Disability Flashcards

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1
Q

How do qualify for disability generally?

A

You have to meet the definition of the contract specifically - diff contracts use diff definitions

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2
Q

Any-Occupation

A

very restrictive - same as SS definition - only if you’re disabled severely enough that you cannot work “any occupation”

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3
Q

Any Occupation example

A

if a surgeon owns an 80% any occupation policy, injures his finger - he can still work as a consultant etc. so he wouldn’t qualify for “any occupation” coverage

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4
Q

Own Occupation

A

allows payment if you’re unable to do your own occupation

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5
Q

Own Occupation Example

A

Surgeon has 80% own occupation policy - injured finger. Say salary is 1 mil a year - can receive 800k as long as he is unable to perform his occupation

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6
Q

What happens after Own Occupation stops paying?

A

Benefits would only continue if you’re also unable to do a job you have the training/education/experience for

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7
Q

Presumptive Disability

A

presumes total disability even if you’re able to return to work a new job - these are major injuries - blindness, deaf, loss of hearing, loss of hands, feet or both

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8
Q

How do you qualify for presumptive disability?

A

You have to have a major injury like go blind, deaf, can’t hear, loss of hand/foot or both

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9
Q

Partial Disability

A

unable to do part of your job or do the job extremely slow - more severe the limitations the higher the $

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10
Q

Short Term Disability Insurance Policy

A

-usually 6 months or less
-most short term plans have no probationary period or if they do its 3 months or less

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11
Q

Long Term Disability Policy

A

-extended benefits, possibly lifetime
-usually disabled for longer than 6 months
-probationary period of 3 months to 1 year

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12
Q

Sick Leave Policy

A

-100% of pay - rarely exceeds 6 months
-say workers comp covers 60% - sick leave policy would cover the other 40%

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13
Q

Elimination period for short term plan

A

-typically 1-7 days
-benefits usually max 2 years

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14
Q

Elimination for long term plan

A

-typically 3-6 months
-benefits 2 years or longer, possibly lifetime

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15
Q

Can you get disability if you’re retired or unemployed?

A

No

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16
Q

How do you determine how much short/long term disability you need?

A

Needs analysis

17
Q

Disability Coordination with Other benefits

A

To minimize you earning more than what you were being paid - coordination with other benefits like workers comp, SS, other insurance plans

18
Q

Disability COLA

A

policy w/inflation adjustment - prevents erosion of purchasing power

19
Q

What should you do as your income increases re:disability policies

A

Purchase new ones

20
Q

If co has more than 15 employees what are they required to include in disability policies

A

pregnancy

21
Q

Grace period for a disability policy to be reinstated automatically

A

15 days

22
Q

How does age factor into premium payments on disability

A

the lower the age the lower the premiums can be locked in

23
Q

Are premiums deductible in an individual disability policy?

A

No

24
Q

Are individual disability benefits taxed?

A

Benefits are not taxed and premiums are not deductible

25
Q

With option A universal life, what does the death benefit include?

A

the cash accumulation fund

26
Q

With option A Universal life, mortality charges are based on what

A

Net amount at risk

27
Q

What is the net amount at risk in universal life option A

A

face amount of the policy minus the accumulation fund

28
Q

How long must you own a policy before you can get a viatical settlement?

A

2 years

29
Q

What must you give the company access to if you apply for a viatical settlement?

A

Access to your medical records

30
Q

If dividends received exceed the premiums paid for a life insurance policy, how are they taxed?

A

Ordinary income

31
Q

Partial loans and surrenders of MECS are taxable on what basis?

A

LIFO

32
Q

Partial loans and surrenders on non-MECs are taxed how?

A

FIFO

33
Q

Once a life insurance policy becomes a MEC, how can you convert it to a Non-MEC?

A

You can’t, there is no way to reverse the tax treatment

34
Q

What are 2 types of buy sell agreements?

A

Cross purchase, entity purchase

35
Q

2 ways to calculate an individuals insurance needs

A

Human life value method
needs analysis method

36
Q

Restrictive underwriting results in higher or lower claims?

A

Lower, think restrictive, lower

37
Q

Residual disability provision covers what

A

if you have to work fewer hours due to partial disability