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Finance 123 – Insurance (Chapters 10, 11, 12)

 

Overview:

 

Home Insurance

Renter’s Insurance

Auto Insurance

Health Insurance

Disability Insurance

Life Insurance

Personal Liability Umbrella

 

 

I.                   Insurance and Risk Management

 

General Terms

 

Insurance is protection against financial loss.  An insurance company (or insurer) takes the transfer of risk from the policy holder (or insured).  By spreading the risk of thousands of policy holders, the insurance company profits by collecting premiums in excess of claims (or loses money when claims exceed premiums).

 

Risk is uncertainty or lack of predictability.  Risk is the chance that a peril may occur.

 

Peril is the cause of a possible loss, such as fire, hurricanes, accidents, or premature death.

 

Hazard is a condition that makes a peril more likely.  For example, living in Louisiana makes the peril of hurricane damage more likely than in Arkansas.  (Thus, house insurance may cost more in Louisiana than in Arkansas).

 

Premium – dollar payment to insurance company for policy.

 

 

 

 

 

 

 

 

 

 

 

Types of Risk.

 

Pure Risk (insurable risk) is a risk that has only a downside (no possible benefit).  These are the types of risk covered by insurance.  There are three types of “insurable risks”:

 

  1. Personal risk – risk of harm to the insured or his/her family.  Examples of insurance covering this type of risk include Health Insurance and Life Insurance.
  2. Property risk – risk of harm to the insured property which would cause a reduction in value of that property.  Examples include Home Insurance and Collision or Comprehensive Car insurance.  Renter’s insurance, also.
  3. Liability risk – risk of harm to an uninsured party that is the liability of the insured (such as being at fault in a car accident).  Examples include the Liability sections of both Home and Automobile insurance.  Also, included a Personal Liability Umbrella to cover potential liability that exceeds normal policy provisions.

 

Speculative Risk (uninsurable risk) is unique in that there is a chance of gain or loss.  Examples include investments.  These risks are not typically insured.  However, not in the book, but there are ways to minimize this risk by using advanced investment strategies, such as hedging.

 

Risk Management Methods – the book discusses 4 techniques for “managing risk”.  Some are simply not practical.  Here are the four:

 

  1. Risk avoidance – means to avoid the behavior or action that causes the risk.  This may be realistic to some degree (don’t go sky diving), but it’s not useful as a personal financial planning device. 
  2. Risk reduction – means to engage in certain activities to reduce risk.  This is a good complimentary strategy, but it’s not a total solution.  But, it is helpful in reducing risk.  Examples include annual physicals, using smoke detectors in your home, wearing a seatbelt.  Again, these are very helpful to reduce risk, but, not a complete solution.
  3. Risk assumption – also called “self insurance”, i.e. accepting the risk.  Examples would be not having health insurance.  This is strictly NOT adequate for personal financial planning.  One example where “risk assumption” would be reasonable:  dropping the comprehensive coverage on a car that is 14 years old with no resale value.
  4. Risk shifting – transfer the risk to someone else.  Example:  buying insurance.  When you buy insurance, you shift the risk of loss to the insurance carrier.  The insurance carrier (through “actuaries”) has calculated the risk of loss over a large population of people.  They set their rates to make a reasonable profit while paying off anticipated losses.

 

 

 

II.  Property and Liability Insurance (namely Home Insurance and Car Insurance)

 

A. Homeowner’s Insurance covers both the recovery of losses due to damage to the house (and its belongings) and potential liability due to injury to an unrelated party.

 

1.Recovery of Losses due to Damage to the House (and its belongings)

 

  1. Building and other structures – Insurance on the “replacement value” of the property (not the historical cost).  Also, exclude the value of the land.  IMPORTANT:  Because housing generally appreciates in value, it is important to periodically review your coverage.  Keep the coverage at the “replacement value”, not the historical cost.  (i.e. cover the house for the amount it would take to rebuild the house in today’s dollars).
  2. Additional living expenses – compensates you for living in a temporary location if your house becomes inhabitable (such as renting a house, renting an apartment, or staying in a hotel).  Experts recommend that this coverage be 10-20% of your homeowner’s coverage.  Also, this coverage is usually limited to 6 to 9 months (the amount of time the insurance company asserts is reasonable for you to find alternate permanent housing.)
  3. Personal property – usually insured up to a percentage of the house.  Example: let’s say you have your personal property (the contents of your house).  For “luxury items” or “expensive items”, you will want to inquire about a Personal Property Floater, which is an add-on to the policy to cover such items as jewelry, coins, antiques, guns, or other specific items of high value.  It is important that you take inventory of your possessions before any crisis.  Place this inventory in a safe place (not in your house) such as a safety deposit box.  Many people make a video tape of their home contents and store it in the safety deposit box.  Especially document expensive items or items covered by the Personal Property Floater.

 

2.The second major purpose of House insurance is to cover personal liability, for example, an accident in your home resulting in injury to someone else.  Again, you will want to consider supplementing this coverage with a Personal Liability Umbrella (which only covers you on the excess amount).

 

3. Miscellaneous Topics

 

Endorsements to a policy are special add-ons to the policy that address various miscellaneous matters.  For instance, some endorsements give discounts for having

smoke detectors or security systems. 

 

FLOOD INSURANCE is NOT part of a standard home owner’s policy.  You MUST purchase flood insurance separately from the Federal Government.

 

 

 

 

4. Renter’s insurance

Renter’s Insurance is similar to Home owner’s insurance, except there is no need to insure the building itself.  Thus, renter’s insurance covers:

personal belongings, . living expenses, and . liability for injury to others.

 

 

5.Home Insurance Cost Factors

 

The cost of Home Insurance is determined by:

 

The coverage amount (replacement cost) and the deductible (make it reasonably high, because a low deductible is expensive, and you’re probably not going to file a claim for small damage, anyway).  Consider $500 to $1,000 deductible.

 

The location of your home (zip code), and, resulting safety statistics.

 

The type of structure and type of construction (single family dwelling vs. condo, wood vs. brick).

 

 

 

B. Automobile  Insurance

 

Minimum required by state law.  Must carry proof of insurance in your car.  Must also carry Registration.  Do NOT carry the Title – put the title in your safety deposit box.

 

Similar to home insurance, automobile insurance can be divided into two main categories:  (1) COLLISION and or COMPREHENSIVE insurance - insuring your property from damage that lessens its value and (2) LIABILITY - insuring you from liability for injuries caused to others.

 

We will discuss Liability first.  This is what is required by state law.  (You are not required by law to carry Collision or Comprehensive.  However, if you have borrowed to pay for the car, your finance company will require this coverage).

 

1.Liability Insurance for your Automobile

 

Automobile insurance is quoted as 10/30/10.  The first number is per person for injury.  The second number is per incident.  The third number is uninsured motorist insurance.  For instance, 10/30/10 means a maximum coverage of $10,000 per person, $30,000 total for the accident (for all persons injured), and $10,000 coverage for uninsured motorist (if you are hurt by an uninsured motorist).

 

As you know, this amount of coverage would be insignificant in a serious accident.

 

The standard protection purchased by persons with assets to protect is 100/300/100.  Then, those persons purchase a Personal Liability Umbrella (for, say $2 million) to cover in excess of these limits.

 

2.Collision and Comprehensive coverage on your Car

 

Your car is a large investment.  You also want to protect this investment (in addition to protecting against liability).  Also, if you have financed the car, the finance company will require Collision and Comprehensive.

 

Collision covers damage due to accident.  Comprehensive covers all damage (for instance, your car is stolen).

 

GAP insurance is optional, even if you financed the car.  However, it’s important to understand.  Gap insurance covers you if the car is totaled and it’s worth less than you owe on the note.

 

For example, suppose you borrow $20,000 to buy a Honda Accord, and, you finance it over 72 months (6 years).  After 3 years, you total the car.  The blue book value is only $12,000; so the insurance company pays your finance company $12,000, plus sales tax.  But, you owe $14,000 on the car. 

 

Without gap insurance, you would owe an additional $2,000.  With gap insurance, your insurance company will pay off the amount of the loan (not the worth of the car).

 

3.Miscellaneous Tips about Car Insurance

 

You will need to decide on a deductible.  Again, look at the higher deductibles.  You’re probably not going to file a claim for $150 anyway since filing claims will place you in a higher risk pool (and send your insurance premiums up).  Further, you can save on your premiums by declaring a higher deductible (look at $250, $500, and $1,000).  The deductible is how much you have to pay before the insurance company pays.  For instance, if your car is damaged, and the repair bill is $1,200, and your deductible is $500, then, the insurance company will only pay $700.

 

Another tip:  At some point (after the car note is paid off), collision and comprehensive are not realistic.  For example, there is no reason to pay a $300 premium to provide for potential reimbursement on a car worth only $500.  On old cars, drop the collision and comprehensive coverage.

 

 

 

 

 

 

Another tip:  If you have damage to your car that is covered, be sure to ask for Sales Tax.  For instance, if your car is “totaled”, and the value of your car is $2,000, the insurance company is going to offer you $2,000 to settle the claim (instead of attempting to repair your car).  The idea of insurance is to “put you back in the same place you were before the accident”.  If you have to buy a car, you’ll have to pay sales tax.  You are entitled to not just $2,000; but, $2,000 plus the sales tax on a purchase.  If the sales tax in your area is 8%, you’re entitled to an additional $160.  But, you won’t get it unless you insist.

 

Another tip:  If your car is totaled, ask for a reimbursement of the unused premium.  Let’s say you paid a 6 month premium in January, and, your car is totaled in February.  You’ve paid for insurance through June.  (Clearly they are no longer insuring the car from February to June).  The insurance company owes you for the unused insurance (February thru June).  But they won’t volunteer the money.  Again, you have to insist.

 

 

 

 

III. Health and Disability Insurance

 

  1. Health Insurance

 

  1. General discussion

 

High medical costs necessitate health insurance.  These costs are driven by technology, better health care, longer life expectancy, the aging of the “baby boomers”, more comprehensive treatments, fraud, and administrative costs.

 

The baby boomers have stressed each part of the economy as they have pushed thru it.  As they retire, they will stress both social security and the health care system.  As one economist put it, the boomers are like a tennis ball pushing its way thru a garden hose.

 

To reduce your own personal health care costs (and raise your quality of life), you could consider diet, exercise, not smoking, wearing a seatbelt, having an airbag in your car, and having smoke detectors in your home.  As noted earlier, these are all examples of Risk Reduction or Risk Avoidance.

 

  1. What is health insurance?

 

Health insurance is the spreading of risk for health related expenses.  Health insurance reduces the variance of expenses for health care.  (Health insurance does NOT reduce the overall spending on health care by the entire population.  It merely reallocates the expenses.)

 

 

 

3. Group Insurance vs. Individual Insurance

 

Group insurance is generally provided by the employer.  85% of persons in the USA who have health insurance are covered thru group insurance.

 

Key points:

 

  1. Group insurance paid by the employer is a tax free employee benefit.  Thus, its value to the employee is greater than the amount of the premium paid.  Remember the formula from test 1:

 

Value of Tax Free benefit = Amount of benefit / ( 1 – marginal tax bracket)

 

For example, a $300 premium paid by the employer is a $400 “benefit” to the employee.  Why?  The employee, if he/she had to pay for the insurance, would have to make $400 ($300 to pay the premium, and $100 to pay the taxes on the income).

 

 

  1. Usually, most companies will pay the employee’s premium.  They will allow the employee’s wife/husband and children to be covered.  But, they will make a payroll deduction for the cost of these additional persons.  Important:  If you have step children, foster children, etc., you will need to find out the definition of “dependent”.
  2. Continuation Laws – There are both state and federal laws that state that a company must offer to continue your health insurance even after you have quit or been fired.  These are called “continuation laws”. 

 

If the company is large (usually over 25 employees), it is covered by federal law.  HIPA and COBRA are federal laws that say the company must allow you to stay on their insurance plan (at YOUR EXPENSE… the company doesn’t have to provide you free insurance) for up to 18 months. 

 

In Louisiana, the same law applies to small companies.  It is referred to as the Louisiana Continuation Law.  One final note:  There is NO law that a company must offer any type of health insurance to its employees.  The laws only say that, if they do provide this benefit, they must continue to provide it after your termination (but at your expense).

 

 

 

 

 

 

 

 

  1.  

Medical Savings Accounts

 

New – Contributions are tax free.

 

Restrictions on who can open an account (“high deductible health insured”).

 

Can spend on medical expenses or accumulate for future expenses.

 

  1. Types of Health Insurance Coverage

 

HMO’s – in network, copay.  Copay is designed to add an economic cost to the consumer so that he/she will consume health services wisely.

 

PPO’s - in network, copay.  Out of network, same as reimbursement plan

 

Reimbursement plans – 90/10; 80/20; 70/30, all after a deductible, for example $500

 

Dental and Vision – generally, routine dental and vision not covered.  But, dental or vision as an illness ARE. Know your policy, and, ask questions of the HR (Human Resources) department.

 

 

 

 

 

 

  1. Disability Income Insurance

 

 

To provide money if you can no longer work.  Key point:  Definition of disabled.

 

1. definition of disabled

 

Make sure the policy says “can’t work at existing profession”, not “can’t work”

 

For example, suppose a dentist loses his hand in an accident.  He can no longer perform the every day functions of a dentist.  Is he disabled?  Can he now draw money from his disability policy?  It all depends on the definition of disabled – he certainly “can’t work at his existing profession”.  But, he could teach school, i.e. he could work.  The definition of “disabled” is the key variable when shopping for disability insurance.

 

 

 

 

 

 

2. Disability Insurance Trade offs.

 

  1. Waiting Period – typically 6 – 9 months.  (the logic is you may recover and go back to work, and the insurance company won’t have to pay).  You can get coverage for this time frame with “supplemental insurance”… a common provider of supplemental insurance is Aflac.  (the duck commercials).
  2. Duration of benefits – Check the policy, is it for a set number of years, or until 65, or until death.  Obviously, no restrictions is better (payments until death).
  3. Amount of benefit – the idea is to replace your income so that you can maintain your standard of living.  Experts advise disability insurance equal to 70% of your pre-tax income.
  4. Accident and Sickness coverage – you definitely want to be covered for your disability regardless if its due to an accident or sickness (not one or the other).
  5. Guaranteed Renewability also a key concern for life insurance – make sure policy can’t be terminated due to age or health (or any reason).  Guaranteed Renewability means:  If you pay the premium, you can’t be canceled.  Thus, make sure you pay the premium.  If you don’t pay the premium, a common quotation in both disability and life insurance policies states, “Reinstatement requires evidence of insurability”.  i.e. they can cancel your policy if a. you fail to pay the premium on time, and b. there has been a change in your age or health.

 

 

3.Sources of Disability Insurance

 

  1. Employer – group plans, just like health coverage.  Again, there is a tax savings for the employee.
  2. Social Security – “OASDI”  “Old Age Survivors and Disability Income”  ßDon’t memorize, just thought you may want to know it.  Started by Roosevelt during the New Deal (1930’s).  Problem:  Baby boomers.  Ratio of workers to retirees continues to reduce.  (as more people draw benefits, live longer, and the baby boomers retire).
  3. Worker’s Compensation – employers are required to carry this insurance at no cost to the employee.  If the employee is hurt on the job, he/she is entitled to worker’s compensation.  By the way, premiums paid by employer vary according to the risk of the job.  (premium for a telephone repair man who climbs telephone poles is a lot higher than the premium for an indoor salesperson).
  4. Individual policies