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Insurance – Part II RISK MANAGEMENT

Insurance – Part II. Types of Disabilities Total Total Partial Partial Permanent Permanent Temporary Temporary Social Security Disability Income Total

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Insurance Part IIRISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMEDISABILITY INCOMEMEDICAIDHEALTHTypes of Disabilities TotalPartial PermanentTemporary Social Security Disability IncomeTotal AND Permanent Disabilities95% of first time applications deniedRestrictions on PaymentElimination period

Probationary period

Maximum benefits DOLLAR LIMIT of benefitsLess Expensive Option Business Overhead Insurance

- Inability to perform employment functions No employment functions Some employment functions Never perform employment functions Will regain the ability to perform employment functions time between PURCHASE of policy and payment of an claim time between ONSET OF SICKNESS or illness to payment of claimDISABILITY INCOMERISK MANAGEMENTINSURANCEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREAUTOMOBILEDISABILITY INCOMEAUTOMOBILEMEDICAIDHEALTHRemember MULCEM Medical payments to cover yourselfU Uninsured or Underinsured motoristL Liability medical and property damage of the OTHER driverExample:AUTOMOBILE$50,000 in property damage100 / 300 / 50$100,000 medical coverage per person$300,000 medical coverage per accidentRISK MANAGEMENTC Collision/Comprehensive damage to YOUR carE Emergency Road ServiceComparison Shopping in Utahhttp://www.insurance.utah.gov/docs/2008ComparisonTables.pdf AUTOMOBILERemember MULCEM Medical payments to cover yourselfU Uninsured or Underinsured motoristL Liability medical and property damage of the OTHER driverExample:$50,000 in property damage100 / 300 / 50$100,000 medical coverage per person$300,000 medical coverage per accidentRISK MANAGEMENTAUTOMOBILE

(d) Specific eligibility requirements. Generally restricted to military officers and their families.(e) Specific eligibility requirements. Generally restricted to enlisted military personnel and ex-dependents of USAA members.RISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMEHOMEOWNERSHOMEOWNERSMEDICAIDHEALTHCoversHome damagePersonal Property on the premisesLiability Individuals injured while on your propertySeven different levels of homeowners insuranceHOMEOWNERSRISK MANAGEMENTSeven different levels of homeowners insurance

HO1 Basic Form Perils 1-11 - fire, lightning, explosions, hail, riots, vehicles, aircraft, smoke, vandalism, theft malicious mischief, glass breakageHO2 Broad Form Perils 1-18 - everything in HO-1 plus falling objects, weight of ice, snow or sleet, the collapse of buildings, overflow of water or steam, power surges, an the explosion of steam or hot-water systems, frozen plumbing, heating units, air-conditioning systems, and domestic appliancesHO3 Special Form All Perils unless specifically excluded - Events traditionally not covered include earthquakes, floods, termites, war and nuclear accidents. Also protects personal assets against events listed in HO-2HO4 Renter Broad Form Renters insurance. Protects personal assets from theft, fire, vandalism and smokeHO5 Special Form + similar to HO-3 plus slightly more coverage of personal assetsHO6 Condominium condominium owners insurance. Protects personal assets from theft, fire, vandalism and smokeHO8 Older Homes same events as in HO-1 but based on repairs or actual cash value of home, not replacement costs

HOMEOWNERSRISK MANAGEMENTPerils or risksfire, lightningwindstorm, hailexplosionsriotsaircraftnon home owner vehiclessmokevandalism, malicious mischieftheftglass breakagevolcanic eruptionexternal falling objectsweight of ice, snow, sleetcollapse of buildingsoverflow of water or steam from plumbing, heating or air conditioningbursting, cracking, burning or bulging of a steam or hot water heating system or appliancesfreezing of plumbing, heating or air conditioning systems and home appliancesinjury to electrical appliances from short circuits or other currentsAll other perils or risks unless exceptedHO-1HO-2 for older homes HO-8HO-3more personal asset coverage HO-5Apartment Owners HO-4 Condominium Owners HO-6 Named Perils coverageAll Risks coveragenumbercoverageHOMEOWNERS cash value not replacementRISK MANAGEMENTCoversHome damagePersonal Property on the premisesLiability Individuals injured while on your propertySeven different levels of homeowners insuranceExclusions Common HOMEOWNERSRISK MANAGEMENTPerils or risksfire, lightningwindstorm, hailexplosionsriotsaircraftnon home owner vehiclessmokevandalism, malicious mischieftheftglass breakagevolcanic eruptionexternal falling objectsweight of ice, snow, sleetcollapse of buildingsoverflow of water or steam from plumbing, heating or air conditioningbursting, cracking, burning or bulging of a steam or hot water heating system or appliancesfreezing of plumbing, heating or air conditioning systems and home appliancesinjury to electrical appliances from short circuits or other currentsAll other perils or risks unless excepted10 Common Exclusionsfloods, earthquakes, landslidesmold damageaggressive dog breedsneglectsewage backupluxury itemspower outagesintentional damage by a residentwar, terrorism, nuclear attackstrampolinesHOMEOWNERSRISK MANAGEMENTCoversHome damagePersonal Property on the premisesLiability Individuals injured while on your propertySeven different levels of homeowners insuranceExclusions Common Floods and Earthquakes purchase separate (relatively expensive) coverageComparison Shopping http://www.insurance.utah.gov/docs/2008ComparisonTables.pdfHOMEOWNERSRISK MANAGEMENT

HOMEOWNERSHO-3 CoverageRISK MANAGEMENTINSURANCEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMERENTERSRENTERSMEDICAIDHEALTHDoes not cover structure Landlord has to purchaseDoes cover personal propertyFairly inexpensive Add on to automobile coverageRENTERSRISK MANAGEMENTINSURANCEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMEUMBRELLA COVERAGEUMBRELLA COVERAGEMEDICAIDHEALTHDouble or triple the coverage of a home owner policy or automobile policyCan include other types of coverage:False ArrestLibelSlanderRelatively inexpensiveUMBRELLA COVERAGERISK MANAGEMENTINSURANCEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMEMUTUAL GUARANTEE ASSOCIATIONSMUTUAL GUARANTEEMEDICAIDHEALTHInsurance for Insurance CompaniesLife & Health Mutual Guarantee AssociationProperty & Casualty Mutual Guarantee AssociationCompanies licensed in state pay premiumsNot state funded State supervised No federal or state guarantee (Not FDIC Insured)Back outstanding policies/claims of BANKRUPT insurance companiesMUTUAL GUARANTEE ASSOCIATIONSRISK MANAGEMENTINSURANCEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREDISABILITY INCOMESOCIAL SECURITYSOCIAL SECURITYMEDICAIDHEALTHRetirement Income Most popularSurvivors Benefit a widower:at least 60 years oldwith children under 16 or a disabled child in their caredisabled a child of a deceased worker:under the age of 18an adult disabled before the age of 22high school student under the age of 19 a parent of a deceased workerAt least 62 years oldDependent on the deceased workerDeath Benefit $255.00 if surviving spouseDisability Income Remember Total and PermanentSocial Security Disability Insurance (SSDI) Based on PRIOR WORKSupplemental Security Income (SSI) Based on FINANCIAL NEED

SOCIAL SECURITYRISK MANAGEMENTSOCIAL SECURITY

Social SecurityOfficial 2012 Social Security On-linehttp://www.ssa.gov/OP_Home/handbook/RISK MANAGEMENTMedicare

Part A Hospital insurance No charge for covered workerPart B Medical InsuranceOptional but automatically covered if you dont opt outPays for the doctor or providersYou pay a premium - $115.40 per month for 2011Federal Government subsidizes 70% of the costPart C (Medicare + Choice / Medicare Advantage)Allows you to receive all health care services through a private provider companyMust have Part A and Part B to enroll in Part CPart D Prescription drug coveragePay a premiumMust apply not automatically coveredSOCIAL SECURITYhttp://www.medicare.gov/publications/pubs/pdf/10050.pdfOfficial 2012 United States Government Medicare HandbookRISK MANAGEMENTMedicareSOCIAL SECURITYhttp://www.medicare.gov/publications/pubs/pdf/10050.pdfOfficial 2012 United States Government Medicare Handbook

RISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREMEDIGAPMEDIGAPMEDICAIDHEALTHMedigap Policies (Supplemental Policies)Pays where social security will not coverTen coverage types lettered A through JA wise consumer purchase

Most ComprehensiveMEDIGAPRISK MANAGEMENTMedigap Policies (Supplemental Policies)MEDIGAPhttp://www.medicare.gov/publications/pubs/pdf/02110.pdfOfficial 2011 United States Government Medicaid Handbook

RISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CARELONG-TERM CARELONG-TERM CAREMEDICAIDHEALTHPotentially the largest financial risk65% of people will spend some time in LTCFinancial hardship if stay is more than one year6% of women and 3% of men for more than 1 yearConsumer guide: U.S. Department of Agriculture and Americas Health Insurance PlansLONG-TERM CARE

http://publications.usa.gov/USAPubs.php?PubID=5879RISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREMEDICAIDMEDICAIDMEDICAID

HEALTHMEDICAIDPoor mans insurance you only qualify if you are very poorFunding combination of State and Federal fundsAdministered by each StateRISK MANAGEMENTMEDICAID

On-line consumers guidehttp://www.onlinemedicaidguide.com/RISK MANAGEMENTINSURANCEDISABILITY INCOMEAUTOMOBILEHOMEOWNERSRENTERSUMBRELLA COVERAGEMUTUAL GUARANTEESOCIAL SECURITYMEDIGAPLONG-TERM CAREHEALTHMEDICAIDHEALTH

HEALTHInsurance Part IIRISK MANAGEMENT