Chapters - 6 / 7 / 8 Flashcards
(44 cards)
What is the focus for underwriting PREFUNDED LTCI
Morbidity
What is the focus for underwriting IMMEDIATE NEED LTCI
Mortality
What indicators are used for establishing Mortality
Degree of health impairment
The ability to undertake ADL’s
What additional information may underwriters require for annuities
Postcode underwriting
Lifestyle Underwriting
Which policy may require PER / SME / MER reports?
Prefunded LTCI
What exam does the NHS use to test memory problems or diagnosing demetia?
Mini Mental State Examinations (MMSE) or ACE-R
How is the LTCI triggered?
Unable to perform a number of ADL’s or be mentally (cognitively) impaired
Under what act must an applicant take ‘reasonable care not to make a misrepresentation?’
Consumer Insurance (Disclosure and Representation) Act 2012
Who is the burden of proof for misrepresentation in the application process (either deliberate or reckless)?
The Insurer
How long typically is the deferred period for a pre-funded LTCI
Typically 2 - 3 months
What is ‘care management’
Process to ensure that the claimant is receiving the appropriate level and standard of care.
Which benefits are excluded from the benefits cap?
Benefits paid for care or disability
PIP / DLA / support element of ESA
How do pensions influence benefits
Uncrystallised funds may be used to evaluate income
Taking inclome or lump lums will influence
When did someone need to reach State Pension age to receive Savings Credit
6 April 2016
How is savings credit calculated?
Weekly savings threshold is subtracted from qualifying weekly income and then x 60%
Who receives Guarantee Credit
additional amount paid where there is a disability or caring for others.
Can include free dental
What other pension credit may be recieved?
Severe disability / Carer / Housing costs
If you go into hospital how long before certain credits cease?
28 days
How are savings applied to Pension Credit?
Under £10,000 ignored
Anything above that £1 income per week for every £500
Rounded up to nearest £
What income is not taken into account for Pension Credit?
Attendance allowance
PIP / DLA
Contribution based Employment and Support Allowance
What is employment and support allowance (ESA)?
help people with disability and illness to get back to work. Will eventually be replaced by Universal Credit
What are the two elements of ESA
Contribution based (NI)
Income related (household income of less than £16k)
Is ESA taxable?
Contribution based - yes
Income related - no
How many hours per week must you care for someone to receive Carer’s Allowance?
35 hours