Flashcards in Chapter 9 - Short Term Insurance Deck (31)
How does a Personal Accident and Sickness (PAS) policy work?
Pays out if the insured suffers an accident or is off work due to sickness. Most contracts are annual but can be shorter (holiday).
What does a Personal Accident and Sickness (PAS) policy generally cover?
• Permanent disablement
• Loss of eye, limb or digit
• Other specified accidents or injuries
What does a Personal Accident and Sickness (PAS) policy generally exclude?
• Being under the influence of drugs/alcohol
• Wilful exposure to needless danger
• Pre-existing conditions
• Hazardous pursuits
• Normal pregnancy
• War invasion
Is there any tax relief on the premiums of a Personal Accident and Sickness (PAS) policy?
No, not tax benefits at all
If part of a non contributory group policy how is a Personal Accident and Sickness (PAS) policy taxed?
As a benefit in kind on the employee and an allowable business expense for the employer
A customer is asking if a Personal Accident and Sickness (PAS) policy would be a low cost alternative to PHI or Critical Illness. You inform them that......
PAS is not a substitute for PHI or CIC which are far more comprehensive insurances.
What is Private Medical Insurance (PMI)?
An insurance policy that provides cover against the cost of medical treatment. PMI is an indemnity policy which means you pay for the treatment yourself and then claim it back from the insurer.
What is the difference between acute and chronic medical conditions?
Acute medical conditions – rapid onset and are usually can be cured. Treatment is normally short and resolves the condition. Having an appendix out.
Chronic medical conditions – long lasting and usually incurable. May not be possible to treat, e.g. asthma or diabetes.
Are PMI policies aimed at treating acute or chronic medical conditions?
PMI is aimed at acute conditions that can be treated.
What are the 3 types of PMI plans available?
Basic, Standard, Comprehensive
What would a basic PMI plan typically cover?
These are budget plans with no extra benefits. Can have an high excess to reduce costs further. Cover is usually restricted to costs of accommodation, drugs, dressings and doctors fees. May be limits on costs.
What would a standard PMI plan typically cover?
Wider cover than basic plans. Claim periods will be longer with higher limits, wider choice of hospitals, outpatient treatment likely to be covered. Consultant fees, diagnostic tests and physio may be covered. Psychiatric care may also be covered.
What would a comprehensive PMI plan typically cover?
Fullest cover but most expensive. Longest claim periods and best choice of hospitals. Home nursing and ambulance costs may also be covered. May also cover thongs like dental treatment and travel abroad.
What is moratorium underwriting with regard to PMI policies?
A short term ban on pre-existing (within 5 years) conditions. Meaning they are usually not covered for the first 2 years. A check up may count as treatment though so the condition may end up never be covered
With regards to claims on PMI policies it is essential that clients do what before proceeding with any treatment?
It is vital that a client checks with their insurer that they are covered before proceeding with any treatment. It could be disastrous to proceed with treatment to learn at a later date they are not covered.
Can PMI treatment be provided abroad?
Unlikely to provide cover abroad unless specifically sold as an international policy.
What is Mortgage Protection Payment Insurance (MPPI)?
An insurance policy that pays a monthly benefit to cover mortgage costs if the insured is unable to work, has an accident/disability or unemployment
How long is the maximum benefit on an MPPI policy?
Can MPPI be sold when taking out a mortgage?
No, Lenders are no longer allowed to sell this with the loan and must be sold afterwards.
How long after taking out a mortgage can MPPI be sold?
The later of 7 days after sale or providing an illustration.
What is the criteria for being able to take out an MPPI policy?
Must be employed for at least 16 hours per week and be aged 18-64
What conditions are there for self employed people to be able to claim on an MPPI policy?
The business must be involuntary liquidated
There is no tax relief on the premiums and no tax on the benefits of an MPPI policy?
True or False?
What is an Accident, Sickness and Unemployment (ASU) policy?
An insurance policy that pays a monthly benefit to cover costs if the insured is unable to work, has an accident/disability or unemployment.
It is very similar in nature to MPPI but is not linked to a mortgage
If part of an employer offered scheme how is ASU taxed?
As a benefit in kind on the member
What is the maximum benefit on an ASU policy?
Typically 75% of earnings
What is a Health Cash plan?
Al ow cost healthcare plan that pays up to 100% of treatment costs up to a pre set amount. This will include optical and dental services.
What is the usual waiting period on a Health Cash plan?
Health Cash plans are often viewed as a cheaper version of which other policy?
Private Medical Insurance (PMI)