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Long-term Care Insurance
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Flashcards
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Benefit Trigger
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.
Activities of Daily Living (ADLs)
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.
Elimination Period
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.
Inflation Protection
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.
Maximum Benefit Period
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.
Daily Benefit Amount
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.
Nonforfeiture Benefits
A feature that allows policyholders to receive partial benefits or a return of some premiums if they let their long-term care policy lapse.
Shared Care Benefit
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.
Underwriting
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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