CH 1 - INSURANCE Flashcards
(85 cards)
Where can clients obtain critical illness insurance?
Insurance companies, employer, union or association.
What are some common critical illness insurance policies in Canada ?
T-10 , T-75, T-100
How long do these critical insurance policies guaranteed schedule of premium rates ?
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.
What risk factors lead to morbidity ?
client’s age,
health,
lifestyle,
gender,
and
socioeconomic factors.
What factors affect the ability to qualify for critical insurance ?
1)Health or medical history,
2)Family health history,
3) Age,
4)Financial,
5)Benefit Amount
6)Lifestyle.
What are common contractual terms contained in Critical Insurance Policies ?
Covered illnesses
Term
Conversion Options
Provision Benefits
Premiums
Exclusions & Limitations
Riders
Non-cancellable
What are some other critical illness policies ?
- Non-cancellable
- Guaranteed renewable
- Conditional renewable
- Cancellable
What are some advantages of individual critical illness insurance ?
(Ownership & Control)
*It is purchased & controlled by individual
*doesn’t terminate if they leave employer. (portability).
What are some advantages of individual critical illness insurance ?
(Coverage)
*It allows the insured to tailor/customize the policy to their need.
*Allows HIGHER coverage amount.
What are some other advantages of individual critical illness insurance ?
(Premiums).
- May permit premium guarantees.
Disadvantage:* It is more expensive to the policy holder.
What are some other advantages of individual critical illness insurance ?
(Benefits).
- 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.
What are some other advantages of individual critical illness insurance ?
(Optional Riders).
- There may be a return of premiums if
there are no claims.
What are some other advantages of individual critical illness insurance ?
(Evidence of insurability).
- It may offer the ability to increase
coverage without additional underwriting.
What are some other advantages of individual critical illness insurance ?
(Cancellability).
- Only policyholder can cancel policy.
What are some other advantages of individual critical illness insurance ?
(Tax).
- Premiums are generally not tax
deductible because they are paid with
after-tax dollars. - Benefits are received tax free
What are some advantages of group critical illness insurance ?
(Ownership & Control)
An employer or an association may
purchase or sponsor critical illness
insurance.
What are some disadvantages of group critical illness insurance ?
(Portability)
- 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
What are some advantages of group critical illness insurance ?
(Coverage)
Coverage amount may only be purchased in certain prescribed units and subject to certain maximums.
What are some advantages of group critical illness insurance ?
(Premiums)
- 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.
What are some advantages of group critical illness insurance ?
(Benefits)
- 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.
What are some advantages of group critical illness insurance ?
(Optional Riders)
- Some group plans offer the ability to
purchase extra coverage. - Waiver of premium may be available.
- No return of premium option
What are some advantages of group critical illness insurance ?
(Evidence Insurance Insurability)
- It usually offers group members some
basic coverage, irrespective of health.
What are some advantages of group critical illness insurance ?
(Cancellability)
Group contract may be cancelled by the
insurer
What are some advantages of group critical illness insurance ?
(Tax)
- 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.