Ch 11: Review Test Flashcards

Miscellaneous Carriers: Workers' Compensation and Disability Insurance

1
Q

Workers’ compensation get its start in the 1800s in what country?

A

Germany

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2
Q

In workers’ compensation insurance, the premiums are paid by who?

A

The employer

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3
Q

What federal program establishes workers’ compensation for federal and postal workers?

A

FECA

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4
Q

What federal program establishes workers’ compensation for railroad workers engaged in interstate commerce?

A

FELA

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5
Q

An individual responsible for investigating and resolving workers’ complaints against the employer or insurance company that is denying the benefits

A

Ombudsman

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6
Q

What establishes the time limit for filing a workers’ compensation claim?

A

Individual state statues

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7
Q

An injury or illness that is job related typically must be reported to the employer when?

A

Time limits vary from state to state

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8
Q

A patient’s inability to perform normal job duties at the previous level or expertise as a result of being absent from work is called what?

A

Job deconditioning

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9
Q

After the initial attending physician report has been filed, periodic updates must be provide to the employer and insurer; these updates are called ____?

A
  • Progress reports

- Supplemental reports

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10
Q

What type of insurance replaces a portion of earned income when an individual is unable to perform the requirements of his or her job because of a non-job-related injury or illness?

A

Disability Insurance

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11
Q

When determining SSDI eligibility, the government looks at ____ that are accumulated as the individual works and pays into Social Security through FICA payroll taxes

A

Work credits

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12
Q

What is the income limit for the SSI program based on?

A

Federal benefit rate

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13
Q

The maximum amount of benefits that can be received in a specific period of time is called what?

A

A benefit cap

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14
Q

After eliminating all items not considered income and applying all appropriate exclusions to the items that are income, what’s left is referred to as ____?

A

Countable income

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15
Q

What federal act established in 1990, protects the civil rights of individuals with disabilities?

A

Americans with Disabilities Act (ADA)

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16
Q

What is the examining body that determines whether an applicant qualifies for SSDI?

A

Social Security Administration

17
Q

The method of determining whether an individual is eligible for SSI benefits is through a(n) ___?

A

Financial means test

18
Q

Social Security disability benefits so not cover the first ____ of the disability

A

6 months

19
Q

The program whose goal is to increase opportunities and choices for Social Security disability beneficiaries to obtain employment and other support services is ____?

A

Ticket to Work Program

20
Q

The ____ initiates an SSI or SSDI claim by going to the nearest Social Security office in person or by telephoning and arranging for a telephone interview to file the claim

A

Patient