Wealth Management & Financial Planning

Chapter 7
Personal Risk Management and Insurance Planning

Bachelors Program in Banking Finance and Insurance
Wealth Management & Financial Planning   •   Bachelor

Personal Risk Management and Insurance Planning

Introduction

Wealth planning is incomplete unless it protects the household’s capacity to earn, own property, meet liabilities and sustain consumption. Investment management addresses the accumulation and allocation of assets; personal risk management addresses events that can destroy those assets or interrupt the income supporting them.

Insurance transfers specified financial consequences to an insurer in exchange for a premium. It does not eliminate uncertainty, prevent every loss or compensate non-financial harm fully. Effective planning therefore combines prevention, reduction, retention and transfer rather than treating insurance as the sole solution.

This chapter examines mortality, health, disability, longevity, property and liability risks. It develops methods for estimating insurance needs and evaluates life, health, general insurance, long-term-care insurance and annuity solutions. Exact policy terms and regulation vary by jurisdiction, so advisers must verify local law, taxation, exclusions and product documentation.

Learning Objectives

After studying this chapter, students should be able to:

  1. Identify the principal personal risks affecting income, assets and financial goals.
  2. Apply risk avoidance, reduction, retention and transfer strategies.
  3. Estimate life, disability, health, property and longevity protection needs.
  4. Compare major life, health, general insurance and annuity products.
  5. Explain deductibles, limits, exclusions, coinsurance and indemnity.
  6. Assess motor, travel, catastrophe, cyber and long-term-care coverage.
  7. Integrate insurance decisions into a household financial plan.
  8. recognize ethical, regulatory and technological issues in insurance advice.

1. The Personal Risk-Management Framework

A personal risk is uncertainty that can adversely affect a household’s income, expenditure, assets, liabilities or goals. Pure risk involves the possibility of loss or no loss, but not deliberate gain. Most insurable personal risks—including death, illness, fire and legal liability—are pure risks.

A disciplined process has five stages:

  1. Establish objectives: Identify dependants, essential consumption and financial goals.
  2. Identify exposures: Examine people, income, property, activities and legal obligations.
  3. Measure exposures: Estimate probability, severity, timing and existing protection.
  4. Select treatments: Avoid, reduce, retain or transfer risk.
  5. Implement and review: Arrange coverage, document decisions and update the plan.
Five-stage personal risk-management process Establishobjectives Identifyexposures Measureexposures Selecttreatments Implementand review Review when circumstances, exposures or policies change
Five-stage personal risk-management process
Figure: Five-stage personal risk-management process

Figure: Personal risk management is a continuing process rather than a one-time purchase.

1.1 Frequency and severity

Loss frequency is the expected number of losses over a period; severity is the financial size of a loss. If mutually exclusive loss outcomes Li have probabilities pi, expected loss is:

E(L) = ∑i=1n piLi

Here, E(L) and Li are measured in currency per period, while probabilities are dimensionless and sum to one. Expected loss is useful for budgeting across many exposures, but a household must also consider low-probability, catastrophic losses. A loss with modest expected value can still justify insurance if its occurrence would cause insolvency.

1.2 Risk-treatment methods

MethodMeaningPersonal example
AvoidanceEliminate the activity creating exposureDecline an unsafe recreational activity
ReductionLower loss probability or severityInstall alarms; use preventive healthcare
RetentionBear the loss financiallyPay a policy deductible or self-insure minor damage
TransferShift contractual financial consequencesPurchase insurance or obtain an indemnity agreement

Insurance is particularly appropriate where losses are infrequent, severe and financially intolerable. Frequent minor losses are commonly retained because administrative costs and adverse selection make full insurance expensive.

1.3 Insurability and insurance economics

A risk is more readily insurable when losses are accidental, definable, measurable and sufficiently independent across insured persons. Insurers pool exposures and use the law of large numbers to improve aggregate-loss estimates. Premiums must fund expected claims, operating expenses, capital costs, taxes and a risk margin.

Adverse selection occurs when higher-risk individuals are more likely to seek coverage or larger benefits. Moral hazard is a change in behaviour after coverage is obtained. Underwriting, waiting periods, deductibles, exclusions and policy limits help control these problems. These mechanisms can improve pool sustainability, but they must not be applied unfairly or unlawfully.

2. Mapping the Household’s Major Risks

RiskFinancial consequenceCommon response
MortalityLost earnings, debts, final expenses, unmet goalsLife insurance and liquid reserves
HealthTreatment costs and income disruptionHealth insurance and emergency savings
DisabilityTemporary or permanent loss of earningsDisability-income insurance
LongevityAssets exhausted before deathAnnuities, pensions and sustainable withdrawals
PropertyRepair, replacement or loss of useProperty and catastrophe insurance
LiabilityDamages and legal-defence costsLiability and umbrella/excess insurance
Long-term careProlonged assistance or nursing costsLong-term-care insurance and earmarked assets
TravelOverseas medical, cancellation and baggage lossesTravel insurance
CyberFraud, data restoration and cyber liabilityCyber hygiene and personal cyber insurance

Risks interact. A serious illness may generate medical costs, reduce earnings and create long-term-care needs. Consequently, policies should be evaluated as a portfolio rather than as isolated products.

3. Mortality Risk and Life Insurance Planning

Mortality risk is the financial effect of premature death. The need for life insurance depends on economic responsibilities, not simply the insured’s salary. A non-earning caregiver may also require coverage because replacement childcare and household services can be costly.

3.1 Needs-based estimation

A practical capital-needs model is:

N = max(0, I + PV(Y) + G − A)

where:

  • N = additional life insurance required, in currency;
  • I = immediate cash needs, such as final expenses and debt repayment;
  • PV(Y) = present value of future income or services to be replaced;
  • G = present value of additional goals, such as education funding;
  • A = assets and existing benefits genuinely available for these needs.

The zero floor is essential because an additional insurance requirement cannot be negative. Assets should not be counted if they are illiquid, legally inaccessible or required for other purposes. Existing life insurance may be included in A if it remains suitable and payable to the intended beneficiaries.

If a constant annual income requirement Y is needed for n years and discounted at annual rate r, with the first payment one year after death, its present value is an ordinary annuity:

PV(Y) = Y × [1 − (1 + r)−n] ÷ r

If income grows annually at rate g, with r ≠ g, the growing-annuity formula is:

PV(Y) = Y1 × [1 − ((1 + g) ÷ (1 + r))n] ÷ (r − g)

Here, Y1 is the first annual payment, and r, g and n must use consistent annual periods. The formula assumes payments at year-end. Nominal cash flows require a nominal discount rate; inflation-adjusted cash flows require a real rate.

Worked Example 1: Life insurance requirement

A household needs currency 80,000 immediately, estimates income-replacement capital at 500,000 and has an education goal of 120,000. Available investments and suitable existing death benefits total 250,000.

N = max(0, 80,000 + 500,000 + 120,000 − 250,000)
= 450,000

The estimated additional requirement is 450,000. This is a planning estimate, not an automatic recommendation: affordability, taxation, benefit indexation and policy quality must also be assessed.

3.2 Life insurance products

ProductMain characteristicTypical usePrincipal concern
Term lifeProtection for a specified termTemporary income, debt or education needCover expires; renewal may be costly
Whole lifeLifelong cover with guarantees, subject to premiumsPermanent estate or dependant needHigher premium and lower liquidity
Universal/flexible lifeAdjustable premium or benefit structureFlexible long-term planningCharges, crediting rates and lapse risk
Unit-linked/variable lifeBenefit or value partly linked to investmentsProtection plus market exposureInvestment volatility and complexity
Group lifeEmployer or association coverageBasic low-cost protectionMay end when employment ends

Term insurance generally provides the greatest initial death benefit per unit of premium. Permanent insurance can be appropriate for lifelong needs, but projected values must be distinguished from contractual guarantees. Policy ownership, beneficiary designations, exclusions, contestability rules and tax treatment require careful review.

4. Health, Disability and Long-Term-Care Risks

4.1 Health insurance

Health risk includes treatment expenses, rehabilitation costs and indirect financial effects. Policy evaluation should examine:

  • covered services and medical necessity rules;
  • deductibles, copayments and coinsurance;
  • annual or lifetime limits where legally permitted;
  • provider networks and out-of-network treatment;
  • waiting periods and pre-authorisation;
  • prescription-drug coverage;
  • exclusions and pre-existing-condition rules;
  • portability, renewability and premium increases;
  • emergency and overseas treatment.

A deductible is the amount the insured pays before specified benefits begin. Health-policy coinsurance usually means that the insured pays a stated percentage of covered expenses after the deductible. It should not be confused with property-insurance coinsurance, which may penalise underinsurance.

A policy with a low premium is not necessarily economical. The planner should compare expected annual household cost, including premium, deductible, copayments, uncovered services and the maximum out-of-pocket exposure.

4.2 Disability-income insurance

Disability threatens human capital—the present value of future earnings. Important contract provisions include:

  • Definition of disability: own occupation, suited occupation or any occupation;
  • Elimination period: time between disability and benefit commencement;
  • Benefit period: maximum duration of payments;
  • Replacement ratio: percentage of pre-disability income replaced;
  • Residual benefit: payment for partial earnings loss;
  • Indexation: adjustment for inflation;
  • Renewability: guaranteed renewable or non-cancellable terms;
  • Exclusions: specified illnesses, activities or pre-existing conditions;
  • Coordination: offsets for employer or public benefits.

A simple monthly coverage-gap estimate is:

D = max(0, E − B − R)

where D is the monthly disability benefit gap, E is essential monthly expenditure, B is reliable net employer or public disability income, and R is sustainable monthly income from assets or other sources. All quantities must be measured after tax or before tax consistently.

Disability insurance normally limits benefits below full earnings to preserve work incentives and reduce moral hazard. Therefore, the calculated gap may exceed the amount an insurer will issue.

4.3 Long-term-care insurance

Long-term care (LTC) provides assistance when a person cannot perform activities of daily living—commonly bathing, dressing, eating, transferring, toileting and continence—or experiences severe cognitive impairment. Care may be delivered at home, in assisted living or in a nursing facility.

LTC policy analysis should cover:

  • the benefit trigger and required number of impaired activities;
  • daily or monthly benefit limits;
  • total benefit pool or benefit duration;
  • elimination period;
  • home-care and informal-care eligibility;
  • inflation protection;
  • cognitive-impairment provisions;
  • premium stability and insurer rights to increase class premiums;
  • public-program interaction and tax treatment.

LTC insurance is not identical to medical insurance: it primarily funds continuing custodial or personal assistance rather than acute medical treatment. Alternatives include self-funding, family care and hybrid life/LTC products. Each alternative has liquidity, opportunity-cost and caregiver-burden implications.

5. Longevity Risk and Annuity Planning

Longevity risk is the danger that a person outlives financial resources. It differs from mortality risk: premature death shortens the planning horizon, whereas unexpected survival extends it. Longevity risk is intensified by inflation, market losses early in retirement, healthcare costs and uncertain withdrawal behaviour.

For a fixed annual real or nominal retirement shortfall C payable at each year-end for n years, the capital benchmark at retirement is:

PV = C × [1 − (1 + r)−n] ÷ r

The formula assumes a constant discount rate r and a fixed finite horizon. It does not insure survival beyond n years and ignores investment volatility.

Worked Example 2: Finite retirement-income benchmark

A retiree needs 30,000 annually for 25 years. At a matching annual discount rate of 4%:

PV = 30,000 × [1 − (1.04)−25] ÷ 0.04
≈ 30,000 × 15.6221
≈ 468,663

Approximately 468,663 is required under the stated deterministic assumptions. Actual retirement planning must consider taxes, fees, inflation, sequence risk and survival beyond 25 years.

5.1 Annuity solutions

An annuity converts capital into a stream of payments. In an immediate life annuity, payments begin shortly after purchase and continue while the annuitant lives. A deferred annuity begins later. A fixed annuity provides contractually determined payments, while an indexed or variable annuity links benefits to an index or investment performance subject to contract terms.

Joint-life annuities continue while either of two covered persons survives, usually with a reduced payment after the first death. Guarantees such as a minimum payment period or return of premium protect beneficiaries but normally reduce initial lifetime income.

Annuities pool mortality risk: amounts not required for shorter-lived members help support payments to longer-lived members. Evaluation should consider insurer creditworthiness, inflation protection, liquidity, surrender charges, fees, death benefits, taxation and whether the quotation is competitive. Partial annuitisation can secure essential expenditure while retaining liquid investments for flexibility and bequests.

6. Property Insurance and the Principle of Indemnity

Property insurance aims to restore the insured’s financial position after a covered loss, subject to policy terms; it should not ordinarily create a profit. The amount payable can depend on valuation basis:

  • Replacement cost: cost of replacing property with equivalent new property, subject to conditions;
  • Actual cash value: replacement cost less applicable depreciation;
  • Agreed value: amount accepted in advance by insurer and insured;
  • Market value: sale value, which may differ substantially from reconstruction cost.

The sum insured should reflect the relevant insured value, not automatically the property’s purchase price or loan balance. Building coverage may need to include demolition, professional fees, debris removal and code-upgrade costs.

6.1 Property coinsurance and underinsurance

Some property policies require insurance equal to a proportion c of insured value V. The required amount is:

Kr = cV

For a covered partial loss, a simplified coinsurance settlement is:

P = max(0, min(L × min(1, K ÷ Kr), K) − d)

where:

  • P = insurer payment;
  • L = covered loss before deductible;
  • K = applicable policy limit or sum insured;
  • Kr = required insurance amount;
  • d = applicable deductible;
  • c = required insured proportion;
  • V = value measured on the policy’s required basis.

All monetary variables must use the same currency. The formula assumes Kr > 0, one covered loss, no sublimits and a deductible applied after the coinsurance calculation. The factor is capped at 1 so carrying insurance above the requirement does not increase payment above the covered loss. The zero floor prevents a negative payment. Actual wording may apply deductibles, limits, valuation provisions or loss-settlement conditions differently and always governs.

Worked Example 3: Underinsurance penalty

A building has an insured value of 500,000 and an 80% insurance requirement. The policy limit is 300,000, the covered partial loss is 120,000 and the deductible is 5,000.

Kr = 0.80 × 500,000 = 400,000
P = max(0, min(120,000 × min(1, 300,000 ÷ 400,000), 300,000) − 5,000)
= max(0, min(90,000, 300,000) − 5,000)
= 85,000

The insurer pays 85,000, and the policyholder bears the remaining 35,000. If the insured had carried at least the required 400,000, the simplified payment would have been 115,000, subject to the policy wording.

7. Liability and Other General Insurance

Liability insurance protects against covered legal obligations to third parties and often funds legal defence. Coverage analysis must distinguish bodily injury, property damage, personal injury, defence costs and exclusions. Limits should reflect both assets and future income exposed to claims. An umbrella or excess-liability policy can provide additional limits above designated underlying policies, but it may not cover every excluded activity.

7.1 Motor insurance

Motor insurance commonly combines several components:

  • third-party bodily injury and property-damage liability;
  • collision or own-damage coverage;
  • theft, fire, weather and vandalism coverage;
  • medical or personal-accident benefits;
  • uninsured or underinsured motorist protection;
  • roadside assistance and replacement-vehicle benefits.

Mandatory minimum liability limits may be inadequate for severe injury claims. Advisers should verify permitted drivers, territorial limits, commercial use, vehicle valuation, deductibles and exclusions. Usage-based insurance may price coverage using distance, time and driving behaviour, raising consent and privacy questions.

7.2 Travel insurance

Travel insurance may cover emergency medical treatment, evacuation, repatriation, cancellation, interruption, baggage loss and travel delay. Important exclusions can involve pre-existing medical conditions, high-risk activities, intoxication, undeclared destinations, pandemics or government travel warnings. Cancellation coverage applies only to specified insured events unless the contract expressly provides broader protection. Travellers should not assume domestic health coverage operates overseas.

7.3 Catastrophe coverage

Flood, earthquake, cyclone, wildfire, landslide and storm-surge losses may be excluded, sublimited or insured separately. Catastrophe planning should examine hazard maps, construction standards, concentration of household assets, evacuation plans, temporary accommodation and deductibles expressed as a percentage of insured value. Climate change can alter hazard frequency, premiums and insurability; historical experience may no longer be a sufficient guide.

7.4 Personal cyber insurance

Personal cyber policies may provide first-party benefits for identity restoration, data recovery, cyber extortion, online fraud and system repair. Some also include third-party liability for privacy breaches, defamation or harmful online conduct. Coverage often requires prompt reporting, reasonable cybersecurity practices and cooperation with specialist response providers. Policy limits, cryptocurrency exclusions, social-engineering definitions and reimbursement conditions require close examination.

Insurance complements rather than replaces multifactor authentication, software updates, secure backups, password management and transaction alerts.

7.5 Policy coordination

Coverage gaps and overlaps frequently arise among home, motor, travel, employer and umbrella policies. A household should maintain a policy schedule showing insured persons, assets, limits, deductibles, renewal dates and beneficiaries. Claims notification obligations must be followed even when responsibility for the loss remains uncertain.

8. Evaluating Insurance Solutions

Price is only one selection criterion. A structured comparison should assess:

  1. Need: What financial loss must be protected?
  2. Coverage: Which causes, persons, property and territories are insured?
  3. Exclusions: Which events or conditions are outside coverage?
  4. Benefit design: What limits, deductibles, waiting periods and indexation apply?
  5. Duration: Is coverage temporary, renewable, portable or lifelong?
  6. Insurer quality: What are the insurer’s financial strength and claims capabilities?
  7. Affordability: Can premiums remain sustainable under plausible increases?
  8. Taxation: How are premiums, investment values and benefits treated?
  9. Flexibility: Can coverage adapt when household needs change?
  10. Documentation: Are representations, beneficiaries and ownership arrangements correct?

Premium affordability should be tested over the expected coverage period. A policy that lapses before the insured event may provide little value. Conversely, retaining risks that could bankrupt the household is false economy.

9. Illustrative Integrated Case: The Raman Household

Background

This is a fictional illustrative case. Arjun and Leena Raman, aged 39 and 37, have two children. Arjun earns 72,000 annually, while Leena earns 48,000. They own a home, have a mortgage and hold retirement investments. Their review identifies dependence on employment income, inadequate catastrophe protection and uncertainty about retirement income.

Problem

The household must determine protection priorities without using so much cash flow for premiums that retirement saving becomes impossible.

Analysis

For Arjun’s mortality exposure, immediate obligations are estimated at 90,000. The family would require 45,000 at the end of the first year, growing by 2% annually for 15 years. A 5% nominal discount rate is used. Education funding requires 140,000. Available investments of 120,000 and suitable existing life cover of 100,000 total 220,000.

PV(Y) = 45,000 × [1 − (1.02 ÷ 1.05)15] ÷ (0.05 − 0.02)
≈ 529,000
N = max(0, 90,000 + 529,000 + 140,000 − 220,000)
= 539,000

The estimated additional life-insurance need is approximately 539,000. Because the major need lasts about 15 years, level term insurance is initially more aligned with the exposure than a high-cost permanent policy.

Arjun’s essential monthly expenditure attributable to his income is 3,500. Employer disability benefits would provide an estimated net 1,600 monthly, and reliable investment income is 300 monthly.

D = max(0, 3,500 − 1,600 − 300) = 1,600

The household should investigate at least 1,600 of additional monthly disability benefit, subject to underwriting and maximum replacement rules.

Their home is insured for reconstruction cost, but flood is excluded. Hazard information indicates material flood exposure. Their motor policy carries only the legal minimum liability limit. They also travel internationally and store financial credentials on several personal devices.

Approach and Solution

The planner proposes the following priorities:

  1. Increase emergency reserves to fund health deductibles and short waiting periods.
  2. Obtain approximately 539,000 of additional term life coverage for Arjun and perform a separate needs calculation for Leena.
  3. Add individual disability-income coverage, emphasising residual benefits and suitable renewability.
  4. Retain comprehensive health coverage after comparing total out-of-pocket exposure rather than premium alone.
  5. Obtain a flood quotation and update reconstruction-cost estimates.
  6. Increase motor liability limits and assess umbrella coverage.
  7. Purchase travel medical and evacuation coverage for international trips.
  8. Improve cyber controls before considering a modest personal cyber policy.
  9. At retirement, consider annuitising enough wealth to fund part of essential expenditure while retaining liquid investments.
  10. Review LTC funding in midlife, when affordability, insurability and retirement resources can be assessed together.

Outcome

The recommended plan transfers catastrophic risks, retains manageable deductibles and preserves funds for long-term investment. Implementation remains conditional on underwriting, policy wording, insurer quality and affordability.

Learning Points

Insurance planning is a prioritisation exercise. Severe income, liability and catastrophe exposures usually take precedence over minor property losses. Quantitative estimates guide decisions, but product suitability ultimately depends on contractual details and household preferences.

10. Regulation, Ethics and Governance

Insurance advice involves information asymmetry: clients may find it difficult to evaluate complex products, while intermediaries may receive sales incentives. Professional practice requires suitability, informed consent, accurate disclosure and careful documentation.

Key governance considerations include:

  • licensing and scope-of-advice requirements;
  • fair treatment and non-discrimination;
  • disclosure of commissions and conflicts of interest;
  • demands-and-needs or suitability analysis;
  • privacy and secure handling of medical and financial data;
  • truthful underwriting disclosures by applicants;
  • replacement of existing policies only after comparing lost benefits, new exclusions and fresh contestability periods;
  • clear explanation of guaranteed versus projected values;
  • accessible complaints and claims procedures.

Advisers should never encourage omission of material facts. Misrepresentation may result in altered benefits, cancellation or claim denial, subject to local law. Equally, insurers and advisers should avoid exploiting behavioural biases through fear-based sales or unnecessary product complexity.

11. Technology and Contemporary Developments

Digital underwriting can combine medical records, wearable-device data and predictive models to accelerate decisions. Telematics can refine motor pricing, while satellite imagery and geographic information systems improve catastrophe assessment. Artificial intelligence is also used in claims triage and fraud detection.

These developments may reduce costs but create concerns about privacy, opaque algorithms, proxy discrimination, cybersecurity and inappropriate automated claim decisions. Human review, data-quality controls, explainability and appeal mechanisms are therefore important governance safeguards.

Other developments include parametric insurance, which pays a predetermined amount when an objective trigger—such as measured wind speed—is reached. It can provide rapid liquidity but may create basis risk: the payment may differ from the policyholder’s actual loss. Climate change, medical inflation, longer lifespans and rising cybercrime are also reshaping product design and pricing.

12. Planning Limitations and Best Practices

Insurance analysis depends on uncertain assumptions. Mortality, inflation, investment returns, care costs and family circumstances can change. Policy wording also evolves, and a mathematically adequate limit may still fail to cover an excluded event.

Best practice therefore includes:

  • insure catastrophic losses before minor inconveniences;
  • retain deductibles that the household can pay without borrowing;
  • match policy duration to the duration of the need;
  • compare guarantees separately from projections;
  • coordinate personal, employer and public benefits;
  • keep insured values and beneficiaries current;
  • maintain emergency liquidity despite having insurance;
  • document reasons for accepting, transferring or declining each material risk;
  • review after marriage, divorce, birth, job change, property purchase, migration or retirement;
  • read renewal notices and policy endorsements rather than assuming coverage is unchanged.

Chapter Summary

Personal risk management protects income, assets and financial goals through systematic identification, measurement and treatment of risk. The main responses are avoidance, reduction, retention and transfer. Insurance is generally most valuable for low-frequency, high-severity losses that a household cannot absorb.

Mortality needs can be estimated by combining immediate needs, the present value of replacement income and future goals, then subtracting usable assets and existing benefits, subject to a zero minimum. Health coverage should be assessed using total out-of-pocket exposure, while disability planning focuses on replacing essential income after employer, public and asset-based resources. Long-term-care insurance addresses continuing assistance rather than acute medical treatment.

Longevity risk can be reduced through pensions, disciplined withdrawals and annuities. Property insurance requires correct valuation and careful attention to limits, deductibles, exclusions and coinsurance. Liability, motor, travel, catastrophe and cyber insurance address distinct exposures and must be coordinated. Ethical insurance planning requires suitability, transparency, accurate disclosure, privacy protection and periodic review.

Key Terms

Adverse Selection: The tendency of higher-risk persons to seek more insurance than lower-risk persons.

Annuity: A contract providing periodic payments, potentially for life.

Beneficiary: A person or entity designated to receive policy benefits.

Coinsurance: Cost sharing or an insurance-to-value requirement, depending on the type of policy.

Deductible: The amount of a covered loss borne by the policyholder before specified insurer payment.

Disability Income Insurance: Coverage replacing part of earnings lost because of qualifying disability.

Elimination Period: The waiting period before disability or long-term-care benefits begin.

Exclusion: A condition, cause or circumstance not covered by a policy.

Human Capital: The present economic value of a person’s expected future earning capacity.

Indemnity: Restoration of the insured’s financial position after a covered loss, subject to policy terms.

Insurance Limit: The maximum amount payable under a specified coverage.

Long-Term Care: Continuing assistance required because of functional or cognitive impairment.

Longevity Risk: The risk of exhausting financial resources because of living longer than expected.

Moral Hazard: Behavioural change caused by the presence of insurance that increases expected loss.

Mortality Risk: The financial consequences of premature death.

Parametric Insurance: Coverage paying according to a defined objective trigger rather than measured indemnity loss.

Replacement Cost: The cost of replacing damaged property with equivalent new property, subject to policy conditions.

Risk Retention: Bearing some or all financial consequences of a loss.

Risk Transfer: Contractually shifting specified financial consequences to another party.

Underwriting: The process of assessing, classifying and pricing an insurance risk.

Review Questions

Short Answer Questions

  1. Distinguish pure risk from speculative risk.
  2. Why should additional life-insurance need have a zero lower bound?
  3. What is the difference between an elimination period and a deductible?
  4. How does a life annuity reduce longevity risk?
  5. Identify four provisions that should be reviewed in travel insurance.

Long Answer Questions

  1. Explain the personal risk-management process and illustrate each risk-treatment method.
  2. Compare term, whole-life and flexible life insurance in relation to temporary and permanent needs.
  3. Discuss the evaluation of health, disability-income and long-term-care insurance as an integrated protection portfolio.
  4. Explain the principle of indemnity and analyse how valuation, limits, deductibles and coinsurance affect property claims.
  5. Evaluate the ethical and regulatory responsibilities of an insurance adviser recommending product replacement.

Analytical / Application Questions

  1. A household has immediate mortality needs of 100,000, income-replacement capital of 620,000, goals of 180,000 and usable assets plus existing cover of 350,000. Calculate the additional life-insurance need and explain two limitations of the estimate.
  2. A property worth 800,000 is subject to an 80% insurance requirement. It is insured for 480,000, suffers a covered loss of 200,000 and has a 10,000 deductible. Using the simplified chapter formula, calculate the insurer payment and explain why actual wording must still be checked.
  3. Construct an insurance-priority plan for a self-employed client with irregular income, two dependants, limited emergency savings, international travel and substantial exposure to professional liability.

Multiple Choice Questions with Answers

Question 1

Which risk-treatment method is represented by paying a manageable insurance deductible from emergency savings?

A. Avoidance

B. Retention

C. Transfer of the entire exposure

D. Loss prevention

Correct Answer: B. Retention

Question 2

Immediate mortality needs are 80,000, income-replacement capital is 500,000, other goals are 120,000, and usable assets plus existing cover are 250,000. What is the additional life-insurance need?

A. 250,000

B. 330,000

C. 450,000

D. 700,000

Correct Answer: C. 450,000

Question 3

A property is valued at 500,000 and has an 80% insurance requirement. It is insured for 300,000. For a covered loss of 120,000 and a deductible of 5,000, what is the payment under the simplified coinsurance formula in the chapter?

A. 85,000

B. 90,000

C. 115,000

D. 120,000

Correct Answer: A. 85,000

Question 4

Which statement best expresses the principle of indemnity?

A. The insured should profit whenever insured property is damaged.

B. Every policy must pay replacement cost without a limit.

C. The insured is restored financially after a covered loss, subject to policy terms.

D. The insurer must reimburse every economic and emotional loss.

Correct Answer: C. The insured is restored financially after a covered loss, subject to policy terms.

Question 5

In disability-income insurance, what is the elimination period?

A. The period before benefits begin after a qualifying disability

B. The period during which all exclusions are permanently removed

C. The maximum period for which benefits are payable

D. The period in which premiums are refunded after a claim

Correct Answer: A. The period before benefits begin after a qualifying disability

Question 6

Which product most directly pools the risk that a retiree will live substantially longer than expected?

A. Term life insurance

B. Immediate life annuity

C. Motor liability insurance

D. Travel cancellation insurance

Correct Answer: B. Immediate life annuity

Question 7

Which feature primarily determines whether a health insurer has contractual arrangements with particular doctors and hospitals?

A. Provider network

B. Life-insurance beneficiary

C. Property sum insured

D. Motor collision deductible

Correct Answer: A. Provider network

Question 8

Which motor coverage principally protects against a covered legal obligation for injury caused to another road user?

A. Own-damage collision coverage

B. Roadside assistance

C. Third-party liability coverage

D. Vehicle replacement coverage

Correct Answer: C. Third-party liability coverage

Question 9

Which is a first-party benefit commonly offered by personal cyber insurance?

A. Repairing another driver's vehicle after a collision

B. Identity-restoration expenses after a covered cyber incident

C. Replacing a roof damaged by ordinary wear

D. Paying routine medical check-up costs

Correct Answer: B. Identity-restoration expenses after a covered cyber incident

Question 10

A client has essential monthly expenditure of 4,000, reliable net employer disability benefits of 1,700 and sustainable investment income of 500. Using D = max(0, E − B − R), what is the monthly disability benefit gap?

A. 1,200

B. 1,700

C. 1,800

D. 2,300

Correct Answer: C. 1,800

Wealth Management & Financial Planning
Chapter 7 of 15