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HACE 2100: Exam # 3
Solvency Ratio (from balance sheet) |
-Shows how much of a decline in the market value of their assets a family can have before becoming insolvent (insolvent = bankruptcy)
-Solvency Ratio = Net Worth/Total Assets
-The higher your net worth, the stronger the family's financial position.
-Desirable Solvency Ratio > .50 |
Liquidity Ratio (from balance sheet and income and expense statement) |
-Shows how much of your one-year liabilities that you could pay with your liquid assets.
-Liquidity Ratio: Liquid Assets/Total Current Debt
-The higher, the better
-Desirable liquidity ratio >.5
-Where are the total liquid assets from?
*Balance Sheet
-Where are the current debts from?
*Short-term (current liabilities from balance sheet) and loan payments due within one year (from income and expense account) |
Savings Ratio (from income and expense statement) |
-Shows the family's level of preparation for the future
-Cash surplus (or amount saved)/annual net (after-tax income)
-The higher, the better - the more you save, the better prepared you are for the future.
-Desirable savings ratio >.05 |
Debt Service Ratio (from income and expense statement) |
-Shows the burden that the family's debt is relative to their income (their ability to repay that debt)
-Monthly Loan Payments/Monthly Gross Income = Debt Service Ratio
-The lower, the better - the lower amount of monthly loan payments you need to make, the better off financially you will be.
-Desirable debt ratio <.35
-Calculate monthly gross income = Unearned + earned income, then divide by 12
-Calculate Monthly Loan Obligations = (mortgage payments, installment loan, personal loan and revolving credit) then divide by 12 |
Modes of Paying for Health Care (historical progression) |
-Out-of-the-Pocket Payments (most common in the first half of the 20th century)
*Paid physicians and other health care providers in cash or through barter
-Individual Private Insurance
*A third party, the insurer, is added to the picture
*Requires two transactions, a premium payment from individual to an insurance plan AND a reimbursement payment from the insurance plan to the provider
-Employment-Based Private Insurance
*During World War II, with the labor shortage, companies competing for workers began to offer health insurance as a fringe benefit
*After the war, unions picked up on this trend
*Government viewed as a tax-deductible business expense and employer portion is not taxable income to the employee
-Government Financing |
Factors Related to the Rise of Healthcare |
-Increase in cost of technology used
*Equipment, test procedures, drugs and treatments
-High cost of treating illeness such as AIDS and cancer
-Aging population
*Medicare
-Fraud by some providers
-Administrative cost of complying with government regulations
-Large number and high cost of malpractice suits
-Practice of defensive testing (unnecessary tests)
|
When Do You Make the Healthcare Decision? |
-When hired
-During open enrollment
*For example: October 24-November 18 for UGA employees |
Types of Plans |
-Private health plans
*Indemnity: fee for service plans; fairly applicable for wherever you go
*Managed care plans (restricted doctors); HMO health maintenance organizations, PPO participating provider organization, HDHP high deductible health plan
-Government health insurance plans |
Network |
-In means "accepts plan"
-Out means "doesn't accept plan" |
Premium |
-Periodic payment made on insurance policy
-You pay it whether you use your insurance or not
-Amount you and/or your employer pays
*Differs depending on individual/family coverage
*Does not include co-pay or deductible |
Deductible |
-The initial amount NOT covered by an insurance policy
-The insured customer's responsibility
-You must meet your deductible before you plan begins to pay benefits
*Usually determined by calendar year
*Some plans determined per illness or per accident |
Participation (Co-Insurance) |
-After you pay the deductible amount, the amount that insurance company will pay of your expenses
*EX: You pay your $500 deductible, and then pay $250 over. You pay 10% of the $250 and insurance pays 90%.
-Stop loss prevention
*"Cap" on the amount you will pay
*EX: If your $1 million medical bill is insured, you would have to pay $100,000. But if you have paid your deductible your co-insurance will not exceed a certain amount, such as $2000 dollars. |
Co-Payment |
-A fixed amount that you pay for certain services, at each payment
-EX: You pay $25 each time you visit the doctor |
Indemnity (fee for service) Plan |
-Insurer different from the health care provider
-Insurer pays the provider or reimburses the insured for a specified percentage of expenses after deductible is met
*Typically the insurer pays 80%
*Amount insurer pays based on "usual, customary and reasonable"; if your doctor charges more than the UCR, you may be responsible for the full amount in excess of UCR.
-Plan of the past
*Not purchased by many because it does not cut costs by much.
*Most flexible but worst in expenses |
Health Maintenance Organization (HMO) |
-Restrictive
-Inflexible
-Low co-payments
-No annual deductible
-Low premium |
General Description of Health Maintenance Organization (HMO) |
-Restrictive/inflexible
-No annual deductible
-Low co-payments
-Low premium |
General Description of Preferred Provider Option (PPO) |
-Use of services of particular physicians and hospitals that agree to specific, set schedule of fees
-Deductible
-Co-payments/co-insurance
-Network for physicians/facilities/ancillary providers
-In-network vs. Out-of-network payments
-Follow the rules to get most for your money; avoid balance billing |
High Deductible Health Plan (HDHP)/Health Savings Account (HSA) PPO |
-A "high deductible" health care plan must have a deductible of at least $1000 for individual and $2000 for family
-Assumes you'll open a Health Savings Account
*A tax-deferred personal savings account
-Must satisfy entire deductible before insurer pays for services subject to the deductible
-90/10 or 80/20 in network
-70/30 or 60/40 out of network |
Healthcare and Education Affordability Reconciliation Act of 2010: Goals |
-Cover >94% of all Americans
-Bars insurance companies from discriminating based on pre-existing conditions, health status and gender
-Creation of health insurance exchanges
-Tax credits and cost sharing for insured from lower and middle income households |
Healthcare and Education Affordability Reconciliation Act of 2010: Implementation |
-Immediate access to insurance for the uninsured with pre-existing condition through the "high risk" pool
-Small business that buy health insurance for employees can claim up to 35% in tax credit
*25% for small non profits
-Eliminates life time limits on health insurance plans
-Establishment of health insurance exchanges
*Standardized health insurance packages
*Tax credits for individual purchase
*Choice through multi-state plan and nation-wide health plans
-Penalty for being uninsured $95 (rising to maximum of $2250 per family by 2016) |
Is Coverage Mandatory? |
-Certain religious groups can opt out
-Many states are filing lawsuits claiming mandatory coverage to be unconstitutional
-No provision for reduction of insurance premiums or healthcare costs |
Calculations |
-Premium Cost for 1 year: Monthly Premium x 12
-How much of the deductible was paid for the year:
*Total medical costs < deductible amount, all of the medical costs go towards paying the deductible
*If more than the deductible amount, deductible was met.
-How much of co-pay or co-insurance was paid for the year (if applicable):
*If deductible was not met, than this amount would be zero.
*If deductible was met, you need to figure out how many doctors visits happened and/or costs of the visits that happened after the deductible was met. |
Re-evaluating the Housing Decision |
-Family factors: The typical family owns 3 dwellings in its lifetime
*Starter Home: low cost, small
*Full-nest Home: high cost, more space
*Empty-nest: smaller, low upkeep
-Macroeconomic Factors
*Wide range of financing options
*Economic conditions |
Three Characteristics to Consider When Financing A Home |
-Mortgage Loan Principal
-Maturity of term of the loan
-Interest rate |
Increasingly Important Characteristics |
-Whether interest rate and/or monthly payment changes over the life of the loan, and if it can:
*How often can it change?
*How much can it change? |
Types of Mortgages |
Fixed Rate Mortgage
-As the years continue, your income increases and your fixed mortgage rate stays the same. Therefore, as years continue your mortgage as a percent of your income decreases.
-Advantages:
*Stable payment
*Long-term tax advantages
*Shield from future interest rate increases
-Disadvantages
*Interest rate is higher
*Monthly payment is higher
*No benefits if the market interest rates decrease
*Limited availability during some periods |
Adjustable Rate Mortgage (ARM) |
-What is an ARM? A mortgage on which the rate of interest, and therefore the size of the monthly payment, is adjusted based on market interest rate movements.
-Interest Rate on ARMS
*The interest rate on an ARM is made up of two parts:
*Index - Measure of baseline interest rate. Rates on 1-year constant maturity Treasury securities (CMT). Cost of Funds Index (COFI). London Interbank Offered Rate (LIBOR)
*Margin - extra amount that lenders add
*Index + Margin = ARM interest rate |
What is Adjustment Period? |
-Frequency of Rate Change
*Tells you how often the interest rate CAN change.
*Can be as often as every 3 months or between 3-5 months. |
What are Interest Rate Caps? |
-Rate cap (x/y)
*Periodic Cap (x): In a given interval (time period) the interest rate can only change by x% points
*Overall or Lifetime Cap (y): Maximum the interest rate can ever change (up or down). Adding y% will be the highest rate the ARM could ever have. Subtracting y% will be the lowest interest rate the ARM could ever have.
EX of Rate Cap:
*2 = maximum increase/decrease in rate each time it changes
*5 = maximum increase/decrease in life time of the ARM |
Example of an ARM |
1 year adjustable - 5.5% 2/6; $100,000 mortgage
*Interval = 1 year
*Interest rate starts at 5.5% (for year 1)
What is the most the interest rate could be in year 2?
-Increases max - periodic (7.5%)
What is the lowest the interest rate could be in year 2?
-Decreases max - periodic (3.5%)
What is the highest the interest rate could go to over the life of the loan?
-Max increase - lifetime = 11.5% |
ARMS: Beware of the Possibility of Negative Amortization |
-Amortization: Repaying debt gradually through payments of principal and and interest. A sophisticated word for "repaying your debt".
-Negative Amortization: An increase in your loan balance when the monthly loan payments are lower than the amount of monthly interest changed.
EX: Suppose you borrowed $100,000 at 6% and the monthly payment is $600
-$500 is interest and $100 is principal
-Next month your loan balance is $90,900; consider the following possibilities:
*If you pay the $600, then fully amortizing payment.
*f you pay the $500, then partially amortizing payment
*If you pay $400, then interest added to the principal, so amount of loan balance is $100,100 - this is called Negative Amortization. |
Adjustable Mortgage Rate (ARM) Advantages |
-Initial interest rate and monthly payment lower
*Length of time that you would own the home
-Some long-term tax advantages
-More available during certain periods
-Caps reduce uncertainty
-When interest rates are high and you expect the rates to drop, ARM avoids the cost of refinancing to get lower rate |
Adjustable Mortgage Rate (ARM) Disadvantages |
-Uncertainty
-Negative amortization
-May be a higher total cost than having a fixed mortgage rate, if rates increase |