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Introduction to Personal Finance: Risk Management and Insurance

Introduction to Personal Finance

  • Human Capital and Health
    • Human capital: Ability to work, learn, and make financial decisions.
    • Valuable asset, but vulnerable to health deterioration.

The Risk Matrix and Health

  • Risk Severity vs. Probability Matrix
    • High Risk: Avoid if possible (e.g., don’t text while driving)
    • Medium Risk: Manage risk (e.g., wearing a helmet while biking)
    • Low Risk: Accept or monitor (e.g., getting caught in the rain)

Protecting Your Health

  • Effective health policies can help mitigate risks and promote well-being.

Overview of Insurance Companies

  • Transfer Risk: Insurance moves financial risk to providers.
    • Charges:
    • Premium: Cost of insurance.
    • Deductible: Amount paid before coverage begins.
    • Copayment: Cost-sharing for services.

How Insurance Companies Operate

  • Minimize Risks: Provide protection when likelihood of claims is low.
  • Spread Risk: Pool premiums from multiple clients to manage potential losses.
  • Premium Adjustments: Increase premiums as risk severity or frequency rises.

Insurance Companies' Profit Model

  • Premium Collection: Clients pay insurance premiums.
  • Investment Strategy: Pool funds and invest to generate returns.
  • Claim Payments: Utilize investment earnings to cover claims.

Overview of Health Care

  • Health Insurance as a Tool: Essential for managing healthcare costs, crucial for households.

Healthcare Expenses

  • Major expenditures include:
    • Hospital Stays
    • Emergency Visits
    • Doctor Visits
    • Prescription Drugs

Health Insurance Costs

  • Monthly Premium: Cost for health coverage.
  • Deductibles: Amount paid before insurance steps in.
  • Coinsurance: Cost-sharing between insurer and insured.
  • Copayment: Fixed fee for services (e.g., $20-$30).

Out-of-Pocket Maximum

  • Capped expenses for deductibles and coinsurance limit financial risk; above cap cost is borne by insurance.

Types of Health Insurance Policies

  • Preferred Provider Organization (PPO):
    • Flexible fee-for-service insurance.
    • Reduced costs for using in-network services.

Consumer Driven Plan

  • High Deductible Health Plan (HDHP):
    • Lower premiums, higher up-front costs.
    • Deductibles: $1,600 (individual), $3,200 (family) for 2024.
    • Maximum out-of-pocket: $8,050 (individual), $16,100 (family) for 2024.

Obtaining Health Insurance

  • Marketplace Plans:
    • Platinum: High premium, low out-of-pocket.
    • Gold & Silver: Mid-range options.
    • Bronze: Low premium, high out-of-pocket.
    • Catastrophic: High deductibles, low premiums for those under 30.

Health Savings Accounts (HSAs)

  • Tax-advantaged accounts for eligible medical expenses.
  • Funds can grow tax-deferred.

Flexible Spending Accounts (FSAs)

  • Pre-tax contributions for healthcare expenses must be used within the year.
  • Eligible expenses include:
    • Medical and dental for self, spouse, dependents.
    • Prescription costs, eyeglasses, and certain medical equipment.

Overview of Disability

  • Definition by Social Security Administration:
    • Inability to work for over a year due to medical condition.
    • Prior job skills cannot be adjusted.

The Costs of Disability

  • Financial implications of disability:
    • Less than 40% can cover bills without income.
    • Under 50% have disability insurance.

Disability Insurance

  • Short-Term Policy: Replaces salary for limited duration (3-12 months).
  • Long-Term Policy: Kicks in after extended period (6-12 months).
  • Need Calculation:
    • 65% of gross income, halved for short-term needs.

Workers’ Compensation Insurance

  • Provides benefits for job-related injuries.
  • Covers injuries during job functions, unlike general disability insurance.

Overview of Automobile Insurance

  • Personal Automobile Policy (PAP): Covers accidents and damages.
  • Responsibilities include:
    • Medical and property damage costs for others.
    • Vehicle repair costs if beyond liability coverage.

Split Limit Requirements

  • States like Missouri require specific minimum liability limits (e.g., 25/50/10).
    • Medical expenses for others ($25,000)
    • Total medical for accident ($50,000)
    • Property damage coverage ($10,000)

Homeowner’s Insurance

  • Six components:
    • Coverage for dwelling, structures, personal property.
    • Liability and medical payments for injuries on property.