Chapter 10: Riders Flashcards

1
Q

If the insured becomes disabled, the ____ of ____ rider waives premiums after the insured has been disabled for the requisite waiting period, which is usually 3 or 6 months.

A

Waiver of Premium

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2
Q

TF: For Waiver of Premium riders, any premiums paid during the elimination period will be refunded. Insurers typically require that the disability be total and permanent.

A

True

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3
Q

The waiver of premium rider usually falls off at age ____ or ___

A

60 or 65

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4
Q

TF: In order to qualify for the waiver of premium, the insured must be under a physician’s care and be certified as disabled by that physician.

A

True

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5
Q

The ____ _____ ______ rider offered by disability income insurers provides up to one year of disability income coverage, equal to what Social Security would pay, but before Social Security benefits have begun. The AMB usually begins during the Social Security disability waiting period.

A

Additional Monthly Benefit (AMB)

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6
Q

Disability income insurers sometimes offer a ___ ____ ____ rider, also referred to as a Social Security Rider, which is intended to supplement Workers’ Compensation benefits and other social insurance programs.

A

Social Insurance Supplement (SIS)

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7
Q

TF: The SIS pays a benefit equivalent to what Social Security disability would pay, but if Social Security actually begins to pay the insured, the SIS benefit is reduced by the amount of the Social Security benefit.

A

True

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8
Q

The ____ _____ ______ benefit rider pays benefits for the following scenarios:

During the 5-month Social Security disability income waiting period;
If the insured has been denied Social Security disability income benefits; or
If the amount of the Social Security disability income benefit is less than what the SIS rider would pay.

A

Social Insurance Supplement (SIS)

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9
Q

The ____ __ _____ ______ rider automatically increases the insured’s disability income benefits after the insured has been receiving benefits for at least 12 months.
This rider protects the insured from the decline of the dollar value caused by inflation.

A

Cost of Living Adjustment (COLA)

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10
Q

The _____ ______ or future increase option rider is similar to the provision found in life insurance. It allows the insured to buy additional disability income coverage without proving evidence of insurability.

A

guaranteed insurability

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11
Q

The _____ of ____ to ______ provision restricts the insured’s disability income benefit to an amount based on earned income during the previous two years.

A

Relation of Earnings to Insurance

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12
Q

The _____ _____ rider is an optional benefit that waives the elimination period if the insured requires inpatient hospitalization. The rider will pay the insured the total disability benefit while hospitalized during the policy’s elimination period, and ceases once the insured is released from the hospital.

A

Hospital Confinement

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13
Q

The ____ _____ provision prolongs the disability income policy benefit period beyond the age 65 cutoff to the insured’s entire life. The provision usually requires that the insured is totally disabled prior to age 65.

A

Lifetime Benefits

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14
Q

Policies that pay lifetime benefits for sickness usually require that the disability occur prior to the insured reaching the age of ____

A

55

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15
Q

___ ____ ____riders would provide a level face amount with an annually, increasing premium. These disability income policies are similar to term life insurance.

A

Annual Renewable Term (ART)

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16
Q

A disability income policy may include an ___ ___ and _____ rider that covers accidental injury. The rider functions just like a standalone ___ ___ and ____ policy, paying a principal sum for accidental death or loss of vision in both eyes, or loss of two or more limbs, and a capital sum for loss of one hand, one foot, or loss of vision in one eye.

A

AD&D

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17
Q

TF: The loss of use is not payable under AD&D. If the individual does not lose an entire hand, only the loss of the thumb and index finger on the same hand is payable under AD&D.

A

True

18
Q

A _____ ______ provides coverage of job training services to a totally disabled insured, so the insured can resume working at their prior employment or begin a new occupation.

The difference between this and partial disability is this requires a period of total disability and usually provides a benefit for a specified time to transition back to work.

A

Rehabilitation Benefit

19
Q

The _____ ______ benefit, also referred to as the nondisabling injury rider, pays medical expenses caused by an accidental injury that does not cause total disability. This benefit does not pay disability income benefits.

A

medical reimbursement

20
Q

Two types of refund provisions for insureds who minimally utilize their disability income policy benefits?

A

Return of Premium
Cash Surrender Value

21
Q

This type of rider refunds premiums in cases where premium payments far exceed claims paid. The insurer returns premiums after a designated number of years

A

Return of Premium

22
Q

This type of rider refunds 60-80% of the insured’s premiums and interest in cases where premium payments far exceed claims paid. This benefit is only paid when the disability income policy is terminated.

A

Cash Surrender Value

23
Q

_____ to disability income policies:

Military service
War
Specific aviation
Injuries while living overseas
Self-inflicted and intentional injuries
Attempted suicide
Injuries while committing a felony

A

Exclusions

24
Q

An ____ _____ is added to disability income policies in which the insured has an existing medical condition. This rider excludes coverage for that particular condition.

A

Impairment Rider

25
Q

TF: The impairment rider allows insureds to obtain coverage in cases where they would otherwise be denied because of their health conditions.

A

True

26
Q

What is the most important factor in underwriting individual disability income policies?

A

The insured’s occupation

27
Q

TF: For disability policies, Individuals with more hazardous occupations are charged higher premiums to account for the greater risk of disability.

A

True

28
Q

Individual disability income policy benefits are based on a percentage of the insured’s earned income. The portion can be anywhere from ___ to _____, based on the policy.

A

60-80%

29
Q

TF: Applicants who pose high risks may be insured with impairment riders or other exclusions instead of being declined coverage. Underwriters may also rate the premium higher for applicants that carry more risk.

A

True

30
Q

TF: Several individual disability plans have been created that are tailored to specific types of professionals such as blue and gray collar professions, physicians and surgeons, lawyers, brokers and traders, chiropractors, dentists, and business executives. These plans ensure that professionals are provided with a sufficient amount of disability income replacement.

A

True

31
Q

All of the following statements are true regarding the impairment rider in disability income policies, EXCEPT:
Select one:
a. The impairment rider is used when the insured has existing medical conditions.
b. The impairment rider excludes coverage for the particular existing medical condition.
c. The impairment rider drops off when the pre-existing condition exclusion period ends.
d. The impairment rider allows insureds to obtain coverage in cases where they would otherwise be denied because of their health conditions.

A

C

32
Q

All of the following are true regarding the lifetime benefits provision in disability income policies, EXCEPT:
Select one:
a. The lifetime benefits provision prolongs the disability income policy benefit period beyond the age 65 cutoff to the insured’s entire life.
b. The provision usually requires that the insured is totally disabled prior to age 65.
c. The disability must be caused by accidental injury.
d. Policies that pay lifetime benefits for sickness usually require that the disability occur prior to the insured reaching the age of 55.

A

C

33
Q

Which policy feature waives the premium while the insured is receiving disability income benefits?
Select one:
a. Waiver of premium
b. Hospital confinement rider
c. Return of premium rider
d. Social insurance supplement

A

A

34
Q

Of the following policy features, which waives the premium while the insured receives disability income benefits?
Select one:
a. Social insurance supplement
b. Hospital confinement rider
c. Waiver of premium
d. Return of premium rider

A

C

35
Q

What is the purpose of the guaranteed insurability rider in a disability income policy?
Select one:
a. The insured may receive a refund of premiums paid if the policy’s benefits were not utilized by age 65.
b. The insured may increase disability income benefits without increasing the premium.
c. The insured may purchase additional coverage at certain points in time, or at certain ages.
d. The insured’s policy is guaranteed renewable until age 65.

A

C

36
Q

Total disability caused by sickness must occur prior to the insured reaching the age of:

Select one:
a. 40
b. 55
c. 60
d. 65

A

B

37
Q

Which of the following is not a use of disability income insurance?
Select one:
a. Pay mortgage bill
b. Pay credit card bill
c. Pay medical expenses
d. Purchase groceries

A

C

38
Q

Of the following provisions, which protects against inflation?
Select one:
a. FIO rider
b. COLA rider
c. Relation of earnings to insurance
d. FIO and COLA riders

A

B

39
Q

Which disability income rider restricts the insured’s disability income benefit to an amount based on earned income during the past two years?
Select one:
a. Cost of living adjustment rider
b. Relation of earnings to insurance rider
c. Guaranteed insurability rider
d. Lifetime benefits

A

B

40
Q

The ________ provision refunds 60 to 80% of the insured’s premiums and interest in cases where premium payments far exceed claims paid.
Select one:
a. Return of premium
b. Cash surrender value
c. Impairment rider
d. Cost of living adjustment rider

A

B