Securely Insured, Part 2

Table of Contents

 

Chapter 9:  FEMA’s Flood Requirements

     Course Material

     Acronyms Agents Need to Know

     NFIP Background

     Federal Emergency Management Agency (FEMA)

     Community Participation

     Emergency Program

     Regular Program/ Community Rating System

     Building Eligibility/ Coastal Barrier Resources System and Other Protected Areas

     CBRS areas

     OPAs

     Who Needs Flood Insurance?

          Mandatory Purchase of Flood Insurance in High Flood Risk Zones

          Recommended in Moderate and Low Flood Risk Zones

     Why Flood Insurance is Better than Disaster Assistance

     Flood Maps and Zone Determinations/ Flood Hazard Boundary Map (FHBM)

          The “100-Year Flood”

178

178

179

180

182

183

184

185

186

187

188

188

189

189

190

190

190

     Flood Insurance Rate Map (FIRM)

191

     Pre-FIRM/ Post-FIRM Defined

191

     Risk Modeling/ Geographical and Structural Variables

197

     Premium Subsidies and Cross-Subsidies/ Special Flood Hazard Area Defined

198

     Base Flood Elevation (BFE)

198

     Zone Determination

199

     Policies and Products Available

200

     Dwelling Policy/ General Property Policy- Types of Building Covered

200

     Residential Condominium Building Association Policy/ Preferred Risk Policy

201

          Basement/County Wide Firm/ Elevated Building/First Floor Height/Flood

202

          Freeboard/ Mixed-Use Building/Wave Height Adjustment

202

     Damages Not Covered/ Property Covered

203

          Loss Avoidance Measures

205

          Debris Removal/ Improvements and Betterments

206

     Property Not Covered

206

     Increased Cost of Compliance Coverage (ICC)

208

          Substantially Damaged/ Repetitively Damaged

208

     General Rules

209

     Statutory Coverage Limits

210

     Deductibles

211

     Property Value Determination for Selecting Coverage Amounts

213

     Loss Settlement

214

          Actual Cash Value/ Replacement Cost Value (RCV)

214

          Co-insurance Penalty in RCBAP

215

     Reduction and Reformation of Coverage

215

     Waiting Period/Effective Date of Policy

215

     Policy Term/ Cancellations

216

     Rating

217

     Types of Buildings

221

     Elevated Buildings/ Building with Basements

223

     When to Use an Elevation Certificate

223

     Grandfathering

224

     Claims Handling Process

225

     Helping Your Client File a Claim

225

     Appeals Process

227

     Claims Handbook

229

     Requirements of the Flood Insurance Reform Act of 2004

229

          Flood Insurance Reform Act of 2004/ Mitigating Repetitive Loss Properties

229

          Educating Policyholders

231

          Write You Own Companies and the NFIP Work Together

232

     National Flood Insurance Reform Act of 1994

233

     Flood Disaster Protections Act of 1973/ National Flood Insurance Act of 1968

233

     National Flood Insurance Reform Act of 1994/ Flood Insurance Reform Act of 2004

234

     The Biggert-Waters Flood Insurance Reform Act of 2012

234

     The Consolidated Appropriations Act of 2014

234

     Homeowner Flood Insurance Affordability Act of 2014

234

     Agent Resources

235

     FEMA and Related Websites

235

 

 

Chapter 10:  Employer Sponsored Insurance Benefits

     Funeral Benefits / Dental Insurance

236

236

     Disability Income Benefits / Life Insurance/ Medical Insurance

237

     Characteristics of Group Insurance

239

     Group Plan Incentives

242

     History of Group Health Insurance

243

     Self-Insured Plans

245

     Specific Eligible Groups

246

     Types of Medical Plans

248

     Health Maintenance Organizations (HMO)

250

     Model Group Life Insurance

252

     Group Contract Termination

258

     Pension Plans

259

     The Insurance Consultant

263

     Flexible Spending Accounts (FSA)

263

     After Retirement

264

     Income and Longevity Concerns

266

 

 

Chapter 11:  Unfair Trade Practices

270

     Purpose / Legislative History

270

     Insurance Activities Other than Sales

273

     Financial Activities Other than Insurance / Nondiscrimination

274

     Limitation / Definitions

275

     United States v Southeastern Underwriters Association

276

     Developing Legislation

278

     Gramm-Leach Bliley Act: Key Points

279

     Is It Still Relevant?

281

     Section 4. Unfair Trade Practices Defined

285

     Section 5. Favored Agent or Insurer, Coercion of Debtor

305

     Section 7. Defined and Undefined Practices

306

     Section 8. Cease-and-Desist and Penalty Orders

307

     Section 9. Judicial Review of Orders

308

     Section 11. Penalty for Violation of Cease-and-Desist Orders

308

     Section 12. Regulations

308

     Unfair Travel Discrimination

308

     Favored Agent or Insurer

315

 

 

Chapter 12:  Insurance Ethics

316

     Ethics Defined / Ethic Subject Matter for Continuing Education

316

     Meeting Education Requirements in a Timely Manner

317

     The Doctrine of Utmost Good Faith / Breach of Utmost Good Faith / Duty of Disclosure

319

     Representations and Warranty / Representations / Warranty

320

     Action Taken by Insurer against a Breach/Principle of Waiver and Estoppel/Guaranty Associations

321

     Knowledge of the Product

327

     Ethics from an Agent’s Standpoint: Introducing Harry Bobs

328

     It is a Matter of Perspective

329

     Temptation / Lack of Understanding / Optimism

330

     Establishing Ethical Goals

331

     Why Be Ethical?

334

     Following the Laws / Ethics in the Workplace

335

     The Same by Any Name (Values and Morality)

336

     Putting the Past into the Future

337

     Personal Values

338

     Companies Set Guidelines

340

     Promoting Ethical Behavior

345

     Is It Possible to Teach Ethical Behavior to Others?

348

     What Is the Scope of Ethics?

348

     What Does it Take to be a Moral Person?

349

     What Quality of Work do you Want to Perform?

350

     What Do I Want my Legacy to be?

350

     Leaders of the Pack

351

          Example #1

351

          Example #2

352

     What are our responsibilities to other moral persons?

352

     Objectivist Ethics

354

     Holding on to our Ethical Code

355

     Looking the Part

360

     Courtesy / Mores

361

     Mores are established patterns of action to which an individual is expected to conform.

362

     Education

365

     Product Knowledge

366

     Laying Out Policy Benefits and Limitations

368

          Minimizing misunderstandings

368

     Policy Replacement

370

     Why Agents Replace Their Own Business

371

     When Agents Allow Misconceptions

371

     When the Client Thinks the Premiums are Too High /

372

     Obtaining Proper Application Signatures/ Keeping in Touch after the Sale

373

     Selling “Fast Buck” Items

374

     Commingling Funds/ The Professional

375

     Preparing for Tomorrow/ Financial Management

376

     Due Diligence

377

     If It’s Legal . . .

385

     End of Course

388

 

United Insurance Educators, Inc.

PO Box 1030

Eatonville, WA 98328

(253) 846-1155