Ch 4 Health Disability Income

B is a teacher who was injured in a car accident and cannot work. She is now receiving monthly benefits as a result of this accident. Which type of policy does B have? -Major Medical -Blanket -Disability Income -Indemnity

Disability Income

T has Disability Income policy that pays a monthly benefit of $5000. If T becomes partially disabled, what can he likely expect? -$5,000 per month benefit -$10,000 per month benefit if the cause was accidental -more than $5,000 per month benefit if cause was work-related -less than $5,000 per month benefit regardless of the cause

Less than $5,000 per month benefit regardless of the cause

V is insured under an individual Disability Income policy with a 30-day Elimination period. On July 1, he is involved in an accident and temporarily disabled. He returns to work on Dec. 1. How many months of benefit are payable? -6 months -5 months -4 1/2 months -4 months

4 months

In a Disability Income policy, which of these clauses acts as a deductible? -elimination period -waiver period -deductible period -probationary period

Elimination Period

With Disability Income insurance, an insurance company may limit the monthly benefit amount a prospective policy holder may obtain because of the insured's -monthly expenditures at the time of disability -gross income at the time of purchase -gross income at the time of disability -occupation at the time of purchase

Gross income at the time of purchase

When determining the monthly benefit amount for a Disability Income policy, the factor that limits the amount a prospective insured may purchase is -occupation -income -age -medical condition

Income

Z owns a Disability Income policy with a 30-day Elimination period. Z contracts pneumonia that leaves him unable to work from January 1 until January 15. Z then becomes disabled form an accident on Feb. ! and the disability lasts until July 1 the same year. Z will become eligible to receive benefits starting on -Jan. 1 -Jan. 15 -Feb. 1 -Mar. 1

Mar. 1

P received Disability income benefits for 3 months then returns to work. She is able to work one month before her condition returns, leaving her disabled once again. What would the insurance company most likely regard this second period of disability as? -presumptive disability -occupational disability -residual disability -recurrent disability

Recurrent Disability

A Disability Income policyowner suffers a disability which was due to the same cause as a previous disability. Both disabilities occurred within a five-month period. The insurer may cover the second disability without a new elimination period under the -Residual Disability provision -Presumptive Disability provision -Recurrent Disability provision -Partial Disability provision

Recurrent Disability provision

The provision in a health insurance policy that suspends premiums being paid to the insurer while the insured is disabled is called the -probation period -grace period -waiver of premium -elimination period

Waiver of premium