CFP Exam · 5 min read 2026 Blueprint Verified

CFP Risk Management & Insurance Planning Cheat Sheet (2026): Coinsurance, Life, Health & LTC Rules

Rob Pfleghardt

10-year Price Waterhouse alumnus · Founder of VoraPrep · Former CPA (1987–2024) · with the VoraPrep Editorial Team

Fact-Checked Against Primary Authorities: CFP Board Principal Knowledge Topics ↗
CFP Risk Management & Insurance Planning Cheat Sheet (2026): Coinsurance, Life, Health & LTC Rules
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Key Takeaways

  • Per VoraPrep, memorize the Coinsurance Formula cold: Reimbursement = [(Insurance Carried ÷ (Coinsurance % × Replacement Cost)) × Loss] − Deductible, capped at the actual loss minus deductible or the policy face limit.
  • On HO-3 (Special Form) policies, Coverage A (Dwelling) and Coverage B (Other Structures) are covered on an open-perils (all-risk) basis (replacement cost if ≥80% coinsurance), while Coverage C (Personal Property) is covered on a named-perils basis at Actual Cash Value (ACV) unless endorsed (HO-5 covers both Dwelling and Personal Property on an open-perils basis).
  • Under IRC §101(a)(2) Transfer-for-Value Rule, selling a life insurance policy for valuable consideration makes the death benefit taxable as ordinary income above basis + subsequent premiums, EXCEPT for transfers to the insured, a partner of the insured, a partnership in which the insured is a partner, or a corporation in which the insured is a shareholder or officer (co-shareholders do NOT qualify!).
  • A life insurance policy that fails the 7-Pay Test becomes a Modified Endowment Contract (MEC) under IRC §7702A: death benefits remain income-tax-free, but lifetime distributions (including policy loans and collateral assignments) are taxed LIFO (gain first as ordinary income) plus a 10% penalty before age 59½.

Risk Management and Insurance Planning accounts for 11% of the CFP® Certification Examination (~19 questions) and is one of the highest-ROI domains because the questions follow strict mathematical and statutory rules.

Quick answer

Per VoraPrep's CFP analysis, mastering CFP Risk Management & Insurance Planning requires knowing five core frameworks: the Property Coinsurance Reimbursement Formula ((Did Buy / Should Have Bought) × Loss − Deductible), Homeowners Forms (HO-2, HO-3, HO-5, HO-4, HO-6) & Section I vs. II coverages, Disability Income Taxation (Employer-paid = taxable benefits; Employee after-tax = tax-free benefits), Life Insurance Taxation (IRC §101 transfer-for-value exceptions & §7702A MEC LIFO rules), and Medicare Parts A, B, C, D + Medigap & HSA rules. Drill all 8 CFP domains with VoraPrep's 6,915+ CFP Board-style questions.

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Key facts

Official Governing Authority
CFP Board (Certified Financial Planner Board of Standards) & Prometric
Domain Weight
11% of the 170-question CFP Exam (~19 questions)
Key Statutory Rules
IRC §72 (Annuities), §79 (Group Term Life $50k), §101 (Life Death Benefits), §105/§106 (Health/Disability), §223 (HSAs), §7702A (Modified Endowment Contracts)
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1. CFP Property & Liability Insurance Formulas & Limits

Rule / CoverageFormula / SublimitCFP Exam Trap
Coinsurance Formula[(Did Buy ÷ (80% × Replacement Cost)) × Loss] − DeductibleSubtract the deductible after applying the coinsurance ratio, never before!
Actual Cash Value (ACV)Replacement Cost − Accumulated DepreciationStandard HO-3 Coverage C (Personal Property) pays ACV unless the Replacement Cost endorsement is added
HO-3 Standard Coverage RatiosCov A: Dwelling ($X). Cov B (Other Structures): 10% of A. Cov C (Personal Property): 50% of A (10% away from premises). Cov D (Loss of Use): 20% of A.Flood and Earthquake are always excluded on HO-3/HO-5 and require separate NFIP ($250k dwelling / $100k contents max) or earthquake policies
HO-3 Peril Sublimits (Theft/Special)$200 cash/coins; $1,500 jewelry/watches/furs (theft), securities, watercraft, trailers; $2,500 firearms/silverware (theft) and business property on premisesHigh-value engagement rings or art should be scheduled on a Personal Articles Floater (Inland Marine) (open perils, $0 deductible, worldwide)
Personal Umbrella PolicyExcess liability ($1M–$5M+) + drop-down coverage subject to a Self-Insured Retention (SIR)Requires underlying auto (e.g., 250/500/100) and homeowners ($300k Cov E) limits to be maintained; failing to maintain underlying limits leaves a coverage gap paid by the insured

2. Life, Disability, Health & Long-Term Care Taxation Matrix

Policy TypePremium Deductible?Benefits Taxable?Key CFP Board Rule
Group Term Life (IRC §79)Employer deductsFirst $50,000 coverage is tax-free to employee; Table I cost for coverage >$50,000 is taxable W-2 incomeDeath benefit is still 100% income-tax-free to the beneficiary; discriminatory plans lose the $50k exclusion for Key Employees
Individual Disability (Own-Occupation vs. Any-Occupation)Employee after-tax: Not deductible. Employer-paid: Deductible by employerEmployee after-tax: 100% Tax-Free benefits. Employer-paid: 100% Taxable benefitsIf premiums are split 50/50 with after-tax employee dollars and employer dollars, 50% of the benefit is tax-free
Health Savings Account (HSA — IRC §223)Triple Tax-Advantaged: Above-the-line deduction, tax-free growth, tax-free qualified medical withdrawalsNon-medical withdrawals before age 65 face ordinary income tax + 20% penalty; at age 65+, the 20% penalty disappears (taxed like a Traditional IRA)Enrolling in Medicare Part A (including 6-month retroactive Part A lookback at age 65+) terminates HSA contribution eligibility
Qualified Long-Term Care (LTC)Deductible as itemized medical expense (subject to age-based limits and 7.5% AGI floor); C-Corp deducts 100%Tax-free up to the greater of actual LTC costs or the per-diem capTriggers: Inability to perform ≥2 of 6 ADLs (Bathing, Continence, Dressing, Eating, Toileting, Transferring) for 90+ days OR severe cognitive impairment
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CFP Domain 1: Professional Conduct and Regulation

Under the CFP Board Code of Ethics and Standards of Conduct (Standard A.1: Fiduciary Duty), when is a CFP® professional required to act as a fiduciary?

Frequently Asked Questions

How is the coinsurance formula tested on the CFP exam?

The CFP Board tests whether you apply the coinsurance ratio before subtracting the deductible. First calculate Should Have Bought = 80% × Replacement Cost. If Did Buy < Should Have Bought, multiply (Did Buy ÷ Should Have Bought) × Loss, and then subtract the deductible. Never pay more than the policy face limit. VoraPrep's CFP question bank includes 150+ step-by-step coinsurance and homeowners calculation questions.

Which transfers are exempt from the Life Insurance Transfer-for-Value rule?

Under IRC §101(a)(2), transferring a life insurance policy for valuable consideration does NOT trigger income tax on the death benefit if transferred to: (1) the insured, (2) a partner of the insured, (3) a partnership in which the insured is a partner, (4) a corporation in which the insured is a shareholder or officer, or (5) a carryover-basis transfer (such as a gift or divorce transfer under IRC §1041). Transferring a policy to a co-shareholder in a cross-purchase buy-sell agreement violates the rule and makes the death benefit taxable! VoraPrep's CFP Risk & Estate lessons highlight this exact trap.

What happens when a client enrolls in Medicare while contributing to an HSA?

Once a client enrolls in any part of Medicare (even premium-free Part A), their HSA contribution limit drops to $0 starting the month Medicare coverage begins. Because applying for Medicare Part A or Social Security after age 65 triggers up to 6 months of retroactive Part A coverage (not prior to age 65), clients must prorate or stop HSA contributions 6 months before applying. VoraPrep's CFP curriculum covers Medicare + HSA coordination across both Risk and Retirement modules.
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About the Author: Rob Pfleghardt

Rob Pfleghardt is the founder of VoraPrep, a comprehensive exam prep platform across 30 professional licensure and certification exams in Accounting & Tax (CPA, EA, CMA, CFE, CPP, CGFM), Securities & Wealth (CFP, SIE, FINRA Series, CFA, FRM), Audit & Cyber (CISA, CIA, CRISC, CISM, CISSP, CCSP, Security+, CIPP/US), HR Leadership (SHRM-CP, PHR), and Federal Regulatory (CBLE). A Virginia Tech graduate in Accounting and Finance, Rob began his career at Price Waterhouse, spending a decade in audit and IT consulting. After holding a CPA license for 37 years (1987–2024) and scaling his own enterprise IT consultancy serving commercial and federal clients, Rob launched VoraPrep to build adaptive training technology and blueprint-aligned curriculum for working professionals.

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