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Insurance · Licensing exam

Insurance Long Term Care and Disability Terms

Long term care and disability income insurance policy terms tested on state insurance licensing exams.

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What is the elimination period in a disability income policy?
The waiting period before benefits begin after a covered disability occurs
What does the benefit period specify in long-term care insurance?
The maximum length of time the policy will pay benefits
What is a waiver of premium rider?
Provision that waives premium payments while the insured is receiving disability benefits
What is a pre-existing condition in insurance policies?
A condition that existed before the policy was issued, sometimes subject to exclusion periods
What are activities of daily living (ADLs)?
Essential self-care functions used to determine long-term care eligibility, typically including bathing, dressing, eating, and toileting
What is cognitive impairment in long-term care policies?
Significant loss of mental capacity, often due to Alzheimer's or dementia, that qualifies for benefits
What is a benefit trigger in disability insurance?
The specific event or condition that must occur for the policy to begin paying benefits
What does own-occupation definition mean?
The insured is disabled if unable to perform the duties of their own specific occupation, regardless of whether they can work in other occupations
What is modification of occupation in disability policies?
A middle-ground definition where the insured is disabled if they cannot perform their regular occupation and do not engage in any other occupation for income
What is residual disability?
Partial disability where the insured can perform some but not all of their regular job duties, sometimes qualifying for partial benefits
What does COLA mean in insurance?
Cost of Living Adjustment, a rider that increases benefits annually to offset inflation
What is a shared care benefit in long-term care insurance?
An option allowing a couple to share a single pool of lifetime benefits between them
What is respite care in long-term care policies?
Short-term care provided to give relief to a primary caregiver, typically covered under long-term care insurance
What is a non-forfeiture option?
A policy provision allowing the insured to maintain reduced benefits after discontinuing premium payments, rather than losing all coverage
What does guaranteed renewability mean?
The insured has the right to renew the policy up to a certain age without being denied renewal, though premiums may increase

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