Long Term Disability Lab Review Flashcards
Qualifying period
elimination period, waiting period
Work in a position that’s at least half-time. Have 6 months of active service. Have completed 6 months of Short Term Illness and Injury Plan (STIIP) benefits
Own Occupation
Will typically cover up to 24 months after incident. The insurance company worries they will not ever return to own occupation so turns to any occupation.
Any Occupation
after 24 months
All Source Maximum Income
they don’t want you to be better off after claiming disability. It’s never allowed to have more money on disability than your original paycheck.
Waiver of Premium
once people go off long term disability, they don’t have to pay the premium
Benefit Schedule
% of pre-disability earnings 65% - 75% might be common
Benefit Volume
the amount of money that is covered, not necessarily the original paycheck. It could be 70% of pre-disability earning
How are premiums calculated?
Premiums are calculated based on a rate per $100 of benefit.
Example:
EE’s salary = $40,000
70% of earnings
Benefit schedule: 70% of earnings, to a maximum benefit of $5000/ month.
Premium rate: $1.20 per $100 of benefit volume.
What is benefit volume?
40,000 * .70 = $28,000 per year
Monthly premium?
28,000 / 100 = 280
280*1.20 = $336 per year $336/12 = $28 per month
value investing
Warren Buffet
when stock sells at a discount compared to their intrinsic worth
world’s greatest value investor.
indexed pension
An “indexed pension” is one that is increased periodically to reflect increases in the consumer price index (CPI).
Employee Benefits
that part of the total compensation package, other than pay for time worked, provided to employees in whole or in part by employer payments
Non-contributory
Contributory
employer pays total costs
costs shared between employer and employee
Coinsurance
% of eligible expense above deductible that is paid by benefits insurance plan (eg: 80% coinsurance for drug costs)
Pros & Cons of one size fits all
Pros
- simpler to manage
- equitable (sort of)
Cons
- potentially more costly to maintain as time goes by
- inequitable (sort of)
Flex Benefits
Pros & Cons
Pros
- EEs have different needs
- easier to change/allow for change
- EEs need to be involved
- helps with cost containment
Cons
- EEs make bad choices and not covered
- admin burdens increase
- adverse selection/anti-selection (EEs only pick benefits they wil use so the subsequent high benefit utilization increases its cost)