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Insurance is meant to save you from financial
disaster. But its effectiveness depends on the policy choices you've
made. Would your insurance help you in a crisis? Put it to the test in
the following scenarios.
Let’s say you ram your car into something and cause extensive damage to your vehicle. Fortunately you carry collision insurance.
Pass
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About 72 percent of drivers carry collision coverage, according to the Property Casualty Insurers Association of America.
If you crash your car without collision insurance, you must either pay the repairs bills yourself or, if your car is beyond repair, foot the bill for a replacement vehicle.
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But what if you’ve chosen a deductible for collision coverage that you can’t afford to pay?
State Farm, the nation’s largest insurer, says that
customers have been gradually shifting to higher deductibles over the
past few years. That means you pay more upfront costs — or for all
repairs if your deductible exceeds repair costs.
Dan Young, senior vice president of insurance
relations for Carstar, which has about 280 collision-repair centers in
the U.S., has seen increasing numbers of customers who are unable to
afford their insurance deductibles. “Even for accidents reported and
paid for, with insurance checks in hand, the customer can’t afford
their portion of the loss, so it’s not being fixed.”
Young reports that customers who can afford only
partial repairs choose to put their money toward the mechanical fixes
but not the bodywork.
Now let’s say you crash into someone else. If you
cause a car accident that damages someone else’s property or causes
injuries, your liability insurance pays out.
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But if you carry only your state’s minimum for liability coverage,
you could be on the hook for some whopping bills. The injured party can
come after your assets for damage amounts above your insurance limits.
The Insurance Information Institute (III)
recommends liability coverage of 100/300/50 (translating to $100,000
for injury liability for one person, $300,000 for all injuries per
accident and $50,000 for property damage).
But state minimums are far below “recommended”
amounts. Florida minimums are 10/20/10. California minimums are
15/30/5. According to III, in 2007 the average bodily injury liability
claim payment was $12,296.
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Now let’s imagine an uninsured motorist crashes into you, and fortunately you carry uninsured motorist (UM) coverage.
In these economic times, it’s more important than
ever to protect yourself against other drivers who fail to maintain
proper coverage, or any coverage at all.
The Insurance Research Council (IRC) estimates that
one in six drivers will be uninsured by next year. That statistic would
be a ray of sunshine in certain states where the uninsured-driver
population already exceeds that. Florida’s uninsured rate was 23
percent in 2007, and you can bet it’s gone up with the economic
downturn. Higher still are uninsured populations in New Mexico (29
percent), Mississippi (28 percent), Alabama (26 percent) and Oklahoma
(24 percent).
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Let’s say you carry home insurance but not flood insurance — because you don’t live near a body of water and you’ve never seen a flood in your neighborhood.
Water is a common cause of home damage, but home
insurance doesn’t cover flooding. Consider this: The National Flood
Insurance Program (NFIP), which offers flood policies nationwide, says
one-third of all claims it pays are for policies in “low-risk”
communities.
Additionally, NFIP estimates that 2 inches of water in your house would cause $7,800 in damage. Try out NFIP's Cost of Flooding tool for other estimates.
The same goes for earthquakes: Standard home
insurance policies don’t cover earthquakes. For that you need a
separate earthquake policy or an endorsement to your home insurance.
And it’s not just Californians who should be on guard: According to
III, earthquakes have occurred in 39 states in the last 100 years.
How would your health insurance weather a divorce? If you’re on your spouse’s plan, you need to protect your interests.
Say a couple is insured on the husband’s group plan
and files for divorce. While the couple is battling it out in court,
the husband could remove his spouse from his plan without telling her,
creating a nasty surprise when she tries to use her insurance to pay at
the doctor’s office.
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Remember that the spouse being dropped from a group health plan is eligible for COBRA for up to 36 months.
If a divorcing couple is covered together under an
individual health policy, the insurer will terminate the policy and the
couple will then have to enroll separately in new plans.
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Another concern is whose policy should cover the children.
This can be further complicated if one’s plan is an HMO. Most HMOs
operate in regional networks, so if you decide to pack up your child
and move outside the HMO’s service area, coverage for your child will
be limited to emergency care.
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Critical illness stress test
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Even with health insurance, what kind of out-of-pocket expenses would you incur if you were diagnosed with a disease that required extensive treatment and hospitalization?
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With ever-increasing deductibles and co-pays, even
patients with health insurance can be pushed into “medical bankruptcy”
when their share of medical bills starts pouring in.
A February 2009 report by the Kaiser Family
Foundation and the American Cancer Society examined what can happen
when medical bills surpass insurance coverage.
“High out-of-pocket costs coupled with the high
cost of insurance premiums can force cancer patients to incur huge
debt, and to delay or forgo life-saving treatments,” says John R.
Seffrin, national chief executive officer of the American Cancer
Society.
For example, cost-sharing and limits on benefits in some health plans can quickly lead to high out-of-pocket patient costs.
Those who become too sick to work and lose their
jobs — and their workplace health plans — are often unable to afford
COBRA premiums or private insurance on their own.
Unlike car insurance policies, many group health
plans don’t have extensive choices for deductibles and co-pays. And
many workplaces are shifting to high-deductible health plans in order
to shift more costs to workers.
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Life and death stress test
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Fail
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Perhaps you have a family but no life insurance.
And you’re not alone. According to LIMRA
International, an association of life insurance and financial services
companies, one-third of American adults have no life insurance at all.
And those who do have life insurance are more likely to carry it only
through group life insurance at work. And group life insurance doesn’t
go with you if you lose or leave your job.
According to MetLife’s 2009 “Employee Benefits
Trends Study,” 45 percent of those who have life insurance carry
coverage of only two times or less their annual household income.
Use Insure.com’s Life Insurance Needs Estimator Tool to determine a good level of coverage for yourself.
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Stress test your insurance company
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Have you held up a magnifying glass to your insurance company lately? Here are three criteria for evaluating your own insurer.
Strength: Use Insure.com’s Ratings Lookup Tool to find the current financial strength rating of your insurers. Are they rated “A” or above?
Price:
Have you comparison shopped recently, or do you just keep renewing with
the same company year after year? If you haven’t compared rates lately,
you could be getting less value for your insurance dollar.
Complaints:
Check the Web site of your state department of insurance (DOI) to see
if it releases annual consumer complaint ratios. These give you insight
into whether your company gets a disproportionate share of consumer
complaints. Find your state DOI here.
If you’ve pinpointed a rock-bottom insurance rate from a company, make
sure it’s not also at the top of the complaint rankings.
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