( 4 ) – Disability Income Insurance

2 December 2023
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question
Which of these statements concerning an individual Disability Income policy is TRUE?
answer
"Normally includes an Elimination period" (Disability Income policies typically contain an Elimination )
question
D is an architect receiving Disability Income benefits who is not able to return to work full time, but can work on a part-time basis. Which of these features would allow D to continue receiving benefits?
answer
Residual Benefit clause (A residual amount benefit is based on the proportion of income actually lost due to the partial disability, taking into account the fact that the insured is able to work and earn some income.)
question
What does a Guaranteed Insurability rider provide a Disability Income policyowner?
answer
The ability to periodically increase the amount of coverage without evidence of insurability.
question
What is the primary factor that determines the benefits paid under a disability income policy?
answer
Wages. (The major factor in determining the benefit amount paid under a disability income policy is wages.)
question
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?
answer
"A recurrent disability". (A second period of disability from the same or related cause of a prior disability is called a recurrent disability.)
question
K becomes ill after traveling overseas and is unable to work for 3 months. What kind of policy would cover her loss of income?
answer
Disability Income. (would reimburse an insured for loss of earnings if the insured became sick.)
question
J has a Disability Income policy that does NOT provide benefits for losses occurring as the result of his employment. What kind of coverage is this?
answer
Nonoccupational coverage. (The coverage provided by a Disability Income policy that does not provide benefits for losses occurring as the result of the insured's employment is called nonoccupational coverage.)
question
Which of the following is the MOST important factor when deciding how much Disability Income coverage an applicant should purchase?
answer
Applicant's monthly income. (In determining how much Disability Income insurance a prospective insured should purchase, the most important factor to be considered is the insured's monthly income.)
question
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 December 1. How many months of benefit are payable?
answer
"4 months". (After the 30-day Elimination period has been satisfied, there will be 4 months of benefit payments.)
question
The provision in a health insurance policy that suspends premiums being paid to the insurer while the insured is disabled is called the?
answer
"Waiver of Premium". (The Waiver of Premium provision in a health insurance contract suspends the insurer's right to receive premiums during a covered period of disability.
question
Loss of income insurance provides?
answer
An individual the means to replace wages.
question
An example of a presumptive disability would be ?
answer
Deafness.
question
A policyowner suffers an injury that renders him incapable of performing one or more important job duties. Any decrease in income resulting from this injury would make him eligible for benefits under which provision?
answer
Partial disability.
question
Which clause defines total disability as being unable to perform the major duties of the insured's regular occupation?
answer
Own occupation clause.
question
What percentage of a participant's income are group long-term disability benefit amounts typically limited to?
answer
60%
question
Coming from an insurance point of view, which of the following is the main risk associated with disability?
answer
Loss of income.
question
Which type of disability would be less than total impairment and equal to permanent impairment?
answer
Permanent partial disability.
question
What is the purpose of a Disability Income Benefit?
answer
Provide money for living expenses.
question
What is the elimination period of an individual disability policy?
answer
Time period a disabled person must wait before benefits are paid.
question
A disability policy owner is injured and becomes totally disabled. The benefits pay for 2 years, starting from the date of the injury. What is this time period called?
answer
Benefit period.
question
M becomes disabled and is unable to work for six months. M dies soon after from complications arising from this disability. M has a Disability Income policy that pays $2,000 a month. Which of the following statements BEST describes what is owed to her estate?
answer
Earned, but unpaid benefits.
question
When determining the monthly benefit amount for a Disability Income policy, the factor that limits the amount a prospective insured may purchase is?
answer
Income.
question
When an insured has the same disability within a specified time period and the insurance company provides the same benefits without a new waiting period, the second disability is covered under which of the following benefits?
answer
Recurrent Disability.
question
Which of these statements concerning an individual Disability Income policy is TRUE?
answer
Normally includes an Elimination period.
question
Disability policies do NOT normally pay for disabilities arising from which of the following?
answer
War.
question
T has Disability Income policy that pays a monthly benefit of $5000. If T becomes partially disabled, what can he likely expect?
answer
Less than $5,000 per month benefit regardless of the cause.
question
K becomes ill after traveling overseas and is unable to work for 3 months. What kind of policy would cover her loss of income?
answer
Disability Income.
question
An individual Disability Income insurance applicant may be required to submit all of the following information EXCEPT?
answer
Spouse's occupation.
question
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?
answer
Disability Income.
question
In a Disability Income policy, which of these clauses acts as a deductible?
answer
Elimination Period.
question
Bryce purchased a disability income policy with a rider that guarantees him the option of purchasing additional amounts of coverage at predetermined times without requiring to provide evidence of insurability. What kind of rider is this?
answer
Guaranteed insurability rider.
question
When a person returns to work after a period of total disability but cannot earn as much as he or she did before the disability, this situation is called which of the following?
answer
Residual disability.
question
A CEO's personal assistant suffered injuries at home and as a result, was unable to work for four months. Which type of policy will pay a monthly benefit to the personal assistant?
answer
Disability Income.
question
R had received full disability income benefits for 6 months. When he returns to work, he is only able to resume half his normal daily workload. Which provision pays reduced benefits to R while he is not working at full capacity?
answer
Residual Disability. (A residual disability benefit is usually a percentage of the total disability benefit for periods when the insured is unable to perform some of the duties of his/her occupation.)
question
With Disability Income insurance, an insurance company may limit the monthly benefit amount a prospective policy holder may obtain because of the insured's?
answer
The insured's earned income at the time of purchase limits the amount of the monthly benefit that an insured may purchase in a Disability Income Policy.
question
Non-occupational disability coverage is designed for?
answer
Employees who suffer non-work related disabilities, since work-related disabilities are covered by Workers' Compensation. (Non-occupational disability coverage is designed for employees who suffer non-work related disabilities, since work-related disabilities are covered by Workers' Compensation.)
question
An insured owns an individual Disability Income policy with a 30-day Elimination Period for sickness and accidents and a monthly indemnity benefit of $500. If the insured is disabled for 3 1/2 months, what is the MAXIMUM amount he would receive for an approved claim?
answer
$1,250. (3.5 months - 1 month elimination period = 2.5 months. 2.5 months X $500 monthly indemnity = $1,250.)
question
T was insured under an individual Disability Income policy and was severely burned in a fire. As a result, T became totally disabled. The insurer began making monthly benefit payments, but later discovered that the fire was set by T in what was described as arson. What actions will the insurer take?
answer
The insurer will rescind the policy, deny the claim, and recover all payments made.