Insurance Flashcards
identify the last month rule
If eligible under HDHP on the first day of the last month of tax year may fund HSA as if eligible for entire year
describe the penalty for non-qualified HSA withdrawals
non qualified HSA withdrawals prior to age 65 are subject to a 20% penalty tax
when you can no longer contribute to an HSA
once you are enrolled in Medicare
identify the catch-up age for HSAs
age 55+
approaches to high frequency, high severity risks
risk avoidance and/or risk reduction
approaches to high frequency, low severity risks
risk retention and risk reduction
approaches to low frequency, high severity risks
risk transfer (insurance)
approaches to low frequency, low severity risks
risk retention
Identify the COBRA qualifying events
- termination
- SS disability
- Medicare enrollment
- Divorce
- Death
- Loss of “dependent child” status
Maximum cost of COBRA coverage
102%
maximum period of continuation coverage for termination
18 months
maximum period of continuation coverage for becoming disabled as defined by SS
29 months
maximum period of continuation coverage for beneficiaries when an employee enrolls in Medicare
36 months
maximum period of continuation coverage for beneficiaries when an employee goes thru a divorce
36 months
maximum period of continuation coverage for beneficiaries when an employee dies
36 months
maximum period of continuation coverage after losing “dependent child” status under their plan
36 months
list the options for LTC in order of increasing support
- Homemaker services
- Home health aide services
- Adult day health care (ADC)
- Assisted living facility (ALF)
- Nursing home care
Identify the periods of Medicare coverage for nursing home skilled care
Days 1-20: $0 co-pay
Days 21-100: $204 coinsurance / day
Days 101+: patient pays all ocsts
Elimination period
the waiting period before benefits become payable (0-365 days)
Waiver of premium
while receiving benefits, insured does not have to pay premiums
Identify the activities of daily living (ADLs)
- Bathing
- Eating
- Dressing
- Continence
- ON <> OFF Toilet
- Transferring
Identify how LTC benefits trigger
Option 1: unable to perform 2 of 6 ADLs for more than 90 days
Option 2: substantial cognitive impairment
Identify the renewability of LTCi
guaranteed renewable
Do LTCi policies provide cash surrender value?
No