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Long-term Care Insurance

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Benefit Trigger

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The conditions that must be met for a policyholder to qualify for benefits. Typically involve proving inability to perform a certain number of Activities of Daily Living (ADLs) or having cognitive impairment.

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Activities of Daily Living (ADLs)

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A measure of an individual's ability to perform basic self-care tasks. Insurers typically use the inability to perform ADLs as a criteria for triggering benefits.

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Elimination Period

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The waiting or deductible period in a long-term care policy, which is the time between when an individual qualifies for benefits and when they actually begin to receive them.

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Inflation Protection

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An optional feature in long-term care insurance that helps the benefits keep up with the rising cost of care over time, usually through automatic benefit increases.

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Maximum Benefit Period

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The longest period of time for which benefits will be paid by the long-term care policy, ranging from a few years to the rest of the insured's life.

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Daily Benefit Amount

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The amount that a long-term care insurance policy will pay on a daily basis to cover care, which influences the policy's monthly or annual cost.

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Nonforfeiture Benefits

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A feature that allows policyholders to receive partial benefits or a return of some premiums if they let their long-term care policy lapse.

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Shared Care Benefit

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A rider that allows spouses to share each other's long-term care insurance benefits, effectively increasing the pool of benefits available to either spouse.

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Underwriting

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The process of evaluating a potential policyholder's insurability and setting the terms of the long-term care insurance policy, often including a review of medical history, lifestyle, and other risk factors.

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