Disability Income And Related Insurance Flashcards

1
Q

What does the amount of disability benefit that an insured can receive depend on?

A

The insureds income at the time of policy application

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2
Q

What is the own occupation disability?

A

Insureds inability to perform duties of his or her current job or an occupation for which the insured is educated and trained

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3
Q

What type of disabilities will be covered by occupational coverage?

A

Disabilities that result from accidents or sicknesses that occur on or off the job

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4
Q

What is the term for a period of time immediately following a disability during which benefits are not payable

A

Elimination period

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5
Q

How does someone qualify for social security disability income benefits?

A

Insured must have the proper insured status (such as fully insured), meet the definition of disability, and satisfy the waiting period

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6
Q

What is the purpose of a buy-sell agreement for HI policies?

A

To specify how the business will pass between owners when one of them dies or becomes disabled

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7
Q

What is a presumptive disability provision?

A

Provision found in most disability income policies that specifies the conditions that will automatically qualify for full disability benefits

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8
Q

What portion, if any, of the individual disability income policy benefits are taxed to the insured?

A

None - not income taxable

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9
Q

A waiver of premium provision may be included with what type of HI policy?

A

Disability income

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10
Q

How can an AD&D policy be written?

A

As a rider to a HI policy or as a separate policy

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11
Q

4 types of workers comp benefits

A

Medical
Income
Rehabilitation
Death

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12
Q

What entity regulates workers comp benefits

A

State gov

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13
Q

Type of HI sold to small biz owners to reimburse them for the overhead expenses?

A

BOE - business overhead expense insurance

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14
Q

Primary purpose of disability income ins?

A

Replace income lost due to disability

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15
Q

What benefit is based on primary insurance amount? PIA

A

Social security disability benefit

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16
Q

After the elimination period, a totally disabled insured qualified for benefits from a disability income policy that has a waiver of premium rider. What will happen to the premium that was paid into the policy during the elimination period?

A

The premium will be refunded

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17
Q

What type of HI would pay for hiring a replacement for an important employee who becomes disabled?

A

Key-person disability ins.

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18
Q

Another name for old age, survivors, and disability insurance benefits?

A

Social security

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19
Q

issuing a conditional receipt means coverage starts when

A

Right away if conditions have been satisfied

20
Q

HI policies are incontestable after they have been in force for how long?

A

2 years

21
Q

How is total disability defined

A

Insured cant his job for the first 2 years and any job thereafter

22
Q

How often might you have to take a physical if you are collecting disability?

A

Every 6 months at the insurers expense

23
Q

Primary purpose of disability coverage

A

replacement of lost wages

24
Q

Most important factor to consider when writing disability ins.

A

Amount of lost wages

25
Q

What does a longer waiting period do on a disability policy?

A

Reduces the premium

26
Q

When does the waiting period start in a disability policy?

A

at the onset of the insured’s disability

27
Q

If a disability policy has a 7 day elimination period and the insured is sick for 15 days they receive benefits for how long

A

8 days

28
Q

When does the probationary period start on disability policies?

A

When the policy is first issued

29
Q

Recurrent disability

A

Prior injury that reoccurs again - the elimination period is waived

30
Q

Residual disability

A

Disability that never goes away - residual coverage pays the diff between what you used to make before your disability and what you can make now

31
Q

Accidental means clause on a disability policy

A

No coverage if the insured is injured doing something he or she was meant to do

32
Q

Accidental Bodily Injury Clause

A

Coverage applies as long as the injury was unintentional and unforseen

33
Q

Guaranteed Purchase Rider

A

Allows the insured to purchase addtl coverage at certain intervals regardless of health

34
Q

Cost of Living Rider

A

keeps policy limit up with inflation

35
Q

Group disability covers what part of an employees gross earned income

A

Only a percentage

36
Q

Individual disability covers what part of of an insureds income?

A

Only a percentage of an insureds after tax income

37
Q

Who is covered under business overhead ins?

A

Self employed person

38
Q

How long does a disability buy sell policy pay a corporation?

A

Up to one year

39
Q

How long must you pay into social security to be fully insured for disability benefits?

A

40 quarters or 10 years

40
Q

Waiting period for social security benefits?

A

5 Months

41
Q

Social Security Disability require you cant work what and for how long

A

Cant work ANY job and its expected to last at least 1 year

42
Q

Under the misstatement of age clause are the benefits or premiums adjusted?

A

Benefits

43
Q

If an insured pays an overdue premium on a lapsed policy and does not hear from the co

A

The insured is automatically reinstated in 45 days

44
Q

Under the unpaid premium provision, if a claim happens during the grace period

A

The co may subtract the overdue premium from the payout

45
Q

A peril is a cause of loss. Health insurance covers 2 perils

A

accident and sickness

46
Q

Occupational covers on and off the job. Nonoccupational covers

A

Off the job only