Chapter 5 Cont 4 Flashcards

1
Q

Wait period often with probationary/waiting period from policy issue date during which benefits will not be paid for illness related disabilities

A

10 to 30 days

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2
Q

Purpose of probationary period is to reduces chances of

A

Adverse selection against insurer

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3
Q

Adverse selection against insurer and helps insurer guard against individuals who would purchase disability income policy shortly after enveloping a disease or other condition that warrants immediate attention

A

Probationary period

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4
Q

Length of time over which monthly disability benefit payments will last for each disability after the elimination period has been satisfied

Injury
Sickness
Presumptive disability
Benefit period

A

Benefit period

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5
Q

Most polices offer 1, 2, 5, and to age 65 some offer Kim time benefits …longer benefit period the higher the

Injury
Sickness
Presumptive disability
Benefit limitations

A

Premiums will be

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6
Q

Provision that is found in most disability income polices which specifies the conditions that will automatically qualify the insured for

Full disability benefits
Sickness
Injury
Benefit period

A

Full disability benefits

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7
Q

Amount of monthly benefit payable under most disability income polices is based on a percentage of

Insureds past earnings
Compensation
Social insurance supplement
Sickness

A

Insureds past earnings

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8
Q

Primary purpose of disability income ins is to

Reimburse lost income while in the hospital

Reimburse loss of income to a family due to death of insured

Replace income lost due to disability

A

Replace income lost due to disability

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9
Q

Insured covered by a disability income policy that contains accidental means clause. The insured exits a bus by hyping down the steps and breaks an ankle …what coverage will apply

Coverage will apply since break was accidental

Coverage will apply but will be reduced by 505

No coverage will apply since injur could have been foreseen

A

No coverage will apply since injury could have been foreseen

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10
Q

In comparison to a policy that uses the accidental means definition a policy that uses accidental bodily injury definition would provide a coverage that is

Broader in general
More limited in general
More limited in duration
Broader in duration

A

Broader in general

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11
Q

Policy that uses accidental bodily injury will provide

A

Broader coverage than policy using accidental means

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12
Q

Bethany studies in England for semester while she is there she is involved in train accident that leaves her disabled. If Bethany owns a general disability policy what will be the extent of benefits that she receives

Full
50%
255
None

A

None

General disability policies dont cover war military service intentionally self inflicted overseas or suffered whil attempting felony

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13
Q

In a disability income policy all of the following are considered presumptive disabilities except

Loss of speech
Loss of one eye
Loss of hearing
Loss of two limbs

A

Loss of one eye

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14
Q

Provision found in most disability income polices which specifies the conditions that will automatically qualify insured for full didsability benefit

A

Presumptive disability

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15
Q

A mouthy of monthly benefits payable under most disability income policies based on percentage of insureds past earnings

Compensation
Benefit limitations
Overhead expense

A

Benefit limitations

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16
Q

Insured is involved in accident that renders him permanently deaf although he does not sustain any other major injuries. Insured is still able to perform his current job. What extent will he rec presumptive disability benefits

Full benefits
Partial benefits
Full benefits for 2 years
No benefits

A

Full benefits

17
Q

These policies typically require the loss of at least two limbs total and permanent blindness or loss of speech or hearing

A

Presumptive disability

18
Q

Insurers usually dont reimburse claimants for 100% of income lost due to disability. What is reason for limitations on coverage amounts

To provide incentive for insured to return to work
To make sure there is enough money to reimburse all claims
To reimburse only for premiums paid into policy

A

To provide an incentive for insured to return to work

19
Q

In disability policy the probationary period refers to the time

Between first day of disability and the actual receipt of payment for disability incurred
During which illness related disabilities are excluded from coverage
Between the firs day of disability and the day disability must continue before insured receives any benefits

A

During which illness related disabilities are excluded from coverage

20
Q

Client has new disability individual income policy with 20 day probationary period and 30 day elimination period. Ten days later client breaks leg and is off for 45 days. How many days of disability Benita will policy pay

A

15 days

21
Q

Period of time immediately following disability during which benefits are not payable

Elimination period
Probationary period
Grace period
Back out period

A

Elimination period

22
Q

Social security supplement or social security riders would provide for the payment of income befits in each of the situations below except

When insured is eligible for social security benefits but before the benefits begin
If insured has been denied coverage under social security
When the amount payable under social security is more than the amount payable under the rider

A

When the amount payable under social security is more than the amount payable under the rider

23
Q

These riders provide benefits when the amount payable under social security is less than the amount payable under the rider

A

SSI social security supplement aka social security riders

24
Q

The shorter the waiting period, the higher the

A

Premium

25
Q

After the insured satisfies the waiting period they will receive benefits from the insurer for a limited

A

Benefit period

26
Q

Which of the following disability income policies would have the highest premium

15 day waiting period/5 year benefit period
15 day waiting period/10 year benefit period
30 day waiting period/10 year benefit period
30 day waiting period/5 year benefit period

A

15 day waiting period 10 year benefit period