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Income protection need

Also written Income protection needs · Protection of income need

The insurance need that arises when a sudden, unplanned bill would otherwise be met out of income — the category the workbook fills with health insurance and motor insurance.

In plain language

An adviser cannot pick a policy until the need is named. The workbook sorts every insurance need into three boxes. This is the second of them.

The income protection need is about a bill, not a lost salary. The earner is alive and still earning. Something has gone wrong that costs money. A hospital stay. A car smashed in an accident. Months of physiotherapy.

Without cover, that bill is paid out of income. Goals get pushed back or dropped. The workbook puts it simply: the charge on income is unplanned and unexpected, and it upsets the household finances.

Insurance takes the bill instead. The workbook names two products for this box: health insurance and motor insurance.

Compare the other two boxes. An income replacement need covers the earning power itself. An asset protection need covers the thing you own.

How it works

Section 1.7.1(a) defines the category in one line and names its products. It attaches no figure to the categorisation itself, and none should be invented for it.

The figures that matter come one section earlier, in the chapter's Concepts in Insurance, because they decide how much of the unexpected charge actually lands on income anyway:

Feature (section 1.4)What it doesThe workbook's own figure
Co-payA share of the settled claim the insured always bears15% of a Rs 2,00,000 claim leaves Rs 30,000 with the insured and Rs 1,70,000 with the insurer
DeductibleAn amount the insured pays before the claim becomes admissibleCompulsory Rs 1,000 in Indian motor insurance for cars up to 1600 CC
Compulsory health deductibleFixed by the insurer, or a percentage of sum insuredA Rs 30,000 deductible on an Rs 80,000 hospital bill leaves Rs 50,000 with the insurer

So an income protection product does not remove the charge on income. It caps it. Higher co-pay and higher deductible both mean lower premium and more of the bill left with the household.

Section 1.5 is where the need is illustrated rather than defined. The workbook lists Sindhu, whose car needs a large sum for repairs, and Mohit, who spends a large sum each month on physiotherapy for arthritis. In both cases income is intact and a charge has landed on it. That is the whole shape of the category.

A worked example

Mrs Iyer, 44, earns Rs 14,00,000 a year in Bengaluru and saves Rs 3,60,000 of it towards her daughter's education. She holds a family floater health policy with a 20% co-pay and no deductible.

Her husband is hospitalised and the settled claim is Rs 6,00,000.

LineAmount
Settled claimRs 6,00,000
Co-pay at 20%Rs 1,20,000 borne by Mrs Iyer
Paid by insurerRs 4,80,000

Without any policy the whole Rs 6,00,000 would have come out of income and savings. That is 167% of a full year's planned saving — the education goal would have gone backwards by nearly two years.

With the policy the charge on income is Rs 1,20,000, about four months of saving. The goal slips, but survives. That difference is the income protection need being met.

Now change one term. Had she chosen a zero co-pay policy at a higher premium, the charge on income would have been nil. Had she chosen a Rs 1,00,000 voluntary deductible for a cheaper premium, she would have borne the deductible first and then the co-pay on the balance. The need is the same in all three cases; only the share of the bill she keeps changes.

Why NISM asks about it

Chapter 1 (Basics of Insurance), section 1.7.1(a) — Identify insurance need — names income replacement needs, income protection needs and asset protection needs as the three categories an adviser sorts a client's risks into. Section 1.5 supplies the illustrative cases and section 1.4 supplies the co-pay and deductible mechanics.

Expect a scenario question that describes a risk and asks which of the three categories it belongs to. A hospital bill and a car repair are the workbook's own income protection answers, and a death or a disability is deliberately offered as a distractor.

Common exam traps

  • Income protection is about a charge on income, not a loss of income. Health and motor insurance protect an intact income from a bill. Life and disability cover replace an income that has stopped. Swapping the two is the single commonest error in this section.
  • Health insurance is income protection, but critical illness insurance is income replacement. Both are health-related products and they sit in different boxes, because a critical illness policy pays for lost earning ability rather than for treatment bills.
  • The category names the need, not the product. A product can be bought for the wrong need, and the workbook warns that buying insurance that is not required is a wasteful use of income.
  • Section 1.7.1 gives no rupee figure for this need. The co-pay, deductible and sum insured figures belong to section 1.4 and to the individual policy, not to the categorisation.
  • A higher deductible or co-pay is not a defect. It buys a lower premium. What it does is shift part of the unexpected charge back onto income, which is precisely what the need was about.

Check yourself

  1. 1.The workbook classifies insurance needs into three broad categories. Under which category does it place health insurance and motor insurance?

    1. a)Income replacement needs, because they replace the earning ability of an asset
    2. b)Asset protection needs, because they protect assets from theft or destruction
    3. c)Income protection needs, because they take over large, unplanned expenses and so protect the available income from an unexpected charge
    4. d)Risk retention needs, because the insured bears a deductible on every claim
    Show the answer

    Answer: (c) Income protection needs, because they take over large, unplanned expenses and so protect the available income from an unexpected charge

    The workbook: "Income protection needs protect the available income from an unexpected charge. Health insurance and motor insurance are examples of insurance products that will take over such expenses if they occur, and thereby protect the income from a large and unplanned outflow."

    Option A is wrong — income replacement needs arise "in the event of risk to the earning ability of an asset, which includes the life of an individual as well as his earning ability". The workbook's examples are "Life insurance, critical illness and accidental disability insurance ... and annuities".

    Option B is wrong — although a car is an asset, the workbook places motor insurance under income protection. Asset protection needs "include the need to protect assets created from theft or destruction. Household insurance is one such product."

    Option D is wrong — risk retention is not a category of insurance need at all. It is the alternative to insurance: the consequences of a loss "can either be borne by the person to whom the benefits accrue (risk retention) or they can be transferred to another (risk transfer)."

    Why this matters: "The type of insurance required depends upon the age and stage in the life of the individual. Insurance implies a cost and buying insurance that is not required is a wasteful use of income."

Where this is taught

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