personal finance

10.1

worksheets_10.1_10.2_10.3_10.5.xlsx

Worksheet 10.2 - Insurance Inventory List

It is important to have a handy list of all your insurance policy numbers. Complete the table and make multiple copies with one to be filed in your safety deposit box or other secure, off-site location.

Insurance Name

Policy Number

Agent Name

Contact Number

Deductible

Worksheet 10.1 - Insurance Checklist
1) Go to www.Bankrate.com. Use the online calculator to derive the appropriate amount of insurance for you at this time.
2) Fill out the table to identify the appropriate coverage and annual premium payment to be budgeted.
3) Make note of the deductible and plan for savings in the emergency fund to cover the amount.
Insurance Type	Coverage Needed	Premium	Deductible
Auto
Homeowner’s/Renter’s
Riders
Health
Long-Term Care
Disability
Life

Worksheet 10.3 - Auto Insurance Assessment
1. Click here to go to the National Association of Insurance Commissioners website (www.naic.org) to locate your state’s insurance commissioner. At the site, click on your state to find your state's minimum requirement for auto insurance.
2. Record your minimum auto liability insurance: _______/_______/_______
3. Find the declaration page for your automobile. (You may have to contact your parents to find it.) List your coverage below. If you do not have enough insurance, how will you change it?
4. List credits or discounts applied to your policy. Go online and shop for different auto insurance. Find the correct coverage and state which insurance company and policy is best for you
	AUTO 1		AUTO 2		AUTO 3
COVERAGE	LIMIT	PREMIUM	LIMIT	PREMIUM	LIMIT	PREMIUM
A1 Bodily Injury
Each Person
Each Accident
Property Damage Liability
Each Accident
B1 Medical Payments
Uninsured/Underinsured Motorist
Each Person
Each Accident
D Damage to Auto
Other than Collision
Actual Cash Value Less Deductible
Collision
Actual Cash Value Less Deductible
ADDITIONAL COVERAGES	LIMIT	PREMIUM	LIMIT	PREMIUM	LIMIT	PREMIUM
Transportion Expenses
Per Day/ Maximum
Towing and Labor Cost
Each Disablement
OTHER
TOTAL

Worksheet 10.5 - Health Insurance Comparison
The goal of this worksheet is to summarize your options on one sheet to more easily evaluate which plan best suits your needs.
1. Read the list of items in the table below and rank them.
2. Complete the table for three of your healthcare options.
3. Highlight in yellow the lines that are your top 5 criteria.
4. Review the data, then rank the plans on the last line in order of preference.
	Priority	Plan A	Plan B	Plan C
Plan name
Type of plan (HMO, OAP, POS, PPO)
Annual premium amount
Annual deductible amount
Clinic visit copayment amount in network
Urgent care visit copayment amount in network
Emergency room visit copayment amount in network
Hospitalization copayment amount in network
Prescription copayment
Emergency room
Preventive health screenings covered? (Yes/No)
Maximum out-of-pocket amount annually
Out-of-pocket maximum
Does the policy have lifetime limits? (Yes/No)
If so, what are the lifetime $ limits?
My physicians in network?
Primary care provider required before seeing specialist (Yes/No)
Can refer to specialist outside the plan if needed? (Yes/No)
What will it cost?
Dental care (Yes/No)
Vision care (Yes/No)
Mental health (Yes/No)
Chemical dependency (Yes/No)
Covered if become ill away from home (Yes/No)
Covered if traveling abroad? (Yes/No)
Rank