CLIENT PROFILE (Chapter 6) Flashcards

1
Q

A&S Terminology

Registered Disability Savings Plan
(RDSP)

A

Registered plans approved by the federal government to provide qualifying disabled beneficiaries with a tax-deferred savings program and support payments in their later years.

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2
Q

A&S Terminology

Disability Tax Credit (DTC)

A

A non-refundable tax credit which helps reduce the income tax that people with physical or mental impairments, or their supporting family members, may have to pay

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3
Q

REVIEW

What are some key points of Grouped disability/critical illness plans?

A
  • Benefits claimed under the policies are paid directly to the disabled employee
  • The employees who are beneficiaries of a grouped plan must be members of a given class of employees within the organization
  • Shareholders may be members of the group, along with non-shareholder employees, so long as the shareholders are also employees of the company
  • The employer can tax-deduct premiums in the year in which they are paid
  • Employees do not have to report these employer paid premiums as income
  • If the employees claim benefits from the plan. Those are deemed to be taxable benefits.
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4
Q

REVIEW

What are some insurance needs to address the owners inability to sell a business?

A
  • Buy-sell agreements (Cross-purchase, criss-cross, share redemption)
  • Disability buyout insurance
  • key-person insurance
  • employee health trusts (EHTs)
  • Personal Health Spending plans (PHSP)
  • Group disability / critical illness plans
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5
Q

REVIEW

Name a couple types of disability insurance coverages for business

A
  • Disability business overhead
    expense (BOE) insurance
  • Business loan protection
  • Disability buyout insurance (Entity purchase agreement)
  • Disability buyout insurance (Cross-purchase agreement)
  • Key person insurance
  • Employee health trusts (EHTs)
  • Personal health spending
    plans (PHSPs)
  • Grouped DI/CI insurance
    plans

Refer to the LLQP A&S manual for the tax implication characteristics on each coverage

[Ref. 5.7, Table 5.1]

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6
Q

REVIEW

What is the purpose of the elimination period?

A

To eliminate the need for the insurance companies to process claims of very short duration.

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7
Q

REVIEW

What are some of the riders that are applicable with disability insurance?

A
  • Future purchase option (FPO)
  • Cost-of-living adjustment (COLA)
  • Accidental death and dismemberment (AD&D)
  • Partial and residual disability benefits
  • Return of premium (ROP)
  • Hospitalization benefit
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8
Q

CHAPTER 6 - Client profile

Due to the wide array of products that offer accident and sickness (A&S) coverage, the client profile should cover the following aspects, what are they?

A
  • Personal situation;
  • Financial situation, including income and expenses;
  • Insurance situation.
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9
Q

What are some factors to take into consideration when conducting a fact-finding interview for an insurance review on a client? (name at least three)

A
  • Personal factors unique to the client, like age, gender and avocation
  • Marital status of the client
  • Dependents, if any, of the client (Spouse, children, other dependents)
  • Client’s occupation
  • Current health and health history of the client and his family
  • Client’s retirement goals
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10
Q

TRUE OR FALSE?

A client’s occupation is the most critical factor in determining the type, benefits and costs of disability insurance coverage.

A

TRUE

  • For example, the “own occupation” definition of disability and the right to acquire a policy that is guaranteed to be renewable without modification of costs or benefits are only available for those in low-risk classifications of occupation, such as doctors, lawyers and senior management personnel

[Ref. 6.1.4]

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11
Q

TRUE OR FALSE?

The amount of critical illness and long-term care insurance required is determined by occupation.

A

FALSE

The amount of critical illness and long-term care insurance required is not primarily determined by occupation.

[Ref. 6.1.4]

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12
Q

TRUE OR FALSE?

The degree of risk of disability inherent in the occupation may also determine the minimum waiting period that the insured must take, the duration of benefits and, of
course, the premiums payable.

A

TRUE

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13
Q

TRUE OR FALSE?

Disability income replacement insurance is, naturally, all about the client’s health.

A

FALSE

Disability income replacement insurance is, naturally, all about the client’s earned income

The insurance is designed to replace earned income lost because of a period of illness or injury

[Ref. 6.2]

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14
Q

What are some sources of Earned & unearned income?

A

EARNED INCOME

  • Salary
  • Bonuses and commission income from working
  • Business income

UNEARNED INCOME

  • Investments
  • Annuities,
  • Pensions,
  • Income from trusts
  • Royalties
  • Passive income
  • Spousal income
  • Support payment (child support alimony)
  • Pension income
  • Disability income
  • in-kind income
  • Emergency Funds
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15
Q

TRUE OR FALSE?

It is important to keep in mind that, where an employee is a member of an employer/employee group plan, the group plan only covers his income from that employer, not outside sources of earned income.

A

TRUE

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16
Q

TRUE OR FALSE?

The amount of the benefit selected on a critical illness insurance is often tied to lifestyle or an estimate of expenses that might be incurred, which is also based on the percentage of the client’s income.

A

FALSE

The amount of the benefit selected on a critical illness insurance is often tied to lifestyle or an estimate of expenses that might be incurred, but is not based on a percentage of the client’s income.

[Ref. 6.3]

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17
Q

TRUE OR FALSE?

Long-term care benefits are based on a maximum reimbursement amount expected to be required to provide the covered services.

A

TRUE

18
Q

CHAPTER 6 - Client profile

Expenses can be broken down into three categories, what are they ?

A
  • Living expenses;
  • Savings and investments;
  • Debt.
19
Q

What are some factors that define living expenses?

A
  • Mortgage statement or rental agreement
  • Bank statements
  • Budget
20
Q

What are some factors that define liability expense?

A
  • Debt
  • Personal line of credit and Home Equity Line of Credit (HELOC) statements
  • Credit card statements
  • Tax liabilities
  • Child support
  • Alimony
21
Q

What are some factors that define savings and investments?

A
  • Registered investment account statements
  • Non-registered investment account statements
  • Pension plan statements
  • Life insurance statements
22
Q

TRUE OR FALSE?

Most, but not all, other living expenses can be identified through a review of the client’s bank statements over a period of one year.

A

TRUE

23
Q

TRUE OR FALSE

Tracking income and expenditures with a budgeting plan, month by month, on both an “expected” and an “actual” basis allows for the assessment of the viability of the budget and for modification, as needed.

A

TRUE

24
Q

From an insurance company and agent’s perspective, what is best way to determine the nature and extent of savings/investment plans?

A

Review the documentation and statements pertaining to

  • Registered investment accounts;
  • Non-registered investment accounts;
  • Pension plans;
  • Life insurance.
25
Q

TRUE OR FALSE?

If the client, or a member of the client’s family, is already suffering from a disabling condition that qualifies for the Disability Tax Credit (DTC), he is not permitted to have a disability savings plan (RDSP) unless he has a DI policy.

A

FALSE

If the client, or a member of the client’s family, is already suffering from a disabling condition that qualifies for the Disability Tax Credit (DTC), he may also have a registered disability savings plan (RDSP).

[Ref. 6.3.2.1]

26
Q

A disabled person is eligible to be a beneficiary of an RDSP who…

A
  • Is eligible for the Disability Tax Credit (disability amount);
  • Is a Canadian resident;
  • Is under 60 years of age (if 59, the individual must apply before the end of the calendar year in which he turns 59);
  • Has a social insurance number
27
Q

TRUE OR FALSE?

Contributions to RDSP are tax deductible.

A

FALSE

Contributions to RDSP are not tax-deductible

[Ref. 6.3.2.1]

28
Q

TRUE OR FALSE?

The federal government may pay a matching Canada Disability Savings Grant, depending on the amount contributed and the beneficiary’s family income.

A

TRUE

29
Q

TRUE OR FALSE?

The government may also pay a Canada Disability Savings Bond into the RDSPs of low-income and modest-income Canadians.

A

TRUE

30
Q

TRUE OR FALSE?

Investment income earned in RDSP accumulates tax-free. However, grants, bonds and investment income earned in the plan are included in the beneficiary’s income for tax purposes when paid out of the RDSP.

A

TRUE

31
Q

CHAPTER 6 - Client profile

A review of the client’s annual pension statement should provide an overview of…

A
  • Commuted value of pension funds on deposit to the credit of the client;
  • Portability of the funds;
  • Earliest age at which the pension may be commenced;
  • Whether the pension is structured to bridge (co-ordinate) with CPP/QPP or OAS;
  • Based on current credits on hand, the amount of pension payable depending on the age at which pension payments commence.
32
Q

What are the steps to assess the clients need for disability insurance?

A
  • First the agent must assess the client’s level of risk of disability or other accident and sickness events
  • Assess Non-insurance income and capital resources to deal with the cost of disability and the need for care
  • Catalogue and assess the client’s current insurance protection, if any, and compare that with his needs
33
Q

A&S insurance policies can be classified in different ways, what are they?

A

BY SOURCE

  • Individual, personally owned policies;
  • Individual, corporately owned policies;
  • Group insurance;
  • Individual, lender-owned policies (associated with debt obligations such as a mortgage or credit cards)

BY BENEFITS

  • Disability income replacement
  • Business overhead
  • Disability buyout
  • Extended health insurance
  • Critical illness
  • Long-term care insurance
34
Q

TRUE OR FALSE?

An employer’s group plan is only available to employees of the company and could terminate without rights of conversion when the plan member leaves the employ of the employer.

A

TRUE

35
Q

It is important for the agent to document the characteristics of each source of coverage and then prepare a spreadsheet co-ordinating the coverage for each type of risk.

For each type of coverage/ policy, what are some characteristics of coverage does the agent need to know? (name at least three)

A
  • The risk covered (disability, critical illness, long-term care, etc.);
  • Conditions covered;
  • Exclusions on coverage;
  • The type of benefits available;
  • The amount of benefits available;
  • The duration or maximum amount of benefits available;
  • Ancillary benefits (waiver of premium, death benefits, etc.);
  • The tax status of premiums paid and benefits received;
  • Definitions of disability, critical illness, etc.;
  • When coverage terminates;
  • Is the coverage renewable or convertible?
  • Cost of the coverage
36
Q

What are some government sponsored coverage for disability?

A
  • Employment Insurance (EI)
  • Canada Pension Plan (CPP)/Québec Pension Plan (QPP)
  • Workers’ Compensation
37
Q

What are the tax treatment of contributions paid and benefits received under government programs?

A

The tax treatment of contributions paid and benefits received under the three public insurance and pension plans varies by type of plan and with who is the payer of the contributions.

[Ref. 6.5.2.4] & [Table 6.1, 6.2]

38
Q

It is important that the disability insurance recommendation take into consideration the various types of client needs, what are some factors on which they are based on?

A
  • Needs based on personal factors, such as age and gender, occupation and avocation as well as health;
  • Needs based on financial situation, including the availability of financial resources to meet health related risks such as disability, illness and need for medical care;
  • Needs based on existing coverage

[Ref. 6.6]

39
Q

… Assuming that the client has some form of existing insurance coverage, the nature and extent of coverage provided must be compared to the risks identified and appropriate recommendations made.

Name at least two possible scenarios of this case.

A
  • The existing coverage is complete, adequate and entirely appropriate
  • There is an unnecessary surplus of existing coverage
  • The existing coverage is adequate but there is overlap among sources
  • There are gaps between needs and the existing coverage
40
Q

Gaps in coverage may include…

A
  • Risks not insured,
  • Benefits insufficient to meet needs,
  • Waiting periods that are too long for the client to be able to self-fund risks,
  • Benefit periods that are too short
  • Definitions of qualifying conditions are too restrictive