(135) Benefit triggers
serve as an additional barrier to claiming
This means if a patient is insured, his temptation to avail medical benefit triggers
which ultimately leads him to make fake bills.
Note that these revised standards provide the option for an insurance company to include benefit triggers
for temporary claims, but the standards do not require a company to do so.
From this point, there are different types of benefit triggers
, payment mechanisms and enhancing features that may apply depending upon the type of product and the client's needs.
The LTC riders have benefit triggers
familiar to those who sell LTC insurance (tax code 7702B), and the advisors also must have LTC CE training.
In this act, the traditional definitions for defining the six ADLs (activities of daily living) and/or Alzheimer's benefit triggers
In the world of modern private long-term care insurance, benefits are payable when one of two sets of benefit triggers
(c) Benefit triggers
. A benefit is paid when the insured has a cognitive impairment, or is unable to perform certain activities called "benefit triggers
" (referred to as "gatekeeper provisions").
CLASS is a federally mandated program in which employed people who do not opt out may prepay for cash LTC benefits without underwriting and with their "premiums," benefits, and benefit triggers
determined solely by the Secretary of Health and Human Services based on the program's future actuarial solvency.
Benefits are paid when the insured has a cognitive impairment or is unable to perform certain activities called "benefit triggers
." (8) A deductible, in the form of an elimination period, will generally last from 0 to 180 days.
Cash products pay eligible insureds cash based on standard benefit triggers
, versus the standard model of reimbursing paid services.
Two of the main differences between these two types of policies are the income taxation of the premium and the benefits and the benefit triggers
, as discussed earlier in the chapter.