Health Insurance chapter 4

Which of the following disability income policies would have the highest premium?

5-day waiting period / 10-year benefit period

According to the Future Increase Option Rider (FIO), which of the following is NOT a qualifying event to increase an insured's benefit level?

Death of a spouse

An insured is involved in a car accident. In addition to general, less serious Injuries her permanently loses the use of his leg and is rendered completely blind. The blindness improves a month later. To what extent will he receive presumptive Disability benefits?

No benefits

Which of the following applies to partial disability benefits?

Payment is limited to a certain period of time

When an insurer combines two periods of disability into one, the insured must have suffered a

Recurrent disability

An applicant is considered to be high-risk, but not so much that the insurer wants to deny coverage. Which of the following is NOT true?

The insurer will issue a conditional coverage

In which of the following health plans are benefit payments attributed to employer contributions taxable to the employee?

Group Disability Income

An insured is involved in an accident that renders him permanently deaf, although he does not sustain any other major injuries. The insured is still able to perform his current job. To what extent will receive Presumptive Disability benefits?

Full benefits

Certain conditions, such as dismemberment or total and permanent blindness, will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe?

presumptive disability

To attain currently insured status under social security a worker must have earned at least how many credits during the last 13 quarters?

6 credits

Benefit periods for individual short-term disability will usually continue from

6 months to 2 years

Underwriting for disability insurance is unique due to the type of risk involved. Which of the following situations illustrates this?

A construction worker pays a higher premium and receives a poorer classification of disability.

Which of the following is an eligibility requirement for all social security disability income benefits?

Have attained fully insured status

How is the amount of Social Security disability benefits calculated?

It is based upon the worker's Primary Insurance Amount (PIA), which is calculated from their Average Indexed Monthly Earnings over their highest 35 years

In a Disability Income policy, all of the following are considered presumptive disabilities EXCEPT

Loss of one eye.

When a group disability insurance plan is paid entirely by the employer, benefits paid to disabled employees are:

Taxable income to the employee

What is the number of credits required for fully insured status for social security disability benefits?

40

Which of the following would best describe total disability?

A person's ability to work is significantly reduced or eliminated for the rest of his/her life

Social Security was created to provide all of the following benefits Except

Unemployment income

Under a disability income policy, the insurer pays a monthly benefit that is less than the insured's income. What is the reason for that?

prevent over utilization and malingering