INSURANCE (PG. 625-682) Flashcards
CRITICAL ILLNESS INSURANCE
Provides a lump-sum benefit to an individual who is diagnosed with a specified serious life-altering illness or medical event, provided the individual survives for a specified short period after daignoses
CANCELLABILITY
Whether the insurance company can cancel the CI contract
TERM CI INSURANCE
Provideds coverage for a limiteds time or period, or term
GUARANTEED RENEWABLE
Insurance company must offer a new term to a specified date/age. Carrier cannot cancel the policy provoded the premiums are paid as required
CONDITIONALLY RENEWABLE
Innurance carrier may require new medical or other information to offer a new term.
TERM-TO-65, 70, 75, OR 100 INSURANCE
Type of permanent insurance product that does not renew
BIG 3 ILLNESSES
Life-threatening cancer, stroke, and heart attack
BENEFIT AMOUNT
A contractually defined amount established between quotation, underwriting and final contract acceptance
30-DAY WAITING PERIOD
Applied after the date of the diagnosis before receiving any money
EARLY-INTERVENTION CLAUSE
Insured may receive between 10%-25% of the benefit immediately
LONG-TERM CARE RIDER (LTC)
Allows entire benefit to be treated as the pool source of LTC payments, and a weekly or monthly benefit is calculated depending on the whether the insured is at home or in a facility
100% RETURN OF PREMIUM RIDER
On termination (expiry) of the contract, all premiums paid are returned to the owner
RETURN OF PREMIUM ON DEATH RIDER
Offers a full return of premiums paid as an insurance benefit directly to the insured’s beneficiaries if the insured pre-deceases his/her contract expiry.
SECOND EVENT RIDERS
Provide a second benefit equal to or less than the benefit from the first claim, depending on the definitions in the particular insurance comapny’s contract
WAIVER OF PREMIUM RIDER
Allows the client to skip premium payments if he/she is no longer working due to disability
POST-CLAIM UNDERWRITING
Insurer determines whether the coverage applies to the insured only once a claim is made
NON-CANCELLABLE INSURANCE CONTRACTS
Require a completion of a thorough medical history and financial and lifestyle questionnaire to establish insurability
STANDARD EXCLUSIONS
Acts of war, attempted suicide.other self-harm, abuse of drugs or alcohol, and criminal offences
EMPLOYER SPONSORED/ASSOCIATION SPONSORED GROUP BENEFIT PLANS
Conditionally renewable, non-cancellable one-yer term contracts owned by the group but offered to the individual
LONG-TERM CARE INSURANCE (LTC)
Insurance benefit that pays for the care or services that may be necessary, ruding the burden on an individual’s savings and increasing the affordability of care
ACTIVITIES OF DAILY LIVING (ADL)
The insured’s inability to perform activities
ELIMINATION PERIOD
The policy will only pay out benefits under certain specific conditions
HOME CRE
Care received while the insured is still living at home
FACILITY CARE
Time spent living at a facility
PROFESSIONAL CARE
Provided by professionals (nurses etc.)
SKILLED ACRE
Paid care provided by trained individuals (facility staff)
NON-SKILLED CARE
Provided by someone who is not trained (family members)
INCOME MODEL
Individual purchases a specific benefit amount, or income, that is paid regardless of the actual level of expenses