • Benefits are received tax free
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16
Q

What are some advantages of group critical illness insurance ?
(Ownership & Control)

A

An employer or an association may
purchase or sponsor critical illness
insurance.

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17
Q

What are some disadvantages of group critical illness insurance ?
(Portability)

A
  • It may end when the insured leaves the
    employer or association that provides the
    coverage.
  • It may be portable, if the employer
    agrees, or is required, to transfer
    the insurance to the employee upon
    termination of the employment
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18
Q

What are some advantages of group critical illness insurance ?
(Coverage)

A

Coverage amount may only be purchased in certain prescribed units and subject to certain maximums.

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19
Q

What are some advantages of group critical illness insurance ?
(Premiums)

A
  • The employer may pay the full cost of the
    coverage.
  • The risk is spread among more people, so
    the cost is lower.
  • Premiums may be adjusted periodically
    based on the group expense ratio.
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20
Q

What are some advantages of group critical illness insurance ?
(Benefits)

A
  • Payment of a claim for one member of
    the group will not impact other member’s
    claims.
  • The lump-sum benefit is payable even if
    the member makes a full recovery.
  • Some group plans offer protection
    for other family members such as a
    member’s children.
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21
Q

What are some advantages of group critical illness insurance ?
(Optional Riders)

A
  • Some group plans offer the ability to
    purchase extra coverage.
  • Waiver of premium may be available.
  • No return of premium option
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22
Q

What are some advantages of group critical illness insurance ?
(Evidence Insurance Insurability)

A
  • It usually offers group members some
    basic coverage, irrespective of health.
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23
Q

What are some advantages of group critical illness insurance ?
(Cancellability)

A

Group contract may be cancelled by the
insurer

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24
Q

What are some advantages of group critical illness insurance ?
(Tax)

A
  • If the insured pays the full premium, the benefits are received tax free.
  • If the employer or association pays all or some of the premiums, the benefits may be taxable to the insured.
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25
what factors determine a clients ability to qualify for long-term care insurance ?
* Medical * Age * Health history * Financial * Policy structure * Lifestyle
26
What LTC provisions relate to premiums ?
* Non-forfeiture benefit * Premium structure * Premium payment period * Pre-existing conditions * Family discount
27
What LTC provisions relate to policy structure ?
* Renewability * Policy lapses * Benefit triggers * Elimination or waiting period * Benefit periods
28
What conditions are most often excluded from LTC policies?
* Mental or nervous disorder or disease, other than Alzheimer’s disease or other dementia * Alcohol or drug addiction * Illness or injury caused by an act of war * Conditions that have been treated by the government in a government facility * Treatment for conditions for which the government has already paid * Attempted suicide or intentionally self-inflicted injuries
29
What are some different policy riders?
* Inflation protection or cost of living adjustment * Waiver of premium * Third-party notification * Home care benefit * Future purchase option
30
What are the different models of LTC ?
* Income model * Reimbursement model * Indemnity model
31
What services and types of care does LTC can help provide ?
* Part-time skilled nursing care * Practical nursing assistance * Services of a nurse’s aide * Physical or occupational therapy * Homemaker assistants to provide assistance with daily living activities
32
What is the benefit amount for LTC, and is there a maximum ?
The benefit is a stated monthly amount with a lifetime maximum.
33
Do LTC policies have an elimination period ?
Long-term care policies usually have an elimination or waiting period of up to one year.
34
what are the eligibility to qualify for LTC benefits based on ?
ADL: * Eating * Bathing * Dressing * Toileting * Mobility * Continence
35
Do policies check for cognitive impairment ?
Some do to determine if the client could qualify for benefits. -(i.e. if they are that impaired cognitively, then they would require the care) due to mental challenge.
36
How do LTC policies deal with inflation ?
The policy has inflation protection, so that the maximum daily policy limit increases by a percentage i.e. (4% each policy year to keep with inflation).
37
Generally what is the frequency of an LTC benefit?
Monthly amount
38
Does an LTC policy have benefit limit?
Yes, it has a lifetime maximum benefit amount.
39
For a 65 year old client how much could a premium cost ?
$2,000 (Annual)
40
How much more would you expect a LTC premium to cost for 75 yr old than a 65 year old ?
2.5 times more, than a 65 yr olds policy.
41
How much more would you expect a LTC premium to cost at 75 yrs old than 55 yrs old ?
6 times more, than at 55 yrs old.
42
How is a maximum on a daily benefit calculated for an open ended LTC policy ?
The daily amt x a multiple. i.e. (250 daily benefit x 1,000 multiple) = Maximum of $250,000.
43
What factors should be considered when structuring an LTC policy ?
* Client’s ability to fund the premium payments * Services covered under the insurance policy * Duration of benefits * Conditions the policy covers * Ability to self-fund * Other sources of income
44
How can you access the Cash Value of Permanent Life insurance ?
Through a policy loan
45
What must one consider when accessing cash through a policy loan ?
1) impact on death benefit 2) cash surrender 3) impact on use of non-forfeiture options 4) Cost of borrowing, interest obligations and interest deductibility
46
Will the policy holder of a permanent life insurance policy be permitted to recover taxes when the insured dies ?
the policyholder will not be permitted to recover any taxes that the policyholder previously paid through offsetting tax deductions
47
What is Cash Surrender Value ? (CSV)
the insurer issues a cheque to the policyholder equal to the cash value of the policy.
48
How is Cash surrender value determined ?
All permanent insurance contracts contain a table from which the cash value can be calculated at any particular time. The policyholder will be entitled to receive an amount equal to the cash surrender value of the policy minus the outstanding policy loan, as well as any unpaid premiums.
49
what is the impact of a policy loan on non-forfeiture options ?
If you already have a policy loan and a non-forfeiture options needs to be generated, then the policy may still lapse if their is not enough cash value available.
50
What are some additional options that the cash value of an insurance policy can be used for ?
* Purchase additional permanent insurance (often called paid-up insurance). * Purchase additional temporary insurance (often called extended term insurance). * Avoid paying future premiums by relying on the accumulated cash value (and dividends or interest payments), or on the funds generated from surrendering paid-up insurance to pay the future premiums required to keep the policy in force (often called premium offset).
51
If the policyholder takes a policy loan, and if the policy loan remains outstanding for a significant amount of time, what may occur ?
* The ability of the policyholder to purchase paid-up insurance or term insurance may be limited. * The time at which the policyholder can use premium offset may be extended.
52
what type of rate do most insurance companies charge on a policy loan ?
They charge a variable rate.
53
Is interest on a policy loan deductible ?
Not always, For the interest paid on a policy loan to be deductible, the insurance company must verify the interest (as per the ITA)
54
What are the requirements for the interest on a policy loan to be deductible ?
* Interest was paid (or payable) in each year the deduction is being claimed * The policyholder had a legal obligation to pay the interest. * The policyholder borrowed the funds to earn income or property (other than property that produces exempt income).
55
what is the main advantage of using a policy loan ?
The key advantage of a policy loan is that it allows your clients to access the cash held in the investment component of their permanent life insurance policy to address their needs, such as an emergency need for cash or to supplement their income in retirement.
56
why might a policy loan be considered a preferred method for accessing the cash value in a policy ?
This is because a policy loan can be repaid at any time, other methods for accessing the cash held in a life insurance policy. For example, full or a partial surrender of the life insurance policy can lead to a permanent reduction of the value of the policy or a complete loss of insurance protection. [Full surrender or partial surrender of an exempt insurance policy are both considered a disposition of an interest in an insurance policy.]
57
Why might a policy loan be more advantageous, instead of using the cash value of a policy for collateral in a bank loan ?
* Before issuing a loan to the client, a bank (or other lender) may ask to review or understand the nature of the life insurance policy, or to assess the client’s creditworthiness, which can be inconvenient, time consuming, or unpleasant. * The lender may have the right to force repayment of the loan in certain circumstances, unlike with a policy loan, which is more accurately an advancement on the policyholder’s rights to the cash held within the policy. Therefore, a client who is unable to repay the policy loan cannot be forced to do so.
58
What are some of the tax treatment advantages of a policy loan under the ITA ?
* If the amount of a policy loan is less than or equal to the ACB of the policy, there is no policy gain, which means that the client can obtain the policy loan tax free. * Even if there is a policy gain, and the client has to pay tax on the gain, the tax penalty may be: reduced by repaying all or part of the policy loan. In certain circumstances, the ITA allows the policyholder to recover some or all of taxes previously paid through offsetting tax deductions. Also, taxes payable under a policy loan are usually lower than taxes payable under other methods of accessing the cash held within life insurance policies (i.e. partial surrender of the insurance policy).
59
What are some disadvantages of using a policy loan ?
1) the ITA limits the maximum amount available to the cash surrender value of the policy. 2) a policy loan is considered a disposition of an interest in a life insurance policy, which may mean that the client has to pay tax on the policy gain (i.e., the amount that exceeds the ACB of the policy).
60
What percentage of the Cash Value of an exempt life insurance policy do lenders allow clients to collaterally borrow against
50 - 90% of the value. [The less risky the underlying investments the greater the percentage].
61
For the more risky underlying investment in a collateralized policy loan what requirements may have to be met, loan margin wise ?
* Repay all or part of the loan. * Provide the lender with additional security as collateral for the loan. * Partially surrender the cash value from the life insurance policy to repay the loan. * Fully surrender the life insurance policy to repay the outstanding bank loan, which could result in a taxable policy gain for the client.
62
What should a client considering a collateral assignment consider ?
*Impact on the death benefit, upon the death of the insured * Impact on the cash surrender value if the policy is surrendered * Cost of borrowing * Interest obligations and Interest deductibility
63
What are the advantages of assigning CSV of an insurance policy as collateral for a loan ?
* It allows clients to access the cash value within their exempt life insurance policy without having to surrender or dispose of their interest in the policy under the ITA. * It allows clients to access liquidity while the policy continues to remain in force, earning tax-deferred investment income and accruing tax-free death benefits. * It allows clients to maintain insurance coverage while preserving cash flow. * If the life insured client is also the policyholder, repayment of the loan is deferred while the policyholder is alive and the death benefit can be arranged to pay off any debts upon the death of the life insured client. * Like interest paid on policy loans, interest paid by the policyholder to the lender may be deductible under certain circumstances. * If a policyholder uses a life insurance policy as collateral for a loan, a portion of the premium payments may be deductible under certain circumstances. Generally, if the deduction for interest payments is denied, the premium deduction will also be denied. * When the life insured client dies, if the life insurance policy is owned by a corporation, the corporation may receive a credit to its capital dividend account (CDA) that is equal to the proceeds of the life insurance minus the corporation’s ACB of the policy
64
What are the disadvantages of assigning the cash surrender value of an insurance policy as collateral for a Loan ?
the lender may ask for additional collateral, recall the loan entirely, or surrender the policy to repay the loan.
65
What must a client consider before collaterally assigning a policy ?
* CRA may consider the bank loan to be policy loan. * Future changes to the ITA may not grandfather (or exempt) the existing collateral assignment arrangements. * CRA may apply the General Anti-Avoidance Rule to consider the arrangement invalid. * The policyholder may not meet the requirements to deduct interest expense, under the ITA. Often, the attractiveness of collateral loan arrangements lies in the ability of the policyholder to deduct interest expense.
66
What/when can an insurance trust be used to the benefit of key persons ?
* An insurance trust can provide a benefit to a spouse, although the trust will likely not qualify as a spousal trust under the ITA. This may be particularly useful in a blended family context, where the surviving spouse is not the parent of the deceased client’s children. * An insurance trust can provide a benefit to minor beneficiaries, severally disabled beneficiaries, or spendthrift beneficiaries, who may be unable to manage insurance proceeds on their own. * An insurance trust can provide a benefit to the shareholders of a corporation for the purpose of a buy-sell arrangement.
67
What purposes can a corporate owned life insurance policy be used for ?
* Replace a key person * Repay business loans and debts * Fund a buy-sell obligation * Pay for capital gains taxes * Compensate an executive * Pay capital dividends to shareholders
68
What are some advantages of corporate owned life insurance policy ?
* Lower rates to better afford insurance * Tax-free death benefit * CDA credit * Simpler buying and selling between shareholders * Simpler post-mortem tax planning
69
Disadvantages of corporate-owned life insurance ?
* Protection from the policyholder’s creditors * Potential taxable shareholder benefit * Transfer upon sale of corporation * **Failure to qualify for lifetime capital gains exemption**
70
Income Tax Considerations are ?
If the shareholder is the owner of the policy, or if the shareholder (or estate) is designated as the beneficiary, the shareholder may be subject to a benefit tax on either the premiums or the death benefit, under the ITA. * If a person related to the shareholder (as defined under the ITA) is named as the owner, or if the related person (or estate) is designated as a beneficiary of the policy, the shareholder may be subject to a benefit tax on either the premiums or the death benefit, under the ITA. * If an employee of the corporation is named as the owner of the policy, or if the employee (or estate) is designated as the beneficiary of the policy, the employee may be subjected to a benefit tax on either the premiums or the death benefit, under the ITA
71
What are the key components when structuring the ownership of an exempt life insurance policy
* The purpose of the life insurance policy * The advantages and disadvantages of purchasing a life insurance policy as an individual or as a corporation * Tax implications of purchasing a life insurance policy as an individual or through the corporation
72
What is a split dollar life insurance arrangement ?
A split-dollar life insurance arrangement involves two parties (e.g., a corporation and its employee, or a corporation and its shareholder) splitting the benefits and costs associated with owning, funding, and designating the beneficiary of a life insurance policy.
73
What are the tax issues that must be considered in a split dollar life insurance arrangement ?
For example, each party must pay a reasonable amount for the benefit each party is entitled to under the split-dollar arrangement; otherwise, they may be subject to a taxable benefit, under the ITA. Also, the parties must record the terms of the arrangement in a written agreement. They must also set out the premium and benefit allocations under the policy
74
How can participating policy holders receive a dividend from a whole life insurance policy ?
* The funds can be taken in cash. * They can be left on deposit to accumulate with interest. * They can be used to reduce premiums. * They can be used to purchase additional term insurance in the form of a term rider. The actual amount of additional coverage would be based on the life insured client’s age and gender. * They can be used to purchase paid-up additions. This is additional insurance coverage on which no premiums are payable (i.e., the insurance is paid in full)
74
What is the TAX TREATMENT OF INSURANCE BENEFITS WHERE THE INSURED CLIENT PAYS THE PREMIUMS
The benefits from a life insurance policy are paid tax free to the beneficiaries, if the insured client owns the policy and pays the premiums. The benefits from a health or disability insurance policy are paid tax free to the policyowners, if the insured client owns the policy and pays the premiums. An individual life insured client who owns the policy and designates a registered charity as beneficiary will not receive a charitable tax credit for the continued premium payments. However, upon the death of the client, the proceeds of the life insurance are paid to the charity and the life insured client (or estate) receives a tax credit for the amount of the death benefit An individual life insured client who owns the policy and designates a registered charity as beneficiary will not receive a charitable tax credit for the continued premium payments. However, upon the death of the client, the proceeds of the life insurance are paid to the charity and the life insured client (or estate) receives a tax credit for the amount of the death benefit.
75
Tax treatment of premiums paid by the employer ?
* The employee is the owner of the policy and can therefore designate the beneficiary on the policy. * The employee is also a shareholder of the business. * The employer is the owner and beneficiary of the policy.
76
What is the tax impact with the employee as the owner of the policy ?
If the employer pays the premiums for a life insurance policy on the life of an employee, and the employee owns the policy, the employer may be able to deduct the premium payments. The employer can deduct the payments on its statement of business income and expenses, as long as the premiums are a reasonable business expense. The amount of the premiums that an employer may deduct depends on the type of policy and on the nature of the premium payments.
77
When employee is the owner of the policy, what are the 2 instances when the pmts are not deductible ?
* The policy is for group term life insurance and the policy benefits include policy dividends, experience rating refunds, or amounts payable upon the death of an employee, former employee, or covered dependent. * The policy offers coverage that employees are not obliged to receive, such as optional dependent life insurance coverage on eligible dependents or employees. If the employee pays a portion of the insurance premiums, the employer cannot deduct the payments.
78
TAX IMPACT ON EMPLOYEE generally ?
Generally, life insurance premiums paid by an employer on the life of an employee are considered a taxable benefit to the employee, if the employee is the owner of the policy. Therefore, the value of the premium payments must be included in the income of the employee for income tax purposes. Also, because taxable benefits are pensionable income, employers must deduct Canada Pension Plan contributions on that amount of the taxable benefit. If the employee pays a portion of the insurance premiums, the payments are not deductible by the employer, and are therefore not a taxable benefit to the employee.
79
When the employee is the owner of the policy & a shareholder what is the tax impact ?
A shareholder benefit does not apply in three cases: * The corporation, rather than the shareholder-employee, is the owner and beneficiary of the policy. * The premium payments are paid for the shareholder-employee in the capacity of employee, rather than shareholder. * The premiums are a reasonable business expense incurred for the purpose of earning income from a business or property.
80
The tax treatment of insurance benefits in 2 situations
1.TAX TREATMENT OF INSURANCE BENEFITS, IF THE EMPLOYER PAYS THE PREMIUMS BUT THE EMPLOYEE OWNS THE POLICY 2. TAX TREATMENT OF INSURANCE BENEFITS, IF THE CORPORATE EMPLOYER PAYS THE PREMIUMS, IS THE OWNER, AND IS THE BENEFICIARY
81
The TAX IMPACT OF SHARED PREMIUMS BETWEEN INSURED AND EMPLOYER depends on which 2 factors ?
* Ownership of the policy is split between the employer and the employee. * Ownership of the policy is held only by the employer or the employee.
82
What does the tax treatment of insurance benefits look like if the employer and employee share premium payments ?
the employer and employee may agree that the employer owns the policy’s cash value and the employee owns the death benefit exceeding the policy’s cash value. In this case, upon the death of the life insured client, the death benefit of the policy is paid tax free.
83
How is tax treated on return of premium ?
Premiums paid for return of premium benefits are usually not deductible to the policyholder. If a return of premium is paid to the policyholder upon the surrender or maturity of a policy, the benefit may be paid tax free to the policyholder, as long as it does not exceed the amount of premiums paid.
84